State Medical Review Team County Liaison - Human Services Program Specialist 2 - Remote Eligible

State Medical Review Team County Liaison

Job Class: Human Services Program Specialist 2

Agency: Human Services Dept

Location: St. Paul

Telework Eligible: Yes

Full/Part Time: Full-Time

Regular/Temporary: Unlimited

Who May Apply: Open to all qualified job seekers

Salary Range: $26.43 - $38.55 / hourly; $55,185 - $80,492 / annually

Classified Status: Classified

Bargaining Unit/Union: 214 - MN Assoc of Professional Empl/MAPE

FLSA Status: Nonexempt

Designated in Connect 700 Program for Applicants with Disabilities: Yes

The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible to work in the United States at the start of employment. DHS does not participate in E-Verify.

The work you'll do is more than just a job. At the State of Minnesota, employees play a critical role in developing policies, providing essential services, and working to improve the well-being and quality of life for all Minnesotans. The State of Minnesota is committed to equity and inclusion, and invests in employees by providing benefits, support resources, and training and development opportunities. This position is eligible for telework for applicants who reside in Minnesota or in a bordering state, with supervisory approval and satisfactory performance. If you live in a state bordering Minnesota, you must live within 50 miles or less from the primary work location to be eligible for telework.

This position exists to fully evaluate, screen, and develop referrals made to the State Medical Review Team (SMRT) in accordance with program policies and procedures, as part of determining eligibility for Minnesota's Medical Assistance ABD programs; ME-EPD, MA-TEFRA, Managed Care Exclusion, Family Support Grant (FSG), Special Needs Basic Care (SNBC), and Home and Community-Based Waivers (BI, CAC, CADI, DD). Under general supervision, this role plays a critical part in supporting initial referral intake by reviewing cases for completeness, program alignment, and prioritization. As a SMRT County Liaison, you'll support clients' access to critical services, collaborate with counties and providers statewide, and contribute to an engaged, mission-driven team.

Primary responsibilities include:

• Assess referrals for expedited status and prioritize those that meet criteria
• Develop and review SMRT referrals from county and tribal agencies to ensure that a SMRT determination is needed, that appropriate and necessary forms are requested, and that cases are directed to the appropriate work queue for further processing
• Communicate with agency partners to resolve issues involving missing or incorrect information
• Provide guidance and clarification about SMRT policies and procedures to clients, providers, and other external partners
• Support internal team operations by assisting with special projects as needed, such as system testing, documentation updates, and workflow enhancements

SMRT operates with a telework optional work schedule in accordance with MMB Policies, following onboarding and training.

Minimum Qualifications

To facilitate proper crediting, please ensure that your resume clearly describes your experience in the areas listed and indicates the beginning and ending month and year for each job held. There are three (3) different ways to qualify for this position and you must have the required work experiences:

• One (1) year of advance-level working experience determining eligibility for programs that may require a referral to SMRT, including: Medical Assistance ABD, MA-EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), or Home and Community Based Waivers (BI, CAC, CADI, DD) along with the required work experiences listed below.
• Three (3) years of working experience involving the programs for which SMRT evaluates disability including Medical Assistance ABD, MA-EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), and MA-Home and Community Based Waivers (HCBS) *BI, CAC, CADI, DD along with the required work experiences listed below.
• A bachelor's degree in a related field. AND Two (2) years of working experience involving the programs for which SMRT evaluates disability including Medical Assistance ABD, MA-EPD, TEFRA, Managed Care Exclusion, Family Support Grant, Special Needs Basic Care (SNBC), and MA-Home and Community Based Waivers (HCBS) *BI, CAC, CADI, DD along with the required work experiences listed below.

Experience must demonstrate:

• Ability to provide technical assistance and coaching around the programs for which SMRT evaluates disability.
• Experience working in eligibility and financial systems, such as METS, MAXIS, or MnCHOICES.
• Experience using and interpreting policy and procedure manuals, such as ONEsource, EPM, CFR, or POMS.

Preferred Qualifications

Systems experience with 2 or more of the following highly preferred: ISDS, MAXIS, MMIS, METS, MnCHOICES Assessment Tool, SSAS, and SMI. Strong background in MA/Waiver eligibility policy and procedure; Experience working in a supervisory, lead, or trainer role highly preferred. Medical terminology sufficient to understand common medical and psychological terms used in medical record documentation. Understanding of the Social Security disability criteria, including compassionate allowances and acceptable medical sources, and medical terminology as it relates to physical and mental health conditions documented in medical records. Customer service skills sufficient to provide prompt, courteous, and accurate information to a variety of customers over the phone, in person, and via email. Ability to maintain effective working relationships with internal and external stakeholders. Ability to coordinate multiple tasks with similar and/or competing deadlines. Excellent time management, prioritizing, problem solving, analytical skills, and ability to work well under pressure. Strong organizational skills including the ability to identify and resolve workflow bottlenecks. Proficiency with Microsoft Office Suite (Outlook, Word, Excel), SharePoint and Adobe Pro. Typing/Keyboarding and data entry skills to accurately input data various databases. Ability to work independently and as part of a team. Ability to work effectively with diverse communities, groups, and individuals.

Additional Requirements:

Minnesota Department of Human Services (DHS) criminal background check will be conducted on all finalists for this position. Finalists must pass the DHS background check. Employee reference checks will be conducted on all finalists. This may include a review of documentation related to job performance. It also includes contact with the applicant's former employer(s).

Minnesota State Colleges and Universities is an Equal Opportunity employer/educator committed to the principles of diversity. We prohibit discrimination against qualified individuals based on their race, sex, color, creed, religion, age, national origin, disability, protected veteran status, marital status, status with regard to public assistance, sexual orientation, gender identity, gender expression, or membership in a local commission as defined by law. As an affirmative action employer, we actively seek and encourage applications from women, minorities, persons with disabilities, and individuals with protected veteran status. Reasonable accommodations will be made to all qualified applicants with disabilities. If you are an individual with a disability who needs assistance or cannot access the online job application system, please contact the job information line at 651-259-3637 or email careers@state.mn.us. Please indicate what assistance is needed.