In the Department of Developmental Services, this class is accountable for reviewing fiscal and operational practices of contracted private agencies to ensure they adhere to fiscal obligations and that quality services are provided to consumers in accordance with Agency standards.
GUIDELINES FOR CLASS USE:
This class is used in the regions to monitor the activities of contracted private agencies who manage residential and day programs arrangements.
Works under the limited supervision of a Developmental Services Program Manager or an employee of a higher grade.
May lead lower level employees as assigned.
EXAMPLES OF DUTIES:
Monitors services provided to ensure that private agencies satisfy the terms of the contract and adjusts contracts by adding or deleting services; updates the electronic data systems to reflect contractual changes; seeks approval for client service changes through the Planning and Resource Allocation Team (PRAT) or Utilization Resource Review (URR); negotiates with private provider on service funding in accordance with Agency cost standards, Comprehensive, Individual and Family Supports (IFS) and Day Medicaid Waivers; monitors the provider's billing to Agency and ensures errors are rectified; ensures providers are funded for services; provides assistance to Agency Case Managers in the development of individual budgets; tracks and maintains consumer's biographical history in the data system; reviews one time requests for accuracy and to ensure the service is justified and submits the request to PRAT for approval; creates a contract authorization to authorize the one time request for service; reviews and analyzes contractor private agency operational plans which reflect actual and projected spending for services to clients; research all financial transactions and documents and develops the Annual Fiscal Report for each agency and facilitates the Annual Review; reviews Quality Service Reviews (QRS) from agency staff and submits a request to the private agency for a Plan of Correction; meets with the private agencies to address programmatic and quality concerns to ensure Plan of Correction is followed; conducts on site visits to assure private agencies are in compliance with Department standards; analyzes and summarizes a variety of data; gathers consumer referral candidates for residential placement and coordinates with PRAT to fill vacancies at private agencies; performs related duties as required.
MINIMUM QUALIFICATIONS REQUIRED KNOWLEDGE, SKILL AND ABILITY:
Considerable knowledge of relevant state and federal laws, agency policies and procedures; considerable knowledge of modern methods of care, program design, treatment and education of persons with mental retardation and other developmental disabilities living in various community settings; knowledge of resource monitoring and evaluation; knowledge of business finance and accounting procedures; interpersonal skills, oral and written communication skills, ability to analyze and critique private agency, organization and individual practitioner's recordkeeping and financial statements; ability to utilize computer software.
EXPERIENCE AND TRAINING:
Six (6) years of professional experience in a human services setting providing services and supports to persons with developmental disabilities.
Two (2) years of the General Experience must have been conducting fiscal analysis and oversight of individual budgets/plans or basic auditing of business and accounting information and practices.
College training may be substituted for the General Experience on the basis of fifteen (15) semester hours equaling one-half (1/2) year of experience to a maximum of four (4) years for a Bachelor's degree.
For State Employees, three (3) years as a Developmental Services Compliance Coordinator and a Bachelorís degree in accounting, business administration, education, finance, health care administration or a related field may be substituted for the General and Special Experience.
Incumbents in this class may be required to travel.
Incumbents in this class may be required to possess and retain a valid Motor Vehicle Operator's license.