DS Financial Coordinator

Community Care Network is seeking a Developmental Services Financial Coordinator in Rutland, Vermont.

Community Care Network is comprised of Rutland Mental Health Services and Rutland Community Programs. Our mission is to enhance the well-being of our communities, individuals and families through responsive, innovative and collaborative human services.

About the Role:

The Developmental Services (DS) Financial Coordinator is responsible for the management and oversight of Home and Community Based Waiver (HCBS) Waiver utilization and allocation changes; updating annual financial information in Shared Living Provider contracts; maintaining appropriate financial information; updating ARIS for Family Managed Respite (FMR); and completing Flexible Family Funding (FFF) annually. In addition, the Financial Coordinator is responsible for overseeing the accuracy, timeliness, and objectivity of Case Management Organization (CMO) funding proposals and decisions, budget calculators, and overall review of the Roster.

Principal Responsibilities:

• Management and oversight of Medicaid Home and Community Based Waiver (HCBS Waiver) funding/ budgets for all Individuals within the DS Program.
• Maintains data base with financial information for all DS individuals within the program including reviewing Authorized Funding Limits (AFL) from the Case Management Organization (CMO), budget calculators, and DAIL approved spreadsheet called Roster.
• Coordinates, completes and submits any corrections that are needed to individual budgets or on the Roster in a corrections spreadsheet.
• Reviews and acts as the Direct Service Organization (DSO) sign off on funding exceptions that are submitted by the CMO.
• Acts as a point of contact for Finance, Care Coordinators, Supervisors, Managers, Individuals, Families, Guardians, Shared Living Providers, CMO agencies, ARIS, DAIL, and other external agencies regarding individuals' services and budget.
• Collaborates with the Shared Living Program Manager to ensure Shared Living contracts have accurate financial information and ensures completion of contracts annually.
• Collaborates with the Shared Living Program Manager to ensure Shared Living files are up to date, including gathering insurance information and individual home locations are accurate.
• Ensures Payments to Shared Living Providers are accurate and when contracts start or are adjusted according to terminations and changes in provider as well as Interim Shared Living payments.
• Opens and closes all electronic medical record SLP related Episodes initially and when changes are made and approved by the Finance Department within 48 business hours of a change/addition.
• Secure and monitor encounterable units for every funded allocation including Direct Support Professional (DSP) services.
• Collects all vendor invoices related to individual clinical services, completes service in electronic medical records for encounters, and submits to Finance for reimbursement.
• Manages service interruptions (i.e., loss of Medicaid, missing ISA, hospitalizations) to ensure billing accuracy.
• Drafts letters to individuals, families, and guardians with regards to changes, suspensions, terminations, deaths and others as needed for Adverse Benefits Determinations.
• Chairs One Time Funding Committee and completes needed administrative tasks associated with requests.
• Coordinates, completes, and submits all paperwork needed to enroll, change, or termination of ARIS allocations for Family Managed Respite (FMR) from the Bridge Care Coordination team.
• Manages the entire workflow for Flexible Family Funding (FFF) including processing the forms, submitting spreadsheets to Finance, and completing tracking of funding spent in the fiscal year.
• Collaborates with CMO agencies for new individual Intakes, budget changes, or corrections.
• Ensures the current eligibility and new Public Consulting Group (PCG) approved eligibility determinations are entered in the electronic medical record annually.
• Enters the Supports Intensity Scale Adult (SIS-A) scores and verifies report in the electronic medical record annually.
• Ensures accurate data entry of approved funded developmental service budgeted hours and other non-financial information in the electronic medical record.
• Participates in meetings, trainings, in-service and supervision as scheduled.
• Other duties as required.

Qualifications and Competencies:

• Bachelor’s Degree in Business or Finances preferred, equivalent experience may be considered.
• Minimum of two years’ experience in Developmental Disabilities Services including at least one year working within the Vermont DA System preferred.
• Ability to work well with numbers and complex rules around finances.
• Knowledge Regulations, Guidelines and Policies for Vermont Medicaid and Developmental Disabilities services
• Ability to provide training in a group and 1:1 settings in a manner that promotes development, engagement and positive outcomes
• Flexibility and ability to work collaboratively with others.
• Excellent interpersonal skills
• Solution oriented.
• Must have a valid driver’s license, reliable transportation with personal automobile liability insurance coverage at or above the levels mandated by the State of Vermont.
• *Successful completion of a criminal history background check after hire.

Benefits:

• Competitive Pay Range $25.24-27.40/hour (compensation is typically dependent upon experience)
• Comprehensive Benefit Package
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible schedule
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Professional development assistance
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance
• Career Training and Development
• Tuition Discounts

Our work is guided by our Core Values of Trust, Accountability, Respect, Cultural Competence, Person-Centered Care, and Continuous Learning and Growth.

CCN is an Equal Opportunity Employer.