Appeal Resolution Manager jobs in Mississippi

POSITION PURPOSE: 

Responsible for the day-to-day delivery of individual support program services to assigned case load in accordance with Federal, State, and facility codes, regulations, guidelines and expectations. 

ESSENTIAL FUNCTIONS OF POSITION: 

1. Develop and implement Individual Support Plans [ISPs] for each person in assigned case load based on accurate, reliable assessments and other information.
2. Ensures the ISP addresses specific needs, etc., as identified from CFAs [Comprehensive Functional Assessments].
3. Ensures programs are written to meet visions and goals identified on the resident’s ISP.
4. Ensures written programs meet regulatory and facility requirements prior to implementation.
5. Recommends and develops programs for unaddressed priority needs.
6. Ensures that data collection forms and collection methodology reflects specific progress to stated program objective completion criteria and/or other outcomes for which the data is being collected, i.e., sleep data, participation data.
7. Directs and ensures the delivery of ISP services.
8. Systematically analyzes data to determine status related to criteria in the objective.
9. Recommends and implements timely modifications of unsuccessful training programs
10. Actively participate in facility Interdisciplinary Teams [IDT].
11. Design and implement staff development programs [in-services] related to program services for all staff in all departments to maintain and improve their competencies.
12. Ensure residents’ personal hygiene, dress and grooming is acceptable by local expectations.
13. Spends most of the workday in the program areas training and directing, supporting the trainers.
14. Ensures continuous active treatment regimen for those individuals assigned in the caseload.
15. Any other responsibilities assigned by supervisor and/or administrator.

EDUCATION / REQUIREMENTS: 

Is one of the following: A doctor of medicine osteopathy, a registered nurse, an individual who holds at least a bachelor’s degree in a professional category specified in the Federal regulation 483.430 paragraph (b)(5) or designated as a human services professional that has at least a bachelor’s degree in a human services field (including, but not limited to: sociology, special education, rehabilitation counseling, and psychology). 

At least one year’s experience working with intellectual disabilities or other developmental disabilities. 

When State licensure and/or certification is required for the professional degree held by the QIDP, the license must be current and unencumbered.