Residential Adult Family Home Certifier

Become a part of our caring community and help us put health first
 The Residential Adult Family Home Certifier cultivates the organization's social community through community advocacy programs and active engagement with community members. The Residential Adult Family Home Certifier is responsible for the certification of new and existing adult family homes in iCare/Humana network in accordance with the Medicaid Standards for Certified 1-2 Bed Adult Family Homes. This role travels throughout Southeastern WI.

In this role you will:

• Sustain positive working relationships with internal stakeholders and provide excellent customer service to certified 1-2 bed Adult Family Home (AFH) providers to support the vision for residential transformation.
• Ensure compliance with the Medicaid Standards for Certified 1-2 Bed Adult Family Homes during the certification and recertification of assigned AFH’s. Screen provider documentation to ascertain eligibility to become certified.
• Independently complete Adult Family Home certification process for all new homes in assigned region of the network.
• Annually re-certify all certified AFH’s in assigned service region, maintaining timely and thorough completion of all necessary documentation.
• Verify and document the correction of all cited areas of non-compliances or areas of the standards that must come into compliance before a certification is issued.
• Maintain expert knowledge of the Medicaid Standards for Certified 1-2 Bed Adult Family Homes and DHS contract language pertaining to certified AFH expectations for providers and MCO staff.
• Coordinate and lead efforts around any provider plans of correction. Actively involved in any provider terminations or revocation of certification.
• Ensure a robust network of certified adult family homes that increases community connections, supports member choice and dignity, and fosters full participation in communities.
• Participate in on-going training; maintaining up to date knowledge to ensure compliance with Medicaid Standards and organizational policies and practices.
• Must travel within assigned region, and possibly state-wide at times to complete certifications and recertification's. Ability to visit homes on an emergent basis as appropriate.

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree
• Comprehension of the Home and Community-Based Settings Requirements
• Knowledge and understanding of the Community Based Settings requirements for Residential Providers
• 1-2 years of related experience that includes demonstrated knowledge and understanding of Family Care/Family Care Partnership
• Must reside within the State of WI or upper Illinois, preferably within the service coverage area (Southeastern WI)

Preferred Qualifications

• Knowledge of Medicaid standards for 1-2 bed Adult Family Homes and all related and reference standards.

Additional …