Service Authorization Consultant
Company: DHRM
Location: Alexandria
Posted on: April 1, 2026
|
|
|
Job Description:
Title: Service Authorization Consultant State Role Title: 49172
Hiring Range: Up to $65,000 Pay Band: 5 Agency: Dept Behavioral
Health/Develop Location: Central Office Agency Website:
www.dbhds.virginia.gov Recruitment Type: General Public - G Job
Duties The Department of Behavioral Health and Developmental
Services (DBHDS) is seeking a highly motivated individual to ensure
that the DBHDS Developmental Disabilities waivers’ service
authorization system maintains all standards of accountability,
proficiency and responsiveness to the users of the system which
results in the alignment of needs and resources of all the
individual’s receiving waiver funded services. Incumbent will be
responsible for the review of Individual Support Plans, Individual
Service Packages, Planning Calendars, and Service Authorizations
for the waivers for individuals with developmental disabilities,
assuring that all criteria are met from when the process initiates
with the case manager/support coordinator through to the
authorization of a service. This includes, but is not limited to,
discussing appropriate service alternatives with support
coordinators/case managers and their supervisors to include the
provision of needed training and technical assistance; problem
solving to ensure individuals receive the appropriate services
according to their assessed needs; and communicating the results of
the review process to CSBs, private providers and the VA Medicaid
Management Information System. This is a Richmond Central Office
position and while there may be an opportunity to telework the
expectation is that the selected candidate will be working in the
Richmond Central Office location. This position will support NOVA
counties & cities such as: Alexandria, Arlington, Fairfax, Loudoun,
& Prince William. This position may require frequent state travel.
Additional responsibilities include: • Performing clinical review
and/or authorization of waiver and EPSDT services for individuals
with developmental disabilities for all new and revised service
plans, as appropriate. • Utilizing knowledge of authorization
procedures and interpretation of Medicaid regulations, policies,
and procedures. • Accurately entering service authorization
information into the Waiver Management System/Virginia Medicaid
Management Information System (VAMMIS). • Providing service
authorization related consultation and training to assigned
Community Services Boards/private providers of case management
services. • Analyzing trends and problem areas within localities;
providing recommendations and assistance to other DDS staff
regarding technical support, training, and the development of
guidance materials. • Abiding by all legal and regulatory standards
promulgated by state, federal and professional regulatory
organizations and will engage in conduct that is professional and
ethical at all times, to the best of my knowledge and
understanding. Minimum Qualifications • Knowledge of professional
standards of supports and services for individuals with
developmental disabilities (DD), including knowledge of best
practices. • Knowledge of the health care needs of persons with
disabilities (physical, cognitive, emotional), health and social
service programs and issues, community resources, state and federal
DD regulations, negotiation techniques, problem resolution, medical
terminology, and medical standards of treatment. • Ability to work
with electronic information systems. • Demonstrated ability to
organize and prioritize work assignments, and to communicate
effectively orally and in writing. • Ability to research and
identify changes in program requirements and policies and to
interpret state and federal regulations. • Ability to use a range
of computer programs and data base applications such as Word,
Excel, and the Internet. Additional Considerations • Experience in
social, behavioral science, education, or related human services
field. • Understanding of best practices in developmental
disability (DD) services or understanding of how best practices are
adopted and ability to translate experiences and training within
the DD system. Special Instructions You will be provided a
confirmation of receipt when your application and/or résumé is
submitted successfully. Please refer to “Your Application” in your
account to check the status of your application for this position.
This position is eligible for telework opportunities; availability,
hours, and duration of telework shall be approved as outlined in
the Commonwealth telework policy. For consideration, interested
applicants must apply by completing the online application. A
resume may also be included with your submission. However, emailed,
faxed, and hand-delivered applications and/or resumes will not be
accepted. This position is open until filled; however,
applications/resumes will begin to be reviewed within seven (7)
business days of the date of this posting. Reasonable
accommodations are available to persons with disabilities during
application and/or interview processes per the Americans with
Disabilities Act. DBHDS welcomes all applicants authorized to work
in the U.S. For more information on how to seek this authorization,
please refer to Working in the United States or contact the U.S.
Citizenship and Immigration Services office directly. For any
technical assistance with the jobs.virginia.gov website, please
contact applicantinquiry@dhrm.virginia.gov. Contact Information
Name: ShaKiera Miles Phone: N/A Email:
shakiera.miles@dbhds.virginia.gov - Inquiries Only/No Submissions,
to include resumes. In support of the Commonwealth’s commitment to
inclusion, we are encouraging individuals with disabilities to
apply through the Commonwealth Alternative Hiring Process. To be
considered for this opportunity, applicants will need to provide
their AHP Letter (formerly COD) provided by the Department for
Aging & Rehabilitative Services (DARS), or the Department for the
Blind & Vision Impaired (DBVI). Service-Connected Veterans are
encouraged to answer Veteran status questions and submit their
disability documentation, if applicable, to DARS/DBVI to get their
AHP Letter. Requesting an AHP Letter can be found at AHP Letter or
by calling DARS at 800-552-5019. Note : Applicants who received a
Certificate of Disability from DARS or DBVI dated between April 1,
2022- February 29, 2024, can still use that COD as applicable
documentation for the Alternative Hiring Process.
Keywords: DHRM, Towson , Service Authorization Consultant, Healthcare , Alexandria, Maryland
