Spherion is working in partnership with the State of Wisconsin Department of Health Services and we are looking for a quality-driven and customer-focused Quality Assurance Program Specialist! This position will work on a major Medicaid-funded program that delivers long-term care to Wisconsin's eligible population of adults with disabilities and frailties of aging. The position collects and evaluates information necessary for performance measurement; ensures the quality of data used for performance measurement, and analyzes results for improvement.The PTO/paid holiday policy for this position mirrors the policy of the State of Wisconsin!Remote/onsite hybrid model!Responsibilities:- The review of the IRIS budget amendment (BA) and one-time expense (OTE) requests- Remediation of Background check appeals- Reimbursement file review- Monitoring and tracking Fair hearing appeals and grievances- Participation in the review of Restrictive Measures requests and the review and approval of designated waiver services prior to plan approval- Compile, aggregate, and analyze the results of the budget amendment and onetime expense requests for quality and process improvement- Represent the department at meetings attended by representatives of the long-term care industry or other special interest groups. Conduct/facilitate workshops and make presentations to such groups relative to the record review process and/or findings- Other duties as neededWorking hours: 8:00 AM - 5:00 PMSkills:- Demonstrated computer and software skills including proficiency with Microsoft Office Suite- Excellent written, verbal, and listening communication skills- Strong organizational and time management skills- The ability to work independently and also cooperatively as part of a team- Flexibility in the work environment and willingness and ability to adapt to changing organizational needsEducation:BachelorsExperience:4-7 yearsQualifications:- Bachelor's Degree preferred- Family care or Medicare background required- Knowledge of the state and federal statutes, regulations, policies, and procedures governing the Medical Assistance program- Knowledge of quality improvement and assurance methods and tools- Comprehensive understanding of protected health information, HIPAA requirements, and confidentiality principles Click the Apply Button in the top right hand corner to apply today!Spherion is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion is working in partnership with the State of Wisconsin Department of Health Services and we are looking for a quality-driven and customer-focused Quality Assurance Program Specialist! This position will work on a major Medicaid-funded program that delivers long-term care to Wisconsin's eligible population of adults with disabilities and frailties of aging. The position collects and evaluates information necessary for performance measurement; ensures the quality of data used for performance measurement, and analyzes results for improvement.The PTO/paid holiday policy for this position mirrors the policy of the State of Wisconsin!Remote/onsite hybrid model!Responsibilities:- The review of the IRIS budget amendment (BA) and one-time expense (OTE) requests- Remediation of Background check appeals- Reimbursement file review- Monitoring and tracking Fair hearing appeals and grievances- Participation in the review of Restrictive Measures requests and the review and approval of designated waiver services prior to plan approval- Compile, aggregate, and analyze the results of the budget amendment and onetime expense requests for quality and process improvement- Represent the department at meetings attended by representatives of the long-term care industry or other special interest groups. Conduct/facilitate workshops and make presentations to such groups relative to the record review process and/or findings- Other duties as neededWorking hours: 8:00 AM - 5:00 PMSkills:- Demonstrated computer and software skills including proficiency with Microsoft Office Suite- Excellent written, verbal, and listening communication skills- Strong organizational and time management skills- The ability to work independently and also cooperatively as part of a team- Flexibility in the work environment and willingness and ability to adapt to changing organizational needsEducation:BachelorsExperience:4-7 yearsQualifications:- Bachelor's Degree preferred- Family care or Medicare background required- Knowledge of the state and federal statutes, regulations, policies, and procedures governing the Medical Assistance program- Knowledge of quality improvement and assurance methods and tools- Comprehensive understanding of protected health information, HIPAA requirements, and confidentiality principles Click the Apply Button in the top right hand corner to apply today!Spherion is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion has partnered with a human service organization seeking an experienced Senior Services Director to join their Sanibel Island team. The Senior Services Director oversees organizational programming related to seniors, manage existing programs for seniors on island as well as identify needs or opportunities to expand or create additional programming. Working directly with clients and their families to address specific needs facing senior island residents in order to provide services or refer to appropriate agencies will be an integral part in the role. This is an immediate direct hire opportunity!Responsibilities:- Work with Assistant Executive Director and Executive Director to evaluate current senior programs in addition to identifying opportunities for program/service expansion - Proactively engage with community members, volunteers, and leaders in order to identify and address issues pertaining to aging on Sanibel and Captiva, broadly as well as related to individuals that could benefit from offered services. - Run regular community focus groups. - Oversee implementation of all senior service programs - Manage volunteers working within senior service portfolio - Collect and monitor data and demographic information for all senior program activity within case management database, Apricot - Conduct intakes with senior clients or their caregivers to develop full understanding of their unique situation and what ways the organization can provide assistance - Collaborate with other staff to ensure all available services are coordinated across agency- Collaborate with Education and Outreach Director to create senior-focused workshops and activities - Expand current senior socialization opportunities offered by FISH such as the monthly Friendly Faces luncheon - Develop, plan, and implement annual Senior Expo - Develop and manage department budget for senior programsWorking hours: 8:00 AM - 5:00 PMSkills:- Organized and ability to multitask - Proactive and independent work style with excellent time management - Superior communication and organization skills -Ability and willingness to find creative solutions to problemsEducation:BachelorsExperience:4-7 yearsQualifications:- 3+ years experience in a similar role, non-profit a huge plus!- Proficient in Microsoft Office Suite. - Bachelor's degree or higher required, strong preference for major in social work, gerontology, or closely related field - LCSW or MSW highly preferred Please apply with a current resume for immediate considerationSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.
Spherion has partnered with a human service organization seeking an experienced Senior Services Director to join their Sanibel Island team. The Senior Services Director oversees organizational programming related to seniors, manage existing programs for seniors on island as well as identify needs or opportunities to expand or create additional programming. Working directly with clients and their families to address specific needs facing senior island residents in order to provide services or refer to appropriate agencies will be an integral part in the role. This is an immediate direct hire opportunity!Responsibilities:- Work with Assistant Executive Director and Executive Director to evaluate current senior programs in addition to identifying opportunities for program/service expansion - Proactively engage with community members, volunteers, and leaders in order to identify and address issues pertaining to aging on Sanibel and Captiva, broadly as well as related to individuals that could benefit from offered services. - Run regular community focus groups. - Oversee implementation of all senior service programs - Manage volunteers working within senior service portfolio - Collect and monitor data and demographic information for all senior program activity within case management database, Apricot - Conduct intakes with senior clients or their caregivers to develop full understanding of their unique situation and what ways the organization can provide assistance - Collaborate with other staff to ensure all available services are coordinated across agency- Collaborate with Education and Outreach Director to create senior-focused workshops and activities - Expand current senior socialization opportunities offered by FISH such as the monthly Friendly Faces luncheon - Develop, plan, and implement annual Senior Expo - Develop and manage department budget for senior programsWorking hours: 8:00 AM - 5:00 PMSkills:- Organized and ability to multitask - Proactive and independent work style with excellent time management - Superior communication and organization skills -Ability and willingness to find creative solutions to problemsEducation:BachelorsExperience:4-7 yearsQualifications:- 3+ years experience in a similar role, non-profit a huge plus!- Proficient in Microsoft Office Suite. - Bachelor's degree or higher required, strong preference for major in social work, gerontology, or closely related field - LCSW or MSW highly preferred Please apply with a current resume for immediate considerationSpherion has helped thousands of people just like you find work happiness! Our experienced staff will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. No one works harder for you than Spherion. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law.