Healthcare Surveyor - Operational/Intake Specialist (HCA/DHI #13898)

$23.07 - $36.91 Hourly

$47,989 - $76,782 Annually

This position is a Pay Band 65

Posting Details

This job posting may be used to fill multiple vacancies.

This posting will be used for ongoing recruitment and may close at any time. Applicant lists may be screened more than once.

Our Vision

• Every New Mexican has access to affordable health care coverage through a coordinated and seamless health care system.

Our Mission

• We ensure that New Mexicans attain their highest level of health by providing whole-person, cost-effective, accessible, and high-quality health care and safety-net services.

Our Goals

• Leverage purchasing power and partnerships to create innovative policies and models of comprehensive health care coverage that improve the health and well-being of New Mexicans and the workforce.
• Achieve health equity by addressing poverty, discrimination, and lack of resources, building a New Mexico where everyone thrives.
• Implement innovative technology and data-driven decision-making to provide unparalleled, convenient access to services and information.
• Build the best team in state government by supporting employees' continuous growth and wellness.

Why does the job exist?

The Healthcare Surveyor - Operational/Intake Specialist will:

• Triage reports of abuse, neglect, exploitation, suspicious injuries, environmentally hazardous conditions and death for individuals on the developmental disability waiver, Mi Via Self-Directed waiver, the Supports waiver, and the Medically fragile waiver;
• Be responsible for taking ANE reports through the hot line, monitoring the ANE on-line reporting system and checking daily for ANE faxes, and procuring Immediate Action and Safety Plans;
• Obtain information to determine jurisdiction and authority to assign pursuant to state regulations and make screening decision.

How does it get done?

The Healthcare Surveyor -Operational/Intake Specialist is responsible for:

• Receiving calls through the ANE hot-line and receive on-line ANE reports via the APS on-line portal;
• Receiving information, creating a tip sheet containing the information reported and obtains an Immediate Action and Safety Plan;
• Making a screening decision;
• On-call working hours.

Who are the customers?

• The Individuals who received Medicaid waiver services such as the DD waiver, Mi Via waiver, Supports waiver, and the Medically Fragile waiver.

Ideal Candidate

The ideal candidate has:

• 3-5 years of call center and customer service experience;
• Preferred knowledge of the Developmentally Disabled (DD) waiver system or have worked in a DD waiver setting and have an understanding of systems and organizations that serve the population.

Minimum Qualification

Associate's Degree in from an accredited college or university in Nursing, Architecture, Social Work, Sociology, Psychology, Rehabilitation and/or Criminal Justice and two (2) years of experience in community based healthcare services and case management. Substitutions apply. See Substitution Table below.

Substitution Table

These combinations of education and experience qualify you for the position:
Education Experience Education Experience 1 High School Diploma or Equivalent AND 4 years of experience OR High School Diploma or Equivalent AND 4 years of experience 2 Associate's degree in the field(s) specified in the minimum qualification AND 2 years of experience Associate's degree or higher in any field AND 4 years of experience 3 Bachelor's degree or higher in the field(s) specified in the minimum qualification AND 0 years of experience
• Education and years of experience must be related to the purpose of the position.

• If Minimum Qualification requires a specific number of "semester hours" in a field (e.g. 6 semester hours in Accounting), applicants MUST have those semester hours in order to meet the minimum qualifications. No substitutions apply for semester hours.

Employment Requirements

Must possess and maintain a valid New Mexico Driver's License. Must Possess and maintain a current Defensive driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification as a condition of continued employment.

Working Conditions

Working knowledge of and extensive use of the telephone, Microsoft Word, Visual/Video Display terminal, basic computer knowledge, basic typing skills, professional customer service skills. Must be available for On Call (after working hours/weekends).

Supplemental Information

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Agency Contact Information: Teri Cotter. Email

For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement.

Bargaining Unit Position

This position is covered by a collective bargaining agreement and all terms/conditions of that agreement apply and must be adhered to.