Intellectual Developmental Disability Reiewer-49335-AT

IDD Reviewer is responsible for assessing and evaluating individuals with intellectual and developmental disabilities to ensure they receive appropriate services and support. This role involves reviewing documentation, conducting interviews, and analyzing care plans to verify compliance with regulations and standards. The reviewer may also assess service delivery quality, ensure proper certification and eligibility for Medicaid or other services, and provide feedback to improve care and service outcomes for individuals with IDD. The goal is to promote better quality of life and ensure that individuals with IDD receive the necessary resources and support they need.

Essential Duties and Responsibilities include the following. Other duties may be assigned.
* Conducts detailed evaluations of provider performance and the presence of person-centered supports using applicable tools and guidelines.
* Initiates contact with service providers to establish interview and review schedules and discuss associated protocols, expectations, and responsibilities.
* Conducts interviews with individuals with I/DD, family members, providers of services and/or direct service staff.
* Observes the service environment, follows professional protocols to gather pertinent information and collects relevant data.
* Reviews required documentation to evaluate supports and services and gather pertinent information regarding the quality of the person-centered service delivery system.
* Administers and makes determinations based upon the information gathered from individual interviews and provider reviews in a manner that meets established proficiency standards.
* Establishes and maintains a positive and respectful approach with individuals/family members/providers/support coordinators throughout the review process.
* Uses professional judgment and discretion to determine when a report of abuse, neglect and/or exploitation is warranted or a referral to state staff is necessary to maintain the health and safety of individuals receiving services through the Medicaid Waiver program.
* Takes immediate action in the case of abuse, neglect and/or exploitation by reporting directly to required officials and follows established protocols as a mandated reporter.
* Inputs data into a web-based application, summarizes findings, generates recommendations for quality improvement and completes a written report for submission to the provider/support coordinator/contractor or other entity in accordance with pre-established timeframes.
* Captures information to determine the necessity of further survey activity.
* Participates actively and effectively in associate development activities such as conference calls, professional meetings, and annual training activities.