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Job Summary: The Appeals Coordinator will be a subject matter expert and able to provide person-centered assistance agency-wide on appeals and 4731 complaints received by the Regional Center. Responsibilites will include, but will not be limited to, coordination and resolution of Lanterman appeals, Early Start appeals and complaints, and 4731 complaints, as well as to provide training and support to all Regional Center staff around the various appeals and complaint processes.
Primary Job Functions:
Appeals
1. Provides consultation and training to staff on the appeals process.
2. Tracking and assigning of appeals for Services and Supports.
3. Maintains and coordinates timelines during appeal process as required by law.
4. Provides training and support to Regional Center designee/Services and Supports Manager through the appeals process up to and including the appeals hearing, with the focus always being on resolution at the lowest level.
5. Helps to guide the Regional Center designee/Services and Supports Manager through the entire appeals process.
6. Assists Regional Center designee/Services and Supports Manager in informal meetings regarding appeals.
7. Helps to guide the Regional Center designee/Services and Supports Manager in representing the Regional Center in mediations and fair hearings conducted by the Office of Administrative Hearings, up to and including participating in both mediations and appeals hearings.
8. Assists in formulating and providing a written response to all parties as required.
9. Supports the Regional Center designee/Services and Supports Manager in scheduling and completing administrative tasks related to the appeals process.
10. Assists in preparing individuals to act as a witness for the Regional Center in an appeals hearing.
11. Assists in creation of evidence packets for appeals.
12. Assist in compositon of correspondence when necessary to families, attorneys, other regional centers, Office of Administrative Hearings (OAH), and Department of Developmental Services (DDS).
13. Consultion and training with all TCRC staff on the appeal process in such areas as measures to prevent appeals, negotiating settlements, preparation and attendance at informal meetings, administrative hearings and mediations.
14. Other duties may be assigned as needed.
4731 Rights Complaints
Administrative & Training
Minimum Qualifications:
Education and Experience:
Knowledge, Skills, and Abilities
Physical Requirements:
Adequate manual dexterity and coordination for operation of a computer and other standard office equipment is required for this position. The ability to sit at a workstation for long periods of time, the ability to read, write and comprehend large amounts of written material such as reports and regulations, use the telephone, and communicate via electronic mail are all required on a daily basis. The ability to travel to another work-site location is absolutely required on a daily basis. The ability to stand, sit or walk for moderate distances on uneven terrain is also required on a daily basis.
While performing the duties of this job, the employee is regularly required to use hands to finger, handle, feel or operate objects, tools, or control and reach with hands and arms. The employee frequently is required to stand, sit, walk, push, pull, kneel, stoop, bend, and squat. The employee must frequently lift and/or move up to 10 lbs and infrequently up to 20 lbs. Specific vision abilities required by this job include close vision, distance vision, color vision, depth perception, and the ability to adjust focus. Each of these physical tasks is an essential function of the position.
Classification: Full time, non-bargaining, hourly, confidential
Salary:
Starting Salary: $37.21 - $41.67. Full Salary Range: $37.21 - $50.45
Location: All Offices
Full Time
Social & Legal Services
$95k-120k (estimate)
04/24/2024
06/23/2024
tri-counties.org
SANTA BARBARA, CA
200 - 500
1968
BOB COBBS
$200M - $500M
Social & Legal Services
Tri-Counties Regional Center (TCRC) is a non-profit contracted by the State of California to coordinate supports and services for children and adults with developmental disabilities. These services cover the life span of individuals, from early assessment and intervention for infants and young children, school-age children, transition-age young adults' recreational, employment and residential needs to the residential, service and medical needs of adults and seniors. TCRC operates from six beautiful locations in Atascadero, San Luis Obispo, Santa Maria, Santa Barbara, Oxnard and Simi Valley. Wi...th over 300 employees, one of the largest non-profits in the central coast, we offer a diverse workforce and fulfilling work environment. Person centered practice is a keystone of our culture, and we embrace a culture of shared learning and continuous improvement. We offer a fast-paced, rewarding work environment, tremendous opportunity for personal and professional growth, and great benefits, including: Excellent medical and dental insurance premiums for employees and their dependents CalPERS Pension program 13 paid company holidays, 2-5 weeks of vacation, along with paid sick, bereavement, and jury duty Company paid long-term disability insurance Company paid group-term life insurance, with optional employee buy-up program Flexible Spending Account (FSA) plan Employee Assistance Program (EAP) Employee Referral Bonus program Flexible work schedules Please visit our website at www.tri-counties.org for information regarding current job opportunities. Interested candidates can forward cover letter and resume directly to jobs@tri-counties.org.
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