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Golden Gate Regional Center (GGRC)Posted 10/22/2026full-timeSan Francisco • California • United StatesMid-LevelSenior💰 $75,518 - $90,621 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicaid Waiver Program administration, including eligibility determination, compliance monitoring, and quality assurance. Possesses strong leadership and training capabilities to effectively manage staff and enhance program outcomes.
Highest-signal resume keywords
Medicaid Waiver Program AdministrationLeadership SkillsQuality AssuranceProject ManagementTraining and Facilitation
About the role
Key responsibilities & impact- Supervise and administer the Medicaid Waiver Program
- Determine Medicaid Waiver eligibility and perform recertification for eligible individuals
- Review case records and ensure qualifying conditions are supported by current documentation
- Document Medicaid Waiver persons served according to the Medicaid Waiver Manual
- Provide quality assurance in collaboration with case managers
- Educate and advise case management and other staff on Medicaid Waiver documentation and status changes
- Support development of Medicaid Waiver-related goals and objectives in Individual Program Plans
- Ensure enrollment goals are met to secure maximum agency funding
- Monitor case record reviews and Medicaid Waiver documentation compliance
- Coach and monitor GGRC staff
- Coordinate quality assurance and training for case management staff
- Serve as primary GGRC liaison with external Medicaid Waiver organizations, DDS and County Health and Human Services Offices
- Refer, coordinate and follow up with Institutional Deeming Referrals
- Ensure diagnostic CDER information is updated and accurate
- Participate in ARCA Federal Programs committee meetings
- Develop audit protocols and coordinate file reviews
- Review audit reports and present findings to management
- Coordinate responses to audit cases
- Develop internal controls and corrective action plans
- Research and develop case materials and strategy for audit appeals
- Represent GGRC in audit appeals cases
- Interview, hire, train and supervise staff
- Provide staff guidance and performance feedback
- Hold periodic staff meetings
- Manage workflow, staff time and coverage to meet unit goals
- Maintain expertise in external regulations through training
- Oversee development of Medicaid Waiver manuals, policies and procedures
- Develop curriculum and conduct staff training on regulations, policies and procedures
- Advise staff and resolve program issues
- Conduct orientations for incoming staff
- Participate in special projects and perform assigned duties
Requirements
What you’ll need- Bachelor’s Degree in Nursing or other related field
- 5+ years professional experience in health care, health administration or social services, including one year of direct services to people with developmental disabilities preferred
- 3+ years professional experience supervising professional staff
- Strong leadership skills
- Training and facilitation skills
- Ability to understand the Agency’s vision and values and implement changes within the unit
- Ability to work with all levels within the organization
- Knowledge of Medicaid Waiver regulations and GGRC Case Management principles and procedures
- Ability to convey complex information and ideas clearly, concisely and professionally
- Proficiency in project management skills
- Strong attention to detail and analytical skills
- Intermediate knowledge of MS Word®, MS Excel®, MS PowerPoint®, MS Outlook® or similar software applications
- Familiarity with Medicaid Waiver Regulations and Case Management Procedure desired
- Experience in multi-cultural settings and/or multi-lingual capacity desired
- Reliable transportation permitting travel between multiple locations
- Ability to maintain confidential information in compliance with HIPAA and the California Lanterman Act
Benefits
Comp & perks- Medical and Dental benefits with a generous employer contribution
- Employer-paid Life, Disability and Vision coverage
- 10% employer contribution to a 403(b) retirement account
- 13 vacation days
- 15 sick days
- 11 paid holidays
- 6 personal days
- Up to 5 paid days for continuing education
- Diversity-focused, collaborative and community-minded work environment
- Equal Opportunity Employer
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Medicaid Waiver RegulationsCase Management PrinciplesAnalytical SkillsAttention to DetailCurriculum Development
Soft Skills
Communication SkillsInterpersonal SkillsAbility to Work with All LevelsProblem-Solving Skills
Tools & Technologies
MS WordMS ExcelMS PowerPointMS Outlook
Certifications & Qualifications
Bachelor’s Degree in Nursing or Related Field
Industry Keywords
Health CareHealth AdministrationSocial ServicesDevelopmental DisabilitiesHIPAA Compliance