Rehabilitation Program Specialist 2 (20036229)

Ohio Department of Developmental Disabilities

Columbus (OH)

On-site

USD 43,000 - 58,000

Full time

3 days ago

Be an early applicant

Get more replies from employers

Send a job-specific resume in minutes.

Job summary

The Ohio Department of Developmental Disabilities (DODD) is hiring for a Rehabilitation Program Specialist 2 to support the Medicaid Unit in Columbus, OH. This role handles prior authorizations, hearing processes, and waiver management to ensure compliant service delivery.

Responsibilities include reviewing assessments, preparing documentation, and coordinating with state and local staff to assist applicants in Medicaid eligibility. Strong clinical and program policy skills are essential.

Qualifications

Graduate degree in a human service field as required by an accredited college or university.
Or a graduate degree leading to licensure as a licensed professional counselor by the Ohio Counselor & Social Worker Board.
Or completion of graduate degree in other related vocational rehabilitation areas (e.g., rehabilitation management/administration) from an accredited college or university.
Or completion of graduate field of study in human services area with 12 months' experience as Rehabilitation Program Specialist 1 (69731).
Or in Ohio Department of Developmental Disabilities only, 4 years' experience in private or governmental agency responsible for habilitative & rehabilitative programs development in developmental disabilities with a bachelor’s degree in a professional human services field.

Responsibilities

Cover various areas of the Medicaid Unit ensuring workflow is current.
Review assessments for PA, NTI, and SFBAO and budget reviews.
Prepare hearing rights and summaries for denied services and for hearings.
Review and evaluate the waiver prior authorization process and related documentation.
Coordinate with department consultants for support on questionable cases.
Provide testimony at hearings if necessary.
Advise staff on procedures to obtain Medicaid eligibility and problem-solve between DJFS and systems.

Skills

Counseling and Rehabilitation

Attention to detail

Critical thinking

Establishing relationships

Ethics and values

Problem solving

Time management

Education

Graduate degree in human services

Licensed professional counselor licensure

Graduate degree in related rehabilitation areas

Graduate field of study in human services with 12 months of Rehab Program Specialist 1 experience

Four years' experience in habilitative/rehabilitative programs with bachelor's in human services (OH)

Tools

OBS

Medicaid Systems

DODD applications

Job description

The Ohio Department of Developmental Disabilities (DODD) mission is to partner with people and communities to support Ohioans with developmental disabilities and their families in realizing their version of a good life.

Ohio Is The Heart Of Opportunity, And We Envision Ohio As The Best Place In The Nation For People With Developmental Disabilities To Thrive. Our Core Values Reflect Our Focus On The Experience Of Each Person We Support

Inclusion
Partnership
Respect

The Division of Medicaid Development and Administration works with state agency personnel and stakeholders to develop policies related to Medicaid funded services for people with developmental disabilities.

What You’ll Do

Act as an RPS2 covering various areas of the Medicaid Unit to ensure that workflow is current. Will work with supervisor for assignments in all the areas within the division that include Prior Authorization (PA), Nursing Tasking Inventory (NTI), State Funded Behavioral Add-on (SFBAO) and perform all duties of the RPS2.

Including but not limited to: Reviewing assessments and/request to make determinations related to requests for PA, NTI, and SFBAO; submitted by county boards of developmental disabilities (CBDDs) for initial & ongoing budget review of Medicaid Home & Community-Based Services (HCBS) Waivers.

Prepares correspondence and hearing rights to send to individuals who are denied services or found to no longer meet necessary requirements for services. Prepares hearing summaries and supporting documentation for hearings to submit to the Bureau of State Hearings.

Reviews assessments submitted by CBDDs & Develops, coordinates, monitors reviews & evaluates Medicaid Home and Community-based Services Waiver prior authorization process & procedures. Reviews documentation provided by the appropriate county board of developmental disabilities (CB/DD) to determine if approval criteria are met utilizing federal & state regulations. Coordinates with department consultants for programmatic support & assistance with questionable cases or for general consultation. Evaluates & makes recommendations of approval of prior authorization, state-funded behavior addons, and nursing waiver budgets when appropriate.

Makes recommendations for action resulting from information gathered through review process & participates in implementation of such action.

Conducts reviews in accordance with department’s polices & procedures. Develops and write reports in accordance with office procedures. Performs records/documentation development/maintenance functions (e.g. develops, sends & receives email & phone communications from involved parties); uses the appropriate DODD applications (including, but not limited to, prior authorizations, state-funded behavior addons, and nursing task inventory processes.

Collaborates with other department/division staff regarding relationship of prior authorization approval to Payment Authorization of Waiver Services (PAWS). Provides testimony at hearings, if necessary.

Provides support to staff throughout the Department whom have assigned responsibility for the administration of Medicaid processes & procedures (e.g., reviewing & revising policies & procedures related Prior Authorization, nursing and Waiver, to inform policy analysis & development).

Monitors & evaluates systems activities of local Department of Job & Family Services (DJFS) case workers through Ohio Benefits System (OBS) and Medicaid Systems (e.g., new applications, Medicaid eligibility determinations, appeals, etc.)

Advises state & local staff on correct procedures to follow to assist applicants to obtain Medicaid eligibility, provides technical assistance & assists in problem solving between DJFS case workers or other systems. Implements program policy & procedures that impact waiver eligibility, and Nursing. Provides testimony at hearings, if necessary.

Graduate degree in a human service area (i.e., rehabilitation counseling, special education, guidance & counseling, psychology, social work, child & family community services) as required by an accredited college or university

Or a graduate degree that leads to licensure as a licensed professional counselor by the Ohio Counselor & Social Worker Board.
Or completion of graduate degree in other related vocational rehabilitation areas (e.g., rehabilitation management/administration from an accredited college or university).
Or completion of graduate field of study in human services area (i.e., same examples as cited previously) as required by accredited college or university AND 12 months' experience as Rehabilitation Program Specialist 1, 69731.
Or in Ohio Department of Developmental Disabilities only, 4 years' experience in private or governmental agency responsible for habilitative &/or rehabilitative programs development in developmental disabilities (i.e., working with individuals with developmental disabilities) AND bachelor’s degree in professional human services field (e.g., psychology, education, anthropology) in accordance with provisions of 42 CFR 483.430(b)(5)(x) & interpretive guidelines issued by centers for Medicaid & Medicare services.

Job Skills:

Counseling and Rehabilitation, Attention to detail, Critical thinking, Establishing relationships, Ethics and value, Problem solving, Time management

Organization

Developmental Disabilities - Central Office

Agency Contact Name and Information

Khalikah Blue, khalikah.blue@dodd.ohio.gov

Unposting Date

Sep 3, 2026, 10:59:00 PM

Work Location

James A Rhodes Office Tower 13

Primary Location

United States of America-OHIO-Franklin County-Columbus