Medicaid Program Specialist – DHW at State of Idaho



How would you like to make a difference in the health of the children of Idaho and have an impact on your community? The Idaho Department of Health and Welfare, Division of Medicaid has an opening for the clinical position of a Program Specialist – DHW in the Clinical & Quality Management Program.

This position is located in beautiful Idaho and will be open statewide. This is a telecommuting position and will be part of the Children’s Medicaid team. This individual will work closely with the families and treatment providers of children with serious emotional disturbance to safely transition these children between inpatient and outpatient levels of care. We are seeking applicants with backgrounds in counseling or social work, critical thinking skills, developed interpersonal skills, excellent written and verbal communication skills, and the ability to work tactfully and professionally as a team player.

We offer a competitive benefits package which includes excellent medical, dental and vision insurance; generous vacation and sick leave accrual beginning as soon as you start; eleven (11) paid holidays a year; participation in one of the Nation’s best state retirement systems; multiple savings plans and optional 401K; life insurance; wellness programs; ongoing training opportunities; optional flex scheduling; telecommuting; and more.

Example of Duties

  • Complex case management coordination working directly with members and families who require intensive and complex services
  • Directly manage logistical operations for successful Children’s Medicaid residential placements, to include in-state and out-of-state placements
  • Work closely with treatment teams at psychiatric residential treatment facilities across the country, from admission to discharge, to ensure appropriate care is sustained through each stay
  • Work directly with quality improvement organization (QIO) to ensure appropriate access to and ongoing care for children who are admitting, residing or discharging from psychiatric residential treatment
  • Partner with other State agencies and community providers to transition members between inpatient and outpatient levels of care
  • Problem-solve access to care issues, especially for children residing in more rural and frontier communities across the state
  • Participate in a Quick Reaction Team (QRT) to support youth discharging from a variety of out-of-home placements
  • Provide exemplary customer services advocating for the members’ needs
  • Possess the ability to distill complex multi-disciplinary issues and situations into readily understandable with recommendations for resolution and improvements
  • Lead, participate, and coordinate treatment team meeting calls for denials which includes parent/guardian, clinicians, behavioral health care coordinator, caseworker, probation officer and others as necessary
  • Work as part of an engaging team to manage the care of some of Medicaid’s most vulnerable children, ensuring medical necessity and transitions of care
  • Collates and reports on care access for members assigned in caseload

Minimum Qualifications

You must possess all the minimum qualifications listed below to pass the exam for this position. Click on the Questions tab associated with this announcement for the details regarding minimum qualification requirements. The Supplemental Questions on the application are the exam questions. If it is a written answer, please make sure you answer each question with enough detail to determine how you meet the requirements. Do not put see resume as your answer to written questions. Answer each written question thoroughly. Failure to do this may result in not passing the exam and disqualify you from being considered for this position.

  • Experience developing, recommending, and evaluating operating procedures and recommending changes.
  • Experience developing technical written materials such as policies, technical manuals or rules/regulations.
  • Experience providing technical program assistance to internal and external stakeholders.

Supplemental Information

Additional Qualifications: Are not required, however, having the minimum qualifications and the education and/or experience below will increase your score.

  • Current licensure as a behavioral health professional in the State of Idaho (e.g., LPC, LCSW, LMSW, LCPC, LMFT).
  • Bachelor or master’s degree in social work, psychology, marriage and family counseling/therapy, psychosocial rehabilitation counseling, psychiatric nursing, or closely related field of study.
  • Experience with children’s mental health and good knowledge of behavioral health treatment approaches and stages of development. Gained by providing two years of social/treatment services in an institutional, clinical, correctional, or community-based setting.
  • Experience working with individuals with developmental disabilities. Gained by two years providing social/treatment services in institutional, clinical, or community-based setting.


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If you have questions, please contact us at:

TROUBLE APPLYING: 1-855-524-5627

(Monday through Friday, 6am – 5pm, Pacific Time)

(answered Monday through Friday during business hours MST)

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(208) 334-0681
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