This user guide is for the following MyJobCorps user roles: Regional Director (RD), COR
Overview
As a Regional Director, you make the final determination on all Recommendations for Denial. You receive cases in Gateway following the review by the center’s qualified health professional’s independent assessment and the Regional Health Specialist, or directly from the Regional Disability Coordinator. The following instructions support how you take the final action in the review process.
Division Chiefs and CORs have access to review these cases but cannot make decisions.
Review Center Recommendations for Denial
When a case is Recommended for Denial by center, a regional review process is initiated in Gateway. After the Regional Health Specialist or Regional Disability Coordinator completes their review of a case, you will receive an email notification and automated Alert in Gateway.
- Select the Application Tracking Number (ATN) to open the case.
- You can do this from your Home view under the Recommendations for Denial tab or from the Alert tab.
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From the Wellness tab, select to expand the following sections on the right, before making a final determination:
- Health and Wellness Review: The Health and Wellness reviewer’s initial review and action
- Health and Wellness Decision: The Health and Wellness reviewer’s recommendation for denial
- Regional Review: The review of the center’s qualified health professional’s independent assessment
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Review any Regional Documents uploaded by the RHS or the RDC in the Regional Documents section
Note: Regional Documents are only visible to the Regional Health Specialist (RHS) and Regional Director (RD) user roles.
Make the Final Determination
- Make your determination, select to expand the Regional Decision box on the right.
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From the Action dropdown, select to Approve the Recommendation for Denial, Reject the Recommendation for Denial, or Return File to Admissions.
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If you select Approve Recommendation for Denial:
- Send the Regional Denial letter to the applicant outside the MyJobCorps system and upload the denial letter to the case by selecting the Add Regional Document button.
- The milestone will change to Denied and the case status will update to Closed.
- This marks the end of case processing in MyJobCorps. You will take no further action. The case will still be available in the Search view for future reference if needed.
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If you select Reject Recommendation for Denial:
- Enter any comments (optional) and select Submit. Confirm your action when prompted.
- The case will be returned to center to proceed with enrollment steps.
- The case milestone will change to Cleared for Enrollment.
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If you need to return the file to the Center or Admissions for other reasons: select Return to Admissions or Return to Center from the dropdown.
- Select the Reason from the dropdown: Missing Information, Appeal, or Other
- Provide any supporting details.
- Once edits are complete, the center Health and Wellness Reviewer (HWR) will return the file to admissions or send it back for Regional Review as needed.
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If you select Approve Recommendation for Denial:
Use the Edit Actions button to update the selection in the Regional Decision section, such as to return a case to center and begin the appeals process.
Initiating Appeals
- Locate the applicant's case using the Search view. Then select the ATN to open it.
- From the top of the Wellness tab, select the Edit Action button. You will be able to update the previous selection while maintaining a record in Case History.
- From the Regional Decision box, select Return to Center from the Action dropdown.
- Select Appeal from the Reason dropdown.
- Add any supporting details.
- Select Submit.
The case will be returned to center for the HWR to review the appeal and take appropriate actions.
Review Completed Determinations
Review all completed approvals and denials by leveraging filters in the Search view, using the Reporting tab in Gateway; or the Tableau Dashboard.
Search view
- From your Search view, select the Workflow Milestone dropdown to display Denied cases.
- To review a list of applicants who were denied by the region, filter the Center Status to display Rejected by Region.
Reporting tab
- From the Reporting tab, select the Completed Waiver and Denials report. This report will show the outcome of the Regional Review process for applicants.
- Narrow the results by filtering based on the Request Type and Result.
Tableau Dashboard
- Navigate to the Tableau dashboard.
- Select the Readmit Waivers and Denials dashboard.
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