– a place where you’ll be valued, recognized and rewarded for the vital work you do each day. We’ll surround you with a strong team and leadership that supports every aspect of your life – both inside and outside of our centers. And you’ll get to practice your passion  in a non-profit, mission-driven organization that’s known for the highest level of care in our communities

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Oversees the support of transitions into care management services and other system services within specific demographic areas of the state.
• Facilitates seamless care transitions by communicating with care management offices and healthcare navigation support, and coordinating with the clinical assessment and case management departments to provide patients and families with the necessary support, including emotional and financial assistance.
• Reviews monthly analytics data to determine market trends, and shares analytics information, as needed.
• Attends and participates in continuing educational programs to keep abreast of changes in your field and maintain current license/certification, as required.
• Attends and participates in mandatory in-service training.
• Honors patient’s rights to fair and equitable treatment, self-determination, individuality, privacy, property, and civil rights, including the right to wage complaints.
• Complies with Corporate Compliance Program.
• Reports job-related functions/tasks that involve occupational hazards including exposure to blood and body fluids and others as necessary.
• Follows established safety regulations, including fire protection/prevention, smoking regulations, infection control, etc.
• Complies with all Privacy & Security programs
• Coordinates referral release dates with case management and clinical designees when appropriate.
• Obtains pertinent information from the care management team members, community resources, and appropriate social agencies and verifies financial information in determining the appropriate care level/setting for potential members.
• Maintains active waiting list file when needed.
• Knowledge of care management and Medicaid waiver admission requirements.
• Knowledge and understanding of Medicare, Medicaid, Private Pay, and third-party reimbursement.
• Promotes the image and reputation of the System by exhibiting servant leadership and providing direct and open lines of communication.
• Contributes to the work of committees, workgroups, project management, and other collaborative efforts of the System.
• Communicate effectively and appropriately across all departments and programs.
• Document necessary communication in electronic case management system including entering notes in database.
• Navigate client databases and program specific spreadsheets/documents.
• Navigates system case management as part of a patient centered transition of care.
• Knowledge of health system services available through case management and other health service lines.
• Performs other duties as necessary to ensure the success of the System.

SKILLS AND ABILITIES

• Customer service oriented.
• Should possess good communication skills.
• On-the-job training provided in admission guidelines.
• Computer skills required.

MINIMUM QUALIFICATIONS

• High School Diploma or equivalent required.
• Three years of experience in healthcare and previous Medicaid, or case management experience preferred.
• Valid Driver's License
• Must have reliable transportation.

SUPERVISORY RESPONSIBILITIES

None

LANGUAGE SKILLS

Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or associates of the organization.

MATHEMATICAL SKILLS

Ability to add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions, and decimals.

REASONING ABILITY

Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram format.  The ability to deal with problems involving several concrete variables in standardized situations.

COMPUTER APPLICATION SKILLS

This job requires proficiency with the following computer applications:

Microsoft Outlook                  Microsoft Excel                      Microsoft Word

CERTIFICATES, LICENSES, REGISTRATIONS

Please see minimum qualifications

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an associate to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Should be able to communicate effectively, both verbally and in writing. The associate is required to lift a maximum of 5 to 10 pounds only. This position requires a considerable amount of walking. The associate must be able to drive a vehicle. Carrying is not frequently required as dollies are available. Associate should be able to sit and stand as tolerated.

While performing the duties of this job, the associate is regularly required to sit, talk or hear.  The associate frequently is required to walk.  Use hands to finger, handle or feel and reach with hands and arms.  The associate is occasionally required to stand.  Specific vision abilities required by this job include close vision, distance vision and the ability to adjust focus.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an associate encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually quiet.

EEO / M / F / D / V / Drug Free Workplace