Medicaid Service Coordinator

Care Advantage, Inc has an exciting opportunity to add to our team! We offer purpose driven work and an opportunity to make a difference in the lives of seniors in our community. We are the largest privately-owned home care company in the Mid-Atlantic, and the future is bright, as we continue to grow as part of an ambitious expansion plan. We are seeking a full-time Medicaid Services Coordinator. We offer a competitive wage, excellent benefit package to include 17 days of paid vacation and 10 paid company holidays along with the opportunity to join a winning team!

Duties And Responsibilities

• Assists in oversight of Medicaid prospects
• Uploading obtained documentation within EMR
• Review documentation, notating any missing/incomplete items or potential service barriers
• Initiating contact with member or primary contact
• Notating details of need to include demographics, geographic location, language requirements, diagnoses, care and equipment needs, requested start, hours/utilization, or any other pertinent information that impacts care
• Being a subject matter expert on the Medicaid program and details of what is extended to our members
• Ensuring eligibility and providing resources if ineligible
• Obtaining necessary documentation by way of communication with member, primary contacts, Care Coordinators, Social Services, Facility Discharge Planners, etc.
• Point of contact for Managed Care Organizations, referral sources, and members/primary contacts as it relates to Medicaid Service Coordination
• Collaborating closely with the Client Services Department around the entering of prospective members
• Organization of where each prospect stands, notating barriers and being aware of how to overcome
• Weekly meetings to discuss all Medicaid prospects
• Encouraging interdepartmental collaboration to expeditiously onboard Medicaid members in need
• Generate weekly reports to ensure all departments are aware of where each prospect is in the process
• Communicate with branch teams and associated external resources through means of email, Teams messenger, fax, and telephone
• Maintain thorough progress documentation within EMR
• Manage department associated data and organization methods or reports
• Updating prospect status when appropriate to ensure accuracy of EMR
• Extending tasks to suitable parties
• Report out on progress when requested
  

We invite you to apply today!

Location: 23113, 23173, 23218, 23219, 23220, 23221, 23222, 23223, 23224, 23225, 23226, 23227, 23230, 23231, 23232, 23234, 23235, 23236, 23237, 23241, 23249, 23298, 23111, 23116, 23834

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