About the role
Provides support to prospective members, members and their families including community resource planning, advocacy, skill building, linking patient/families to community resources and providing assistance with entitlements. Works closely with client, support system and/or family to obtain Medicaid and connect client to appropriate MLTC in the community. Works under close supervision.
What We Provide
- Referral bonus opportunities
- Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
- Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
- Employer-matched 401k retirement saving program
- Personal and financial wellness programs
- Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care and commuter transit program
- Generous tuition reimbursement for qualifying degrees
- Opportunities for professional growth and career advancement and CEU credits
What You Will Do
- Performs outreach to community agencies in order to establish working relationships and provides access to other services. Advises other agencies of the program and referral process.
- Works closely with client, support system and/or family to obtain Medicaid and connects client to appropriate MLTC in the community. Conducts face-to-face encounters with members to aid assessment process, as needed.
- Screens financial records of clients/families to assist in assessment of enrollment eligibility.
- Contacts the appropriate program staff to recommend third party reimbursement, entitlements and community resources for clients/families to ensure that they have access to the adequate entitlement benefits.
- Maintains records and statistics in accordance with program requirements. Documents services planned and provided; maintains written and verbal communication records according to VNS Health policies.
- Participates in clinical team meetings; works collaboratively with other VNS Health Plans staff to ensure that prospective members/ members have appropriate Medicaid eligibility and receive appropriate MLTC services.
- Arranges transportation and/or appointments for members to relevant offices/ sites, as needed.
- Attends in-service education programs and other training as required by VNS Health and funding sources.
- Assumes responsibility for continued professional growth.
- Participates in special projects and performs other duties as assigned.
Qualifications
Licenses and Certifications:
- Valid driver’s license may be required, as determined by operational needs.
Education:
- Associate's Degree in a relevant field, or the equivalent combination of education and work experience Required
Work Experience:
- Minimum of two years’ work experience in a health care or human services setting Required
- Knowledge of Medicaid eligibility and Medicaid Managed Care regulations Preferred
- Bilingual skills may be required, as determined by operational needs.
- Position may require travel between regions.
Pay Range
USD $23.17 - USD $28.96 /Hr.
About Us
VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.
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