Nature of Work:
Receive and interpret incoming client referrals to assist Medicaid-eligible or pending recipients in accessing and appropriately utilizing their healthcare benefits. Verify Medical Assistance coverage and enter client data into electronic files.
Provide Medical Assistance and HealthChoice education, navigation, access to care and community resources to eligible or pending recipients via phone, email, and/or home visits. Provide short-term care coordination as needed.
Provide quarterly and as-needed outreach to Medical Assistance-participating providers, health centers, and hospitals to educate, inform, and update them on Medical Assistance, HealthChoice, Administrative Care Coordination, and Ombudsman services, as well as community issues and resources.
Attend biweekly staff meetings and actively contribute to the planning, implementing, evaluating, and revising of procedures and practices to improve the overall efficiency and functioning of the Administrative Care Coordination Program.
Submit timely monthly reports and statistics. Assist with maintaining and filing client records, including preparing records for eventual discharge according to state and local guidelines.
