Top 35 Medicaid coordinator Jobs in Raleigh, Nc

TCL Transition Coordinator (Full Time, Hybrid, North Carolina Based)
Alliance Health —Morrisville, NC
- $26.27 - $33.49 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- RN License
- Disability insurance
- Health insurance
4d
Care Coordinator
Valeris, Inc. —Raleigh, NC
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Health savings account
- AD&D insurance
Quick Apply
15h
Rural Health Transformation Outreach Coordinator
State of North Carolina - Health & Human Services —Wake County, NC
- $67,122 - $117,465 a year
- Full-time
- Hybrid work
- Addiction Medicine
- High school
- Mid-level
- Paid parental leave
- Health insurance
3d
1915(i) Service Coordinator
Securing Resources for Consumers Inc —Durham, NC
- $24 - $32 an hour
- Full-time
- Hybrid work
- Mid-level
- Residential
- Bachelor's degree
Quick Apply
Care Coordinator
NeighborHealth Center —Raleigh, NC
- Full-time
- Microsoft Outlook
- Computer literacy
- HIPAA
Quick Apply
Executive Care Coordinator
Valeris, Inc. —Raleigh, NC
- Full-time
- Bilingual
- Background check
- 5 years
- Health savings account
- AD&D insurance
Quick Apply
4d
Executive Assistant & Behavioral Health Operations Coordinator
Renewed Therapy PLLC —Morrisville, NC
- $20 - $32 an hour
- Part-time
- Hybrid work
- Background check
- Word processing
- Writing skills
- Employee assistance program
- Employee discount
Quick Apply
2d
RHTP MH/SUD Coordinator
State of North Carolina - Health & Human Services —Wake County, NC
- $52,592 - $92,036 a year
- Full-time
- Hybrid work
- Addiction Medicine
- High school
- Mid-level
- Paid parental leave
- Health insurance
1d
RN MDS Coordinator
Litchford Health & Rehabilitation Center —Raleigh, NC
- $38 - $43 an hour
- Full-time
- Skilled nursing facility
- Mid-level
- LPN
Quick Apply
MDS Coordinator
Ascent Healthcare Management —North Carolina
- $32 - $41 an hour
- Full-time
- Skilled nursing facility
- RN License
- Ability to walk for extended periods
Quick Apply
Hybrid** Licensed Mental Therapist Raleigh & Cary, NC
Silver Linings —Cary, NC
- $45 - $85 per session
- Part-time
- Hybrid work
- LMFT
- Licensed Clinical Social Worker
- Adults
- Flexible schedule
Quick Apply
RHTP MORES Program Lead
State of North Carolina - Health & Human Services —Wake County, NC
- $67,122 - $117,465 a year
- Full-time
- Hybrid work
- Addiction Medicine
- High school
- Office
- Paid parental leave
- Health insurance
10d
Recruiter & Scheduling Coordinator - Healthcare
CHHC RTP —Cary, NC
- $14 - $20 an hour
- Temporary
- Background check
- Mid-level
- Home Health
Quick Apply
6d
Program Consultant - Medicaid School Policy
State of North Carolina - Health & Human Services —Wake County, NC
- $57,983 - $101,470 a year
- Full-time
- Hybrid work
- School experience
- High school
- Public speaking
- Paid parental leave
- Health insurance
1d
Insurance Coordinator
Fresenius Medical Care —Durham, NC
- Full-time
- Customer service
- Mid-level
- Clinic
4d
Front Office Coordinator
SHINING STARS THERAPY, PA —Fuquay-Varina, NC
- $39,000 - $45,000 a year
- Full-time
- Ability to walk for extended periods
- HIPAA
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
14d
Enterprise Risk Manager (Full-time Hybrid, Morrisville, NC)
Alliance Health —Morrisville, NC
- $89,404 - $113,990 a year
- Full-time
- Hybrid work
- Background check
- 5 years
- Office
- Disability insurance
- Health insurance
SERVICE COORDINATOR
Durham Exchange Club Industries Inc —Durham, NC
- Monday to Friday
- Microsoft Word
- CPR Certification
- Writing skills
Quick Apply
Concierge
Morningside of Raleigh —Raleigh, NC
- $14 - $15 an hour
- Background check
- High school diploma or GED
- Fingerprint clearance
- Paid training
- Paid holidays
Quick Apply
Audiology Infant Coordinator - Meadowmont
UNC Health —Chapel Hill, NC
- $21.40 - $30.76 an hour
- Full-time
- RN License
- BLS Certification
- Mid-level

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medicaid coordinator jobs near raleigh, nc

TCL Transition Coordinator (Full Time, Hybrid, North Carolina Based)

Alliance Health -
Morrisville, NC

Apply Now

Job Details

Full-time
$26.27 - $33.49 an hour
4 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Paid time off
Vision insurance
Flexible schedule
Retirement plan

Qualifications

Customer communication
Microsoft Outlook
Driver's License
Working with individuals with mental health conditions

Full Job Description

The TCL Transition Coordinator is responsible for assisting individuals who have agreed to community living exiting an institutional care setting. This position will support a person in securing and managing appropriate services, housing and community resources and requires a high level of collaboration and problem solving with internal and external stakeholders.

This is a full-time hybrid opportunity. There is no expectation of coming into the office routinely, however, the selected candidate must be available to report onsite to the Alliance Office (Morrisville, North Carolina) for business meetings as needed. The successful candidate will also be required to travel throughout Wake County and surrounding counties (including ones outside of Alliance’s catchment area) to meet with members, providers and/or other community stakeholders.

Responsibilities & Duties

Conduct Assessments and Planning

Assist the treatment team with members transitioning to the community from institutional care settings to community-based care
Utilize person-centered planning, motivational interviewing and assessments to review information and develop rapport with the members supported
Obtain necessary releases of information that will improve care management activities on behalf of the member
Provide education to the individual/legal guardian on the behavioral health, physical health, and other recommended services based on Comprehensive Clinical Assessment (CCA) including how these services will be part of the of resources to support the individual in residing in supportive housing.
Ensure that assessments and plans are updated, as needed, whenever the members’ life circumstances change
Complete Administrative assessments/ plans of care for the needs identified in the assessments and complete the interventions identified as needed
Ensure compliance with all DOJ Settlement requirements and adhere to best practice standards for assessments and treatment planning

Coordinate and Lead Community Transitions

Review BH crisis plans and care plans to ensure the presence of integrated care interventions and these plans reflect the needs and desires of members
Ensure that all team members and stakeholders involved with members are aware of how to train, manage and mitigate crisis events, behavioral and physical, that the member may experience
Ensure referrals to RN/OT Evaluator Team when there are physical health and/or significant functional health concerns noted in the CCA
Assist persons with identifying initial and rehousing housing options based on preferences and needs and discuss barriers to housing
Ensure financial supports needed for the individual is addressed with the Transition Team and in the PCP
Convene and facilitate transition meetings to ensure that a person’s housing, clinical activity needs, and issues related to health and safety are identified and addressed on a timeline
In-person visits as defined by the settlement
Intervene to preserve tenancy and avoid housing separations, and evaluate tenancy issues to extend housing tenure
Ensure health and safety monitoring needs of the TCL members are addressed
Escalate high risk/high visibility and/or complex barriers/needs members who may have SDOH/Behavioral/Physical needs to high-risk committee
Promote customer satisfaction through ongoing communication and timely follow-up on any concerns/issues that include face to face member visits as outlined in DHHS Transition manual
Ensure compliance with all DOJ Settlement requirements including the comprehensive core responsibilities outlined in the DHHS In Reach/Transition and Diversion manual
Distribute surveys to members who are receiving services
Verify that initial service linkage is completed through monitoring of activities in JIVA
Verify members Medicaid and promptly follow up on identified issues.
Monitor and ensure the provision of community services for at least 90 days post transition emphasizing tenancy stability. Resolve any conflict or inadequate care with provider
Follow all TCL policies and procedures

Maintain Documentation

Ensure all documentation (e.g. goals, plans, progress notes, etc.) meet state, organization, and Medicaid requirements
Monitor documentation to ensure that issue/errors are resolved
Follow administrative procedures and effectively manage caseload
Ensure timely documentation into state required TCL platforms

Travel

Travel between Alliance offices, attending meetings on behalf of Alliance, participating in Alliance sponsored events, etc. may be required
Travel to meet with members, providers, stakeholders, attend court hearings etc. is required

Minimum Requirements

Education & Experience

Required:

Bachelor’s degree in a human services field or licensure as a RN plus three (3) years of relevant experience working directly with individuals with SED or SMI.

Preferred:

Master’s degree from an accredited college or university in Human Services field and one (1) year of full-time, post degree work experience with social service agencies is preferred.

Knowledge, Skills, & Abilities

Knowledge of resources and systems in the community that can assist with eliminating SDOH barriers to treatment and whole person living.
A high level of diplomacy and discretion is required
Problem solving, negotiation, arbitration and conflict resolution skills
Must be highly skilled at shifting between macro and micro level planning
Detail oriented
Ability to organize multiple tasks and priorities, and to effectively manage projects from start to finish.
Work activities and quickly adapt to mandated changes and priorities within the department.
The ability to change the focus of his/her activities to meet changing priorities.
Proficiency in Microsoft Office products (such as Word, Excel, Outlook, PowerPoint, etc.) is required.

Salary Range

$26.27 - $33.49/ Hourly

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.

An excellent fringe benefit package accompanies the salary, which includes:

Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave
Dress flexibility

Employment for this position is contingent upon a satisfactory background and MVR (Motor Vehicle Registration) check, which will be performed after acceptance of an offer of employment and prior to the employee's start date.

Education

Required

Bachelors or better in Human Services

Licenses & Certifications

Required

Driver License

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.

Apply Now

Refine Your Search

medicaid coordinator jobs in raleigh, nc

TCL Transition Coordinator (Full Time, Hybrid, North Carolina Based)

Care Coordinator

Rural Health Transformation Outreach Coordinator

1915(i) Service Coordinator

Care Coordinator

Executive Care Coordinator

Executive Assistant & Behavioral Health Operations Coordinator

RHTP MH/SUD Coordinator

RN MDS Coordinator

MDS Coordinator

Hybrid** Licensed Mental Therapist Raleigh & Cary, NC

RHTP MORES Program Lead

Recruiter & Scheduling Coordinator - Healthcare

Program Consultant - Medicaid School Policy

Insurance Coordinator

Front Office Coordinator

Enterprise Risk Manager (Full-time Hybrid, Morrisville, NC)

SERVICE COORDINATOR

Concierge

Audiology Infant Coordinator - Meadowmont

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