PCM Intake and Consumer Support

2 weeks ago

Stoughton, United States Tempus Unlimited Inc Full time
Job TypeFull-timeDescriptionTempus Unlimited is looking for a support staff to answer phones, provide consumer support, and distribute calls to appropriate department for the Personal Care Management Prior Authorization Department. Bilingual Spanish or Haitian Creole required.Essential FunctionsConsumer SupportCheck and return all received voice and email messages as soon as possible or no later than 72 hours.Log all incoming calls in the consumer database and maintain phone log according to MassHealth/PCM contract.Combine phone log and produce weekly report of return call as assigned.Update any changes (of address and phone number) received in database and notify designed staff in Skills Training and Evaluation Department (Refer to Incoming Call Procedures).Referral as assignedReceive referral inquiries via phone and fax (may include coordinating electronic referrals).Screen referral to ensure applicant meets minimum requirements for appropriate services through Options (Refer to Community Services PCA Standard Operating Procedures).Process new referrals in Consumer Database, including Senior Care Options (SCO) and 1Care and notify Skills Trainer Supervisor (Refer to Community Services PCA Standard Operating Procedures).Request medical documentations to applicant's doctor for current medical summary, including diagnosis and any pertinent records.Update consumer information in the database as needed during the referral process (i.e. MD info, spelling errors, etc.).Request Visiting Nurse Association (VNA) 485 Care Plan, Department of Developmental Services/Mass. Rehab Commission/Department of Children's and Family (DDS/MRC/DCF) contracts, and other supporting documentation (refer to Community Services Standard Operating Procedures).RequirementsPreferred Experience Accuracy and attention to detailMust have the ability to maintain confidentiality at all timesExperience servicing people with disabilities who are living in the community-familiarity with other disability-related servicesFamiliarity with MassHealth PCA program preferredRequired Certificates, Licenses, Registrations, skills, abilities High School Diploma or equivalentSpanish bilingual required Spanish or Haitian CreoleProfessional telephone manner, computer database skills, familiarity with office procedures and equipmentExcellent communication skillsExcellent interpersonal skillsThis position requires the utmost cooperation in providing a positive environment to create a productive workplaceWork Authorization/Security ClearanceAll offers of employment made by Tempus Unlimited are contingent upon satisfactory background check results. Pre-employment background checks will be conducted on all candidates that are offered a position at the agency in compliance with program policy as well as state and federal regulations. From time to time, these checks may be conducted on current employees to ensure compliance with all state and federal regulations and contracts.EEO StatementEqual Employment Opportunity is a fundamental principle at Tempus Unlimited where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.Other Duties Must report all suspected incidents of consumer sexual/physical abuse and neglect to the Disabled Person Protection Commission (DPPC).Must report all suspected fraud to your Supervisor or Program DirectorPerform other duties as assigned by Supervisor or Program DirectorNote this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

by Jobble

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