Managed Care Laison

3 weeks ago

Jamestown, United States Lutheran Social Services. Full time
Job DescriptionJob DescriptionMedicaid Managed Care LiaisonRegular Full-TimeWest Seneca, NY, USRequisition ID: 1132Apply

GA Family Services is seeking a Medicaid Managed Care Liaison. Since this position supports both the West Seneca and Jamestown locations, a strong candidate located in Jamestown, NY may be considered.

Purpose: All MMCPs must have a Foster Care Liaison who shall be the direct MMCP contact with VFCAs, care coordinators and service providers, and will be responsible for monitoring access to health care for children in foster care. This role coordinates with the Medicaid managed care plans as the liaison for GA and the youth enrolled in the managed care plans.

Qualifications: Prior experience, expertise and knowledge of the following: the child welfare system, healthcare requirements for children, medical and mental health needs of the foster care population, Medicaid policies and operations, and Medicaid Managed Care. Basic computer skills and a valid NYS Drivers License are required. Bachelors Degree, LPN or BSW, preferred.

Functions of the position:

  • Coordinate with the MMCP's foster care liaison
  • Inform and coordinate with the MMCP when a child's primary care provider needs to be changed
  • Be the primary contact person for the MMCP to assist with the following: MMCP enrollment, disenrollment and transitions. Immediate issuance of a Welcome Letter Securing identification showing the effective enrollment date (including immediate temporary identification). Replacement of insurance identification card.
  • Assist with foster care placement changes including: Access to healthcare. Facilitate a single case agreement when a child is place outside of the MMCPs service area or provider network and interact with clinical and billing staff
  • Refer children for needed services and assist in provider selection
  • Coordinate with health care providers, including school and community based services
  • Maintain eligibility for public or private health insurance
  • Updates and maintains the foster care stipends and rate information for all foster care youth
  • Assists Clinical Supervisor in updating tracking information for all EBR packets and information for youth in FC and TFC
  • Coordinate TFC Billing. Duties include
    • Maintain daily census information
    • Prepare monthly bills/vouchers for payment
    • Prepare monthly revenue entry
    • Record monthly bills and payments to AR schedules
    • Work with Accounting Manager to transmit information to GL
    • Track outstanding accounts to keep accounts current
  • Tracking Clothing Allowance. Duties include:
    • Reimbursing parent for clothing expenses with accurate receipts
    • Monitoring clothing to make sure parents are not over/under spending
  • Will develop and implement system of communication and notification with MMCPs that includes mechanisms for sending and receiving information, including new enrollments from MMCPs, Foster Care Intake and Discharge status, changes in placement or address, changes in health status or provider.
  • Provides advice and participates when appropriate in medical in-service training programs
  • Demonstrates compliance with all federal and state laws and regulations
  • Meets regularly with the Director of Community Based Programs on the 29I and ongoing Medicaid Managed Care issues/updates
  • Attends all needed meetings with the agency and OCFS on the 29I updates/trainings and keep the Director of Community Based Services and other leadership team members informed of status and changes

  • Care Manager II

    4 weeks ago

    Jamestown, United States Hillside Family of Agencies Full time

    We have a tremendous opportunity for a Care Manager II to be a lead member of the care team at our Lakewood, NY location. Full time position (40 hours) Monday to Friday. This role would be using principles of assessment, care planning, service and community referrals, and evaluation to coordinate wraparound services using person centered strategies for...

  • Children's Health Home Care Manager

    4 weeks ago

    Jamestown, United States Intandem DBA Cattaraugus County Rehabilitation Center Inc Full time

    JOB TITLE: Children’s Health Home Care Manager CLASSIFICATION: Full Time, Non-Exempt PROGRAM/DEPARTMENT: Health Home Care Management IMMEDIATE SUPERVISOR: Program Supervisor POSITION SUMMARY: Works with people with qualifying Physical/Mental Health/Substance Abuse diagnoses and their natural supports to link/monitor/refer to services that meet their...

  • Children's Health Home Care Manager

    2 weeks ago

    Jamestown, United States Intandem DBA Cattaraugus County Rehabilitation Center Inc Full time

    JOB TITLE: Children’s Health Home Care Manager CLASSIFICATION: Full Time, Non-Exempt PROGRAM/DEPARTMENT: Health Home Care Management IMMEDIATE SUPERVISOR: Program Supervisor POSITION SUMMARY: Works with people with qualifying Physical/Mental Health/Substance Abuse diagnoses and their natural supports to link/monitor/refer to services that meet their...

  • Children's Health Home Care Manager 3

    3 weeks ago

    Jamestown, United States The Salvation Army Eastern Territory Full time

    Overview Seeking a Full Time Children’s Health Home Care Manager 3 to join our Jamestown Corps Our Full Time opportunities offer: Generous time off every year including 14 paid holidays, up to 3 personal days, vacation time, and sick time Employer funded Pension Plan (company contributions begin after 1 year of continuous employment) Comprehensive...

  • Children's Health Home Care Manager 3

    2 weeks ago

    Jamestown, United States The Salvation Army Eastern Territory Full time

    Overview Seeking a Full Time Children’s Health Home Care Manager 3 to join our Jamestown Corps Our Full Time opportunities offer: Generous time off every year including 14 paid holidays, up to 3 personal days, vacation time, and sick time Employer funded Pension Plan (company contributions begin after 1 year of continuous employment) Comprehensive...

  • Care Coordinator

    2 weeks ago

    Jamestown, United States Evergreen Health Services Full time

    Evergreen Health  The  Care Coordinator  applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support and Referral to Community &...

  • Patient Care Technician

    1 month ago

    Jamestown, United States University of Pittsburgh Medical Center Full time

    UPMC Chautauqua is seeking a full-time Patient Care Technician to join us on 5D. This unit is a 30-bed telemetry unit that provides care for adults 18 and older. They see patients with a variety of medical illnesses that require cardiac monitoring to manage their acute health conditions. 5D provides care of the patient through compassion, along with required...

  • Patient Care Technician

    1 month ago

    Jamestown, United States UPMC Full time

    **UPMC Chautauqua is seeking a full-time Patient Care Technician to join us on 5D.** This unit is a 30-bed telemetry unit that provides care for adults 18 and older. They see patients with a variety of medical illnesses that require cardiac monitoring to manage their acute health conditions. 5D provides care of the patient through compassion, along with...

  • Care Coordinator

    3 weeks ago

    Jamestown, United States Evergreen Health Full time

    Job DescriptionJob DescriptionEvergreen Health The Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support and...

  • Care Coordinator

    3 weeks ago

    Jamestown, United States Evergreen Health Full time

    Job DescriptionJob DescriptionEvergreen Health The Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support and...

  • Care Coordinator

    1 week ago

    Jamestown, United States Evergreen Health Full time

    Job DescriptionJob DescriptionEvergreen Health The Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support and...

  • Float Care Coordinator

    2 months ago

    Jamestown, United States Evergreen Health Full time

    Job DescriptionJob Description Evergreen Health The Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support and...

  • Telephonic Care Coordinator

    3 weeks ago

    Jamestown, United States Evergreen Health Full time

    Job DescriptionJob Description Evergreen Health The Telephonic Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support...

  • Telephonic Care Coordinator

    2 weeks ago

    Jamestown, United States Evergreen Health Full time

    Job DescriptionJob Description Evergreen Health The Telephonic Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support...

  • Harp Care Coordinator

    4 weeks ago

    Jamestown, United States Evergreen Health Full time

    Job DescriptionJob DescriptionEvergreen HealthThe Harp Care Coordinator applies the essential activities of case management which include assessment, planning, coordination, monitoring and evaluation with the core components (Comprehensive Case Management, Care Coordination & Health Promotion, Comprehensive Transitional Care, Patient & Family Support and...

  • Clinical Supervisor

    4 days ago

    Jamestown, United States Agape Care Group Full time

    Job Description Overview: Join Our Team as an RN Clinical Supervisor We are looking for impeccable leaders to join our team who are committed to creating meaningful patient experiences. As a clinical supervisor, you'll manage the coordination, supervision, and implementation of professional and supportive services for our hospice patients in a safe,...

  • Patient Care Coordinator

    4 weeks ago

    Jamestown, United States F. Smith Strickland DDS, PLLC Full time

    We are looking for enthusiastic individuals that are highly motivated for creating a superb customer service experience.  Patient Care Coordinators are dedicated to improving every aspect of seeking dental care for each patient.  The job includes but is not limited to daily communication with patients concerning scheduling, financial information as well...

  • Travel Physical Therapist

    3 weeks ago

    Jamestown, United States Connected Health Care Full time

    Connected Health Care is seeking a travel Physical Therapist for a travel job in Jamestown, North Dakota.Job Description & RequirementsSpecialty: Physical TherapistDiscipline: TherapyStart Date: 06/10/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAbout Connected Health Care Connected Health Care is a nationally recognized...

  • Receptionist

    3 days ago

    Jamestown, United States WellNow Urgent Care Full time

    WellNow Urgent Care takes pride in creating an environment filled with meaningful work and opportunities by investing in our colleagues. We offer competitive salaries and a comprehensive benefits package which includes numerous continuing education options. WellNow has over 180+ locations across New York, Illinois, Indiana, Ohio, Michigan, Pennsylvania, and...

  • Travel Physical Therapist

    3 weeks ago

    Jamestown, United States Connected Health Care Full time

    Job DescriptionConnected Health Care is seeking a travel Physical Therapist for a travel job in Jamestown, North Dakota.Job Description & RequirementsSpecialty: Physical TherapistDiscipline: TherapyStart Date: 06/10/2024Duration: 13 weeks40 hours per weekShift: 8 hours, daysEmployment Type: TravelAbout Connected Health Care Connected Health Care is a...