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Care Coordinator
3 months ago
The Assisted Living Waiver Program Care Coordination Agency (ALWP CCA) Office Coordinator is responsible for processing the ALWP beneficiary application as per Regulatory Agency and Libertana Home Health Policy. QUALIFICATIONS Knowledge of the State of California Assisted Living Waiver Program Care Coordination Agency Provider Handbook, RCFE Provider Handbook and Title 22 Division 6 for RCFE. Exercises excellent judgment and has good organizational skills. Fluent in English. Possesses effective written and verbal communication skills. Proficient in the use of computers, electronic medical records, and Microsoft Office. Ability to establish and maintain good communication and relationships with office, field, and administrative personnel. Is self-directed with the ability to work with little supervision. Must be a licensed driver with an automobile that is insured and is in good working order, in accordance with state and/or organizational requirements. Preferably, has a Bachelor’s degree in health care/business administration or a related field. Previous Health Care experience preferred. Background and/or knowledge of developing reports, newsletters, statistics, and information analysis desired. Possesses excellent analytical skills. ESSENTIAL DUTIES AND RESPONSIBILITIES Assists Medi-Cal beneficiaries in obtaining access to waiver services, state plan services and other community resources by identifying, coordinating and collecting data required for the ALWP application. Responsible for the proper completion of all documents required for the State Waiver Program Application as per ALWP and Agency policy. Reviews and evaluates the ALWP documents necessary for State Waiver Program Application, including Initial Assessments, Re-assessments, ISPs, Physician’s Reports Medi-Cal eligibility, etc. Discusses State inquiries or requests for documentation with CCA Manager, CCA Staff, SNFs and other referral sources. Responsible for the completion of Patient Charts as per Agency policy. Establishes and maintains good relationships with RCFE, SNFs and other vendors. Assists the Agency in maintaining compliance with Federal, State, Local and HIPAA Regulations or Joint Commission Standards. Oversight and Process Improvement: Provides oversight for the CCA Manager, ensuring efficient and effective operations within the department. Collaborates with team members to identify discrepancies in processes/procedures and seeks opportunities for improvement. Providing Expertise in Complex Client Issues: Supports and provides expertise in solving client issues, ensuring the highest level of client satisfaction and compliance with ALWP. Oversees a team of 3-5 Care Coordinators and ensures that job responsibilities are met. Maintains a small caseload and assists clients with ALWP services. Assists in assigning caseloads/clients for Care Coordinators. Assists Care Coordinators, RCFE managers and contacts to verify ALWP billable clients. Troubleshoots Client, RCFE, SNF and other vendor issues. Assists CCA Manager in releasing and monitoring the DHCS ALW Waitlist Releases. Collaborative Interdisciplinary Work: Works collaboratively with the entire CCA team and others outside of the department, fostering a cohesive work environment. Assists Care Coordinators and CCA Supervisor in providing ALWP in-services to clients. Provides Care Coordinators with Training Refreshers weekly based on performance, trends, and updates. Meets weekly with Care Coordination Team to ensure time-sensitive deadlines are met. Oversees proper tracking, charting, progress notes, and case records for assigned Care Coordinators. Trains and precepts new hires. Maintains a comfortable work environment for all employees. Conforms to all agency policies and procedures. Respects the patient’s and family’s rights and property as defined by federal and state laws. Supports CCA Manager in the completion of annual reviews of Care Coordinators. Some driving may be required around Los Angeles, San Bernardino, Bakersfield Riverside, and San Diego County. Knowledge of Confidentiality, HIPAA and healthcare laws and regulations. #J-18808-Ljbffr
