Enrollment Specialist

5 months ago


West Springfield, United States Center for Human Development Full time
Reviews EHR portal throughout the day and calls enrollees referred by MassHealth, MCO/ACOs and community providers to ensure that enrollees are assigned a Care Coordinator within five business days.

  • Verifies enrollee eligibility for CP services with MassHealth.
  • Utilizes various avenues including collateral contacts in order to obtain updated or confirm contact information for enrollee.
  • Initiates recruitment contact to enrollees, either by phone calls, text/emails, mailing letters or conducting outreach visits to enrollees' homes or community settings.
  • Introduces enrollee to the ICP program.
  • Provides enrollee a handbook and has enrollee review, understand and sign participation form and any other Community Partner program forms during enrollment.
  • Uses the enrollment care coordinator availability list to assign enrollees to appropriate teams and care coordinators.
  • Schedules initial visit for Care Coordinator.
Expectations:
  • Outreaching to various communities throughout Western Mass.
  • Connecting with different agencies to assist with enrollment.
  • Engaging enrollees assigned to ICP.
  • Knowledge of MassHealth's Community Partners program and being able to talk about it to enrollees and members of the community.
  • Ability to work with people from diverse backgrounds.


Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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