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Social Services Coordinator

3 months ago

Doral, United States Bright Health Full time

Back to Career Site We are transforming healthcare to be value-driven, creating a seamless, consumer-centric care experience that maximizes value for all. We believe that all health consumers are entitled to high quality, coordinated healthcare. We uniquely align the interests of health consumers, providers, and payors to make high-quality healthcare accessible and affordable to all populations across the ACA Marketplace, Medicare, and Medicaid. The Social Services Coordinator will be responsible for serving as a primary liaison between Centrum Health and The Department of Children and Families Office Economic Self-Sufficiency (ESS) ESS Partner Network. DUTIES & RESPONSIBILITIES * Assist in completing benefit applications for public assistance programs. * Links community residents to appropriate public assistance programs from both public and private funding. * Schedule appointments for follow-up and provides assistance and/or referrals for essential support services such as, but not limited to, housing, financial aid, food stamps, Medicaid, emergency food, WIC, clothing, transportation and day care. * Participate in county, city and other coalitions to promote the available social services programs and identify collaboration opportunities. * Provide community presentations and attend community meetings and outreach events to promote programs. * Process Medicaid renewal for eligible plan members. * Provide both remote and on-site assistance. * Maintains patient confidentiality and complies with HIPAA guidelines. * Assures coverage of Social Services contacts during operating hours. * Register contact in system as applicable. * Accomplish established metrics by the leadership on a daily, weekly and monthly basis. * Manage contacts requesting interpreter services for foreign languages. * Maintain & complete any required training by the company & community program * Interview clients and families. Coordinates and plans programs and activities to meet their social and/or emotional needs. * Comply with government regulations in all areas of responsibility required, I.e. signatures on all forms for Medicaid and LIS. * Follow up with the Department of Children and Families and Social Security Administration on Medicaid and LIS applications promptly. * Prioritize daily duties and adapt quickly to changing responsibilities. * Maintain updated knowledge of existing and new regulations on Medicaid and Social Security. * Assist members as well as prospects in person or on the telephone with questions or concerns. * Maintain an accurate and organized inventory of cases. * Adheres and ensures compliance with Risk Management Program policies and adverse incident reporting. * Understands and interprets policies and procedures. * Ensures the compliance of CMS/AHCA rules and regulations are being observed, as well as the HIPAA regulations as applied to PHI. * Other duties as assigned. EDUCATION AND PROFESSIONAL EXPERIENCE High School Diploma, GED, or equivalent. Associate degree in health, business-related field or comparable experience preferred. Minimum of 2 years experience in healthcare, social services and/or case management. Social services experience, case management, refugee assistance program, public assistance, or limited customer service representative preferred. Good communication, interpersonal and problem-solving skills. Working knowledge of the Florida Medicaid regulations and Social Security Administration to an assigned caseload to obtain and maximize, Qualified Medicare Beneficiary (QMB), Special Low-Income Medicare Beneficiary (SLMB), Qualify Individual (QI1), and Low-Income Subsidy (LIS). Bilingual in English and Spanish.

PROFESSIONAL COMPETENCIES * Computer literate, preferably in the following applications: Word, Excel and Outlook. Ability to respond to a high volume of work and always maintain a polite and professional manner. * Able to function with frequent interruptions. * Ability to prioritize workloads for maximum efficiency. * Customer Service Skills: practicing, valuing and supporting service to both internal and external customers. * Time Management Skills: establishing priorities and accomplishing tasks in a timely manner. * Team Work: ability to work in a team environment to create solutions to problems.

WORK ENVIRONMENT The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of NeueHealth, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. #J-18808-Ljbffr