Eligibility Specialist

2 days ago

Las Vegas, United States Care Lync Full time
About Us

Care Lync is a Social Services agency focused on hiring an Eligibility Specialist providing (Service Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program. Our Eligibility Specialist works with adults to help them to navigate, understand, and secure the services needed in order to live independently in their home and community.

We offer a great benefits package including medical, dental, vision, 401k, paid time off within a cooperative rewarding family environment.

General Summary

The Eligibility Specialist provides case management activities necessary to meet the needs of clients assigned to the consolidated care team. This position is responsible for the development of individualized care management plans; implementation of the care plan through brokering and coordinating services; and the monitoring and evaluation of all clinical outcomes to ensure that services are provided in a professional, comprehensive, and cost-effective manner. The role assists in the location, coordination and monitoring of needed services and supports through the development and implementation of the Individual Support Plan (ISP). The Eligibility Specialist will assist the person(s) receiving services in identifying and communicating his/her requests and needs for services and supports, which may include housing, medical, social, vocational and other community services.

Essential Duties and Responsibilities

Complete assessments to assist in identifying each participant needs and desires for service delivery.

Develops a Person-Centered Service Plan for each participant and modify at least annually or when there is a significant medical or social change.

Ensure the participant choice of providers by providing information for the participant to make a fully informed decision.

Ensure the Behavioral Support Plan and Crisis Plan (if the participant has a Behavior Specialist) is consistent with the ISP.

Report all incidents of participant abuse, neglect or exploitation immediately to supervisor/director.

Actively coordinate with other individuals and/or entities essential in the physical and/or behavioral care delivery for the participant, including other care coordinators, to ensure seamless coordination between physical, behavioral and support services.

Responsible for researching and developing alternative solutions to participants needs.

Ensures confidentiality regarding sensitive material and private health information of each individual served.

Attends required trainings and recertification classes.

Confers regularly with supervisor/ director(s) to understand and consider factors such as participants needs, abilities, learning levels, and physical limitations.

50% travel to participants as needed

Qualifications

BS/BA degree in related course work

Minimum of 2 years related experience providing case management for individuals with Intellectual Disabilities, Autism Spectrum Disorders, or Physical Disabilities.

Experience with Microsoft Office, state-maintained databases.

Must maintain proficiency in company sponsored training and certifications.

Maintain CPR/First Aid certification and updated state related Clearances.

Successfully complete and maintain training courses as required or amended by program regulations.

Valid Driver's License including personal vehicle insurance coverage for liability and current vehicle registration, copies must be maintained on file with Care Lync.

* Please specify if you are bi-lingual (English-Spanish).

Care Lync is an equal opportunity employer and complies with the provisions of the Federal Civil Rights Act of 1964 and the Pennsylvania Human Relations Act of 1955 and all requirements imposed pursuant thereto. No person shall, on the grounds of race, color, national origin, ancestry, age, sex, religious creed, or disability, be excluded from participation in, be denied benefits of, or otherwise be subject to discrimination in the provision of any hiring opportunities, care or services. Care Lync will not, directly or through contractual arrangements discriminate its patients, consumers, employees, partners, 3rd party vendors or any person on the basis of race, color, national origin, ancestry, age, sex, religious creed, disability, sexual identification or any other category protected under law. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, religious creed, sexual orientation, ancestry, gender identity, national origin, protected veteran status, disability status, sexual identification or any other characteristic protected by applicable law.

  • Bilingual Eligibility Specialist

    3 days ago

    Las Vegas, United States Access To Healthcare Network Full time

    Best Place to Work in Northern Nevada - 1st Place Winner 2024 Best Place to Work for Working Parents - 2024 Check out our AWESOME Benefits! 4 weeks Paid Time Off in the First Year - Front Loaded 14 paid holidays annually Hybrid Work Options Available 403B Retirement Plan with 4% Match 4 Weeks Paid Parental Leave Up to 4 Weeks Paid Catastrophic Leave...

  • Medicaid Eligibility Specialist

    4 weeks ago

    Las Vegas, United States FreedomCare Full time

    Started in 2016, FreedomCare is a Healthcare company that is innovating and revolutionizing the way home care is delivered. We bring dignity and support to patients needing care in their homes and to the caregivers who care for them. We're the largest consumer-directed home care agency in NY State, and are continually expanding our areas of focus including...

  • Field Computer Specialist

    6 months ago

    Las Vegas, United States U-Haul Full time

    Location: 1900 S Decatur Blvd, Las Vegas, Nevada 89102 United States of America If you are detail-oriented, relish variety and feel at home around all kinds of technology, consider becoming U-Haul Company’s newest Field Computer Specialist. In this role you will be responsible for all computer and security systems in your area, traveling from place to...

  • Teen Specialist

    2 months ago

    Las Vegas, United States Boys and Girls Club of Las Vegas Full time

    POSITION: Teen Specialist ( THIS IS A REQUIRED DRIVING POSITION) LOCATION:Downtown Club SCHEDULE:Full Time SALARY: $19 per hour (Eligible for full-time benefits after the first day of the month following 60 days of employment) TO APPLY: Please apply online at: SUMMARY:The Teen Specialist is responsible for overseeing all teen programs at their...

  • Ambulatory Care Physician Specialist

    1 month ago

    Las Vegas, United States OptumCare Full time

    Urology Specialists of Nevada (USONV) has ten providers and three convenient locations. We are committed to providing the highest quality and most advanced and comprehensive care to our many patients. USONV is a busy full service urology group practice that engages in all of the sub-disciplines of urology. There is a dedicated pediatric urologist in the...

  • Diagnostic Imaging Specialist

    3 weeks ago

    Las Vegas, Nevada, United States MountainView Hospital Full time

    Job SummaryWe are seeking a highly skilled Diagnostic Imaging Specialist to join our team at MountainView Hospital. As a key member of our diagnostic imaging department, you will play a critical role in providing high-quality patient care and contributing to the success of our hospital.About the RoleThe Diagnostic Imaging Specialist will be responsible for...

  • Vehicular Repair Specialist

    4 weeks ago

    Las Vegas, Nevada, United States Tire Choice Auto Service Centers Full time

    At Tire Choice Auto Service Centers, we're seeking an experienced Vehicular Repair Specialist to join our team. This role is eligible for additional compensation and incentives.The Vehicular Repair Specialist will be primarily responsible for conducting basic vehicle diagnostics and performing routine vehicle repair and maintenance services in accordance...

  • Medical Imaging Specialist

    4 months ago

    Las Vegas, United States Sunrise Hospital Full time

    Description Hourly Wage Estimate: $33.81 - $50.75 / hourLearn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in...

  • Pediatric Neurology Specialist Opportunity in Las Vegas

    3 weeks ago

    Las Vegas, Nevada, United States ProTouch Staffing Full time

    Pediatric Neurology SpecialistWe are seeking a skilled Pediatric Neurology Specialist to join our team at ProTouch Staffing.Job SummaryThe ideal candidate will have experience in pediatric neurology and be able to provide high-quality care to patients. The specialist will work with local offices and four regional hospitals, traveling to all locations as part...

  • Highly Skilled Vascular Specialist Wanted

    3 weeks ago

    Las Vegas, Nevada, United States Dignity Health Full time

    Vegas Vascular Specialists, part of Dignity Health, is seeking a skilled vascular specialist to join their team in Las Vegas. With a strong reputation for providing high-quality care, they have a growing need for an experienced surgeon.The Opportunity:Join the area's premier vascular group in a modern practice with access to cutting-edge technologyNo general...

  • Neonatal Physician Specialist

    7 hours ago

    Las Vegas, Nevada, United States AdeIphi MedicaI Staffing Full time

    Expert Neonatologist Wanted in Las VegasAdeIphi Medical Staffing is seeking a skilled Neonatal Physician Specialist to join our team in the vibrant city of Las Vegas, NV. This exciting opportunity offers a competitive salary of $275,000+ per year, depending on experience.About the Job:This permanent position requires a board-certified/board-eligible...

  • Neonatal Perinatal Medicine Specialist

    3 weeks ago

    Las Vegas, Nevada, United States HCA Healthcare Full time

    Experience the excitement of a vibrant city and enjoy a high quality of life in Las Vegas, Nevada.About MountainView HospitalMountainView Hospital is a state-of-the-art medical facility located in northwest Las Vegas. With a dedicated staff of employees and outstanding physicians, we provide quality care to our community since 1996.Salary and BenefitsWe...

  • Customer Service Moving Specialist

    3 weeks ago

    Las Vegas, Nevada, United States 1-800-PACK-RAT LLC Full time

    Job OverviewWe are seeking a highly motivated and detail-oriented Customer Service Moving Specialist to join our team at Zippy Shell.Compensation:$15-$17 per hour, based on experience and performanceBonus opportunities for outstanding performanceDaily tips and incentivesResponsibilities:Disassemble and reassemble furniture and client items using basic hand...

  • Medical Laboratory Specialist

    3 weeks ago

    Las Vegas, Nevada, United States Southern Hills Hospital and Medical Center Full time

    Medical Laboratory SpecialistA medical laboratory specialist is a crucial member of the healthcare team, responsible for performing various tests and examinations to help diagnose and treat patients.About Southern Hills Hospital and Medical CenterSouthern Hills Hospital and Medical Center is a 260+ bed acute care hospital providing emergency and pediatric...

  • Senior Business Operations Specialist

    3 weeks ago

    Las Vegas, Nevada, United States Metropolis Full time

    Key Job ResponsibilitiesWe are seeking an experienced Senior Business Operations Specialist to join our team in Las Vegas, Nevada. This role is responsible for driving operational efficiency, optimizing revenue, and supporting strategic initiatives across multiple locations.The ideal candidate will have a proven track record of success in operations...

  • Authorization & Referral Specialist - Per Diem

    2 months ago

    Las Vegas, United States UNLV Health Full time

    The Authorization and Referral Specialist is responsible for the timely processing, submitting, scheduling and follow up of referrals and request for treatment authorizations as required by payer. The Authorization and Referral Specialist tracks existing referrals by program and payer. The Authorization and Referral Specialist position requires excellent...

  • Senior Psychotherapy Specialist

    3 weeks ago

    Las Vegas, Nevada, United States Therapeutic Solutions LLC Full time

    About the RoleTherapeutic Solutions LLC is seeking a highly skilled Senior Psychotherapy Specialist to provide individual, couples and family therapy in our established Las Vegas office.As a key member of our team, you will be responsible for implementing and reviewing treatment plans, collaborating with additional treatment providers and placement agencies,...

  • Compensation Claims Specialist

    3 weeks ago

    Las Vegas, Nevada, United States Muslusky Law Full time

    Job OverviewWe are a busy law practice specializing in Workers' Compensation & Personal Injury, seeking an experienced Compensation Claims Specialist.About the RoleThe ideal candidate will have a minimum of 2 years of experience handling claims in a work comp or medical environment. Previous case management experience is preferred.Key...

  • Endocrinology Physician Specialist

    3 weeks ago

    Las Vegas, Nevada, United States HCA Healthcare Full time

    About the OpportunityWe are seeking a skilled Endocrinologist to join our team at MountainView Hospital in Las Vegas, Nevada. As a leading healthcare provider, we offer a comprehensive benefits package and a competitive salary range of $450,000 - $600,000 per year, depending on experience.Job DescriptionAs an Endocrinology Physician Specialist, you will be...

  • Vascular Surgeon Specialist

    3 weeks ago

    Las Vegas, Nevada, United States Dignity Health Full time

    Highly skilled vascular surgeons are in demand at Dignity Health's esteemed St. Rose Dominican-Siena Campus. As the leading provider of vascular care in Las Vegas, we seek a talented specialist to join our esteemed team.The Opportunity:Contribute to a renowned medical group offering cutting-edge vascular treatmentsNo general surgery requirements, focusing...