Personal Care Management Prior Authorization Liaison

3 weeks ago


Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time
Job Title: Personal Care Management Prior Authorization Liaison

Tempus Unlimited, Inc. is a nonprofit organization dedicated to empowering individuals with disabilities to live independently. We are seeking a skilled Personal Care Management Prior Authorization Liaison to join our team.

Job Summary:

The Personal Care Management Prior Authorization Liaison will be responsible for submitting, tracking, and receiving Prior Authorization (PA) requests for Personal Care Assistance (PCA) services with MassHealth. This role requires strong organizational skills, attention to detail, and effective communication with consumers, surrogates, and healthcare providers.

Key Responsibilities:
  • Submit PA requests to MassHealth in accordance with PCA Operating Procedures
  • Notify consumers and surrogates of PA decisions and provide necessary documentation
  • Track PA expiration dates and discuss extensions with supervisors
  • Verify supporting documentation, including medical records and consumer signatures
  • Conduct quality assurance reviews of RN evaluations before submission to MassHealth
  • Maintain confidentiality of consumer and PCA information
  • Report suspected incidents of consumer abuse or neglect to the Disabled Person Protection Commission (DPPC)
  • Train and assist new department employees
  • Monitor and retrieve authorizations from faxes and enter PA information into the database
Requirements:
  • High school diploma or equivalent education
  • Excellent organizational and communication skills
  • Ability to work in a high-production environment with attention to detail
  • Experience working in an office environment
Work Environment:

This role operates in a professional office environment with standard office equipment. The physical demands of this job include sitting, reaching, carrying, walking, pushing, pulling, and lifting.

Travel:

No travel is required for this position.



  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Title: Personal Care Management Prior Authorization LiaisonTempus Unlimited, Inc. is a nonprofit organization dedicated to empowering individuals with disabilities to live independently. We are seeking a skilled Personal Care Management Prior Authorization Liaison to join our team.Job SummaryThe Personal Care Management Prior Authorization Liaison will...


  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Title: Personal Care Management Prior Authorization LiaisonAt Tempus Unlimited Inc., we are seeking a highly skilled and detail-oriented Personal Care Management Prior Authorization Liaison to join our team. As a key member of our team, you will be responsible for ensuring seamless communication between our organization and Mass Health, facilitating the...


  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Title: Personal Care Management Prior Authorization Liaison Job Summary: Tempus Unlimited, Inc. is a nonprofit organization that provides community-based services to empower children and adults with disabilities to live as independently as possible in the least restrictive environment. We are seeking a skilled Prior Authorization Liaison to join our...


  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Title: Personal Care Management Intake and Consumer SupportTempus Unlimited, Inc. is a nonprofit organization dedicated to empowering individuals with disabilities to live independently in their communities. We are seeking a highly skilled and compassionate Personal Care Management Intake and Consumer Support Specialist to join our team.Job Summary:The...

  • Home Care Manager

    3 weeks ago


    Stoughton, Massachusetts, United States FLOURISHING HOME CARE LLC Full time

    Job SummaryWe are seeking a skilled and compassionate Home Care Manager to join our team at Flourishing Home Care LLC.The successful candidate will be responsible for developing and implementing plans of care for our clients, ensuring the provision of high-quality services that meet their unique needs and goals.Key ResponsibilitiesDevelop and monitor plans...


  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Title: Personal Care Management Intake and Consumer SupportTempus Unlimited, Inc. is a nonprofit organization dedicated to empowering individuals with disabilities to live independently in their communities. We are seeking a highly skilled and compassionate Personal Care Management Intake and Consumer Support professional to join our team.Job Summary:The...


  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Title: Personal Care Management Intake and Consumer SupportTempus Unlimited, Inc. is a nonprofit organization dedicated to empowering individuals with disabilities to live independently in their communities. We are seeking a highly skilled and compassionate Personal Care Management Intake and Consumer Support professional to join our team.Job Summary:The...

  • Home Care Manager

    1 week ago


    Stoughton, Massachusetts, United States FLOURISHING HOME CARE LLC Full time

    Job Summary:FLOURISHING HOME CARE LLC is seeking a highly skilled and compassionate Home Care Manager to join our team. As a key member of our care team, you will be responsible for developing and implementing plans of care for our clients, ensuring the delivery of high-quality services that meet their unique needs and goals.Key Responsibilities:Develop and...


  • Stoughton, Massachusetts, United States Collegium Pharmaceutical, Inc. Full time

    Job Title: Senior Medical Science LiaisonAt Collegium Pharmaceutical, we are committed to improving the lives of people living with serious medical conditions. Our team is dedicated to developing and delivering innovative treatments that make a meaningful difference in the lives of our patients.Job Summary:The Senior Medical Science Liaison (MSL) role is a...


  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Summary: Tempus Unlimited, Inc. is a nonprofit organization providing community-based services to empower individuals with disabilities. We are seeking a skilled Personal Care Management Intake and Consumer Support Specialist to join our team. Key Responsibilities:• Answer phone calls and provide consumer support• Distribute calls to the appropriate...


  • Stoughton, Massachusetts, United States Tempus Unlimited Inc. Full time

    Job Summary: Tempus Unlimited, Inc. is seeking a highly skilled and compassionate Personal Care Management Intake and Consumer Support Specialist to join our team. As a key member of our PCM department, you will be responsible for providing exceptional consumer support, answering phones, and distributing calls to the appropriate department. Key...


  • Stoughton, Massachusetts, United States FLOURISHING HOME CARE LLC Full time

    Job Summary:We are seeking a highly skilled and dedicated individual to join our team as a Home Care Operations Manager at Flourishing Home Care LLC. As a key member of our team, you will be responsible for ensuring the consistent provision of quality services to our clients.The ideal candidate will have excellent written and verbal communication skills, as...

  • Quality Manager

    1 week ago


    Stoughton, Massachusetts, United States Molly Maid Full time

    Unlock Your Potential as a Field Manager / Quality Control / TrainerAre you looking for a career that offers training, opportunities for advancement, and a better work-life balance? Do you want to make a difference in people's lives while enjoying a sense of fulfillment?As a Field Manager / Quality Control / Trainer at Molly Maid, you will play a vital role...

  • Quality Manager

    1 week ago


    Stoughton, Massachusetts, United States Molly Maid Full time

    About the RoleWe are seeking a highly motivated and customer-focused individual to join our team as a Field Manager / Quality Control / Trainer. As a key member of our team, you will be responsible for upholding our commitment to customer satisfaction and professionalism.Key ResponsibilitiesGrow and retain customers and employees by following our proven...

  • Quality Manager

    1 week ago


    Stoughton, Massachusetts, United States Molly Maid Full time

    Job SummaryMolly Maid is seeking a highly motivated and customer-focused Field Manager / Quality Control / Trainer to join our team. As a key member of our operations team, you will be responsible for delivering exceptional customer service, training and developing our cleaning teams, and ensuring the highest level of quality in our services.Key...

  • Release Manager

    1 week ago


    Stoughton, Massachusetts, United States COMTECH TELECOMMUNICATIONS Full time

    {"h1": "Release Manager at Comtech Telecommunications", "h2": "Job Summary", "p": "We are seeking a skilled Release Manager to join our team at Comtech Telecommunications. The successful candidate will be responsible for coordinating and managing software/hardware releases across multiple fielded Next Generation 911 (NG911) systems. This is a critical role...


  • Stoughton, Massachusetts, United States PAM Health Full time

    Job DescriptionAt PAM Health, we're committed to providing exceptional patient care and a supportive work environment for our nursing team. As a Registered Nurse, you'll play a vital role in delivering high-quality care to our patients.ResponsibilitiesUnder the direction of the Chief Nursing Officer/Director of Nursing, Nurse Manager or Charge Nurse, you'll...

  • Release Manager

    1 week ago


    Stoughton, Massachusetts, United States COMTECH TELECOMMUNICATIONS Full time

    Job Title: Release ManagerComtech Telecommunications Corp. is seeking a skilled Release Manager to join our team. As a key member of our SST Engineering department, you will be responsible for scheduling, coordinating, and managing software/hardware releases across multiple fielded Next Generation 911 (NG911) systems.Key Responsibilities:Analyze and document...

  • MDS Nurse

    2 months ago


    Stoughton, Massachusetts, United States Bear Mountain Health Care Full time

    About the Role:Bear Mountain Health Care is seeking a highly skilled and compassionate MDS Nurse to join our team at our skilled nursing facility. As a key member of our care team, the MDS Nurse will play a vital role in assessing the functional capabilities of our residents and developing individualized care plans to promote their physical and emotional...

  • MDS Nurse

    1 month ago


    Stoughton, Massachusetts, United States Bear Mountain Health Care Full time

    About the Role:Bear Mountain Health Care is seeking a highly skilled and compassionate MDS Nurse to join our team. As a key member of our skilled nursing facility, you will play a vital role in assessing the functional capabilities of our residents and promoting their physical and emotional well-being.Responsibilities:Conduct federally mandated assessments...