Ombudsman Liaison Specialist

4 weeks ago


Topeka, Kansas, United States Elevance Health Full time
Job Summary:

We are seeking a highly skilled Ombudsman Liaison to join our team at Elevance Health. As a key member of our organization, you will play a critical role in coordinating services with local community organizations and working with local advocacy organizations to ensure that members receiving supports through the LTSS/HCBS Waiver programs have access to Covered Services and non-covered services.

Main Responsibilities:
  • Coordinate services with local community organizations and advocacy groups to ensure access to Covered Services and non-covered services for members receiving LTSS/HCBS Waiver programs.
  • Interact with Kansas Department of Health and Environment (KDHE) and Kansas Department for Aging and Disability Services (KDADS) staff to submit reports and ensure compliance with program requirements.
  • Develop and implement strategies to improve member access to care and quality of care, including recommending policy and procedural changes to management.
  • Work with care coordinators to link members to necessary services and supports, and coordinate with schools, community agencies, and state agencies to provide services to members.
  • Identify and address access and cultural sensitivity issues, and monitor grievances to look for trends or major areas of concern.

Requirements:
  • Bachelor's degree and a minimum of 7 years of related experience, or any combination of education and experience that would provide an equivalent background.
  • Proven track record of developing programs and services for LTSS or Behavioral Health populations.

Preferred Skills:
  • 2 years of experience in a healthcare-related field with experience working with LTSS or Behavioral Health populations, preferably with low-income populations and demonstrated expertise in topics related to LTSS, resiliency, and recovery.


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