Medicaid Case Manager

3 days ago


Kaysville, Utah, United States UTAH SENIOR PLANNING Full time
Job Summary

Utah Senior Planning is seeking a highly skilled Medicaid Case Manager to join our team. As a Medicaid Case Manager, you will play a critical role in facilitating the Medicaid process for residents in nursing facilities, ensuring timely and accurate processing of applications and recertifications.

Key Responsibilities
  • Medicaid Facilitation: Coordinate with nursing facilities to ensure seamless Medicaid application and recertification processes.
  • Weekly Updates: Provide regular updates to contracted nursing facilities on Medicaid status and any necessary actions.
  • Client Communication: Schedule and conduct meetings with potential residents to discuss Medicaid requirements and ensure timely submission of necessary documents.
  • Document Management: Track and manage communications with Medicaid enrollees, including submitted recertifications and submissions to the Department of Workforce Services.
  • Eligibility Maintenance: Continuously monitor and advise enrollees on Medicaid process and procedures to maintain eligibility.
  • Application Assistance: Assist enrollees or designated representatives in completing Medicaid applications, recertifications, or applicable assistance programs.
  • Benefits Guidance: Provide enrollees and designated representatives with information on re-certification dates and benefit-related questions.
  • Nursing Facility Visits: Conduct weekly visits to contracted nursing facilities to ensure compliance and address any concerns.
  • Case Management: Manage a caseload of 30 cases per month, ensuring timely and accurate processing of Medicaid applications and recertifications.
Benefits
  • PTO: 2 weeks of paid time off.
  • Retirement Plan: 401K with 4% company match.
  • Health Insurance: Comprehensive health insurance plan.
  • Life Insurance: Company-provided life insurance plan.
  • Dental and Vision Insurance: Company-provided dental and vision insurance plans.
  • Company Vehicle and Gas Card: Company-provided vehicle and gas card for business use.
  • Competitive Pay: $16-$20 per hour, depending on experience.
Requirements
  • Bachelor's Degree: Bachelor's degree in a related field (healthcare, social work, or a related field) preferred but not required.


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