Prime Care Coordination is a human services agency that partners with people with intellectual and/or developmental disabilities to help them receive services and supports they need to live their lives in the most meaningful way.
We are seeking a dedicated Enrollment Coordinator to join our team! The schedule is Monday-Friday (8 hour shift) This position is a hybrid/remote position.
PCC Values Its Employees by offering:
Paid time off (25 days per year)10
Paid HolidaysAffordable health care coverage including health, dental, vision, starting as low as $10.00/month401(K) Retirement planTuition ReimbursementGenerous Employee referral programEmployee Wellness Program (earn up to $250 per year!)Numerous other benefits, please apply to find out more!Summary:
The Enrollment Coordinator is responsible for coordinating efforts with eligibility, intake and outreach in the designated regions for Prime Care Coordination (PCC). The Enrollment Coordinator will provide outreach in the community and assist individuals requesting enrollment into a CCO/HH. The Enrollment Coordinator will work with the local DDRO on the eligibility requirements. The Enrollment Coordinator will also lead the intake process to ensure that once the individual has chosen PCC they are able to enroll in a timely manner. Under the direction of the Director of Enrollment, the Enrollment Coordinator will support the strategic direction and goals for all aspects of eligibility, intake and outreach for the CCO/HH that aligns with long term vision and goals of the I/DD service delivery system transformation to managed care.
Essential Job Functions:
Responsible for the implementation of eligibility, intake, and outreach policies and procedures.Oversee enrollment activity and tracking for assigned regions.Responsible for data tracking and requirements for enrollment (Choices, TABS, MAPP, etc.)Follow regulatory requirements for eligibility per OPWDD standards including Medicaid approval.Assist with the effort to develop, implement, and report outreach plans for PCC in coordination with regional hub and leadership staff.Promote collaboration with Quality Management services to monitor the quality management plan and compliance issues pertaining to Care Coordination eligibility and intake process.Conduct program evaluation and quality improvement activities in the enrollment of Care Coordination service delivery.Prepare reports as required by the Director of Enrollment.Assist with the coordination and networking with other organizations, agencies, and service providers within the region to foster community partnership in addressing the needs of individuals and families.Provide case load coverage as requested.Perform all other duties relevant to the position as requested.Knowledge, Skills, and Abilities
Ability to quickly establish and maintain leadership credibility with key stakeholders.Knowledge of OPWDD and/or DOH program and service delivery system and regulationsMust be able to multi-task, establish priorities, and meet deadlines.Ability to work independently and motivate others.Ability to communicate effectively, both orally and in writing.Ability to act quickly, assess and act accordingly in crisis situationsEducation and Experience:
Bachelor's degree with two years of relevant experience
ORA license as a Registered Nurse with two years of relevant experience, which can include any employment experience and is not limited to case management/service coordination duties
ORA Master's degree with one year of relevant experience.Physical Requirements/Working Conditions:
Ability to sit/stand throughout day to accomplish jobAbility to enter data, notes, and other documentation into a computer.Must be able to travel throughout covered territories in Upstate NY as needed.
Prime Care Coordination is an Equal Opportunity Employer, and as such affirms the right of every person to participate in all aspects of employment without regard to gender, race, color, religion, national origin, ancestry, age, marital status, sexual orientation, pregnancy, disability, citizenship, military or veteran status, gender expression and/or identity, or any other status or characteristic protected by federal, state, or local law. Prime Care Coordination will make reasonable accommodations for known physical or mental limitations of otherwise qualified employees and applicants with disabilities unless the accommodation would impose an undue hardship on the operation of our business. If you are interested in applying for an employment opportunity and feel you need a reasonable accommodation pursuant to the ADA, please contact us at ******** .
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