Program Enrollment Assistant at The Legacy Link Inc

Oakwood, Georgia, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Apr, 26

Salary

0.0

Posted On

21 Jan, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Communication, Coordination, Leadership, Computer Skills, Organization, Detail Orientation, Community Organization, Service System Development, Knowledge of CCSP, Knowledge of SOURCE

Industry

Individual and Family Services

Description

Description DEPARTMENT: Health Programs ACCOUNTABILITY: Reports to Health Programs Director STATUS: Nonexempt, Full-time- Hybrid schedule JOB SUMMARY The Program Enrollment Assistant works within the Georgia Medicaid Management Information System (GAMMIS) to extract level of cares for individuals who meet criteria for program enrollment. This person works directly with Community Care Services Program (CCSP) and Service Options Using Resources in Community Environment (SOURCE) nursing staff to improve the denial rate of enrollees seeking placement onto CCSP and SOURCE. The Program Enrollment Assistant reports directly to the Health Programs Director for procedural updates and continuing education. DUTIES AND RESPONSIBILITIES Essential Functions Extracts Level of Care (LOC) determinations from GAMMIS Works directly with field staff on processing of denials Gathers information for field nurses, as requested Follows up on denials weekly Presents common denials at monthly team meeting to encourage nurses toward ways to improve denial rate Uploads requested information into GAMMIS for level of care reconsideration Ensures assessment packages are complete prior to releasing assessments to case management Composes weekly medical director agendas Tasks specifically related to CCSP: Updates Index Card System to assists the Health Programs RN Team Leader in monthly assessment assignments. Discusses any discrepancies with Health Programs RN Team Leader Scans LOCs to support staff, brokering personnel, Medicaid Specialists, and program employees Assists brokering personnel by scanning and emailing initial assessment packets Assists case management by scanning and emailing reassessments packets to providers Under the direction of the CCSP Program Manager, assigns case management roles in Wellsky Tasks specifically related to SOURCE: Assists case management by scanning and emailing initial and reassessment packets to providers Updates Alliant Roster and SOURCE Roster Under the director of the SOURCE Program Manager, assigns case management roles on the SOURCE Roster. Requirements EDUCATION, EXPERIENCE AND SKILL REQUIREMENTS Education: High school diploma or equivalent required. Associate’s or bachelor’s degree highly considered Skills: Ability to communicate and coordinate effectively with clients, family members, service providers, other agency staff, and care coordination staff. Possess leadership abilities to guide and educate personnel. Proficient computer skills with ability to learn agency systems. Well organized and detail oriented. Knowledge of community organization and service system development. Knowledge and understanding of the CCSP and SOURCE programs. Licensure and Certification Valid State Driver’s License current valid Georgia RN License PHYSICAL AND MENTAL DEMANDS The physical and mental demands described are representative of those that must be met by an employee to successfully preform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job, on a case-by-case basis. Local travel required. Attendance at off-premises meetings, conferences or trainings. While performing the duties of this job, the employee is regularly required to use hands to finger, handle or feel and to walk, sit, talk or hear. The employee is occasionally required to stand, climb or balance; stoop, kneel, crouch or crawl. The employee must occasionally lift and /or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus. The noise level in the environment is moderate as phone conversations with the hard of hearing occur daily. Generally, the job requires 50% sitting, 25% walking, and 25% standing. WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job, on a case-by-case basis. This job operates in an office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Temperature ranges from normal indoor climate-controlled environment in buildings or vehicles, various outdoor conditions and temperature extremes encountered during off-site travel, and unpredictable indoor environmental conditions encountered during off-site travel, and unpredictable indoor environmental conditions encountered at off-site locations. Noise level is generally quiet to moderate. The Legacy Link, Inc. is an Affirmative Action/Equal Opportunity Employer.

Responsibilities

The Program Enrollment Assistant extracts Level of Care determinations from GAMMIS and works directly with field staff to process denials. They also present common denials at monthly team meetings to improve the denial rate for enrollees.