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Western Reserve Area Agency on Aging · 3 weeks ago

Clinical Support Specialist Float

Cleveland, OH

Part-time

Onsite

Entry Level

$19/hr - $21/hr

2+ years exp

Western Reserve Area Agency on Aging is a private non-profit organization dedicated to providing services for older individuals to live independently. The Clinical Support Specialist Float will be responsible for scheduling assessments, processing Medicaid Waiver program applications, and advocating for consumers in need of services.

Elder CareNon ProfitNursing and Residential CareSocial AssistanceWellness

Responsibilities

Scheduling initial assessments and annual reassessments via scheduling software. Identifying need for and scheduling language interpreters

Process requests and applications for Medicaid Waiver programs, Home Choice and Nursing Facility (NF) Placements

Monitor, communicate and advocate for consumers who are pending enrollment or NF placement, and documents in the appropriate system

Facilitate and process referrals, approvals, enrollments, and denials for WRAAA administered programs

Assist with review and data entry into the Ohio Benefits Workers Portal and/or MITS (Medicaid Information Technology System)

Assist with processing and monitoring Pre-Admission Review requests including level of care assessments, 9401 Medicaid entry, HENS (Healthcare Electronic Notification System) entry, and mailing review result letters

Monitors department and/or unit specific email and voicemail and respond to all inquiries within 24 hours

Provide coverage and/or assistance to other Clinical Support Assistants and perform other duties as assigned by supervisor

Assist Supervisors with monitoring and managing reports including self-reporting of required productivity

Meet requirements for timely and accurate documentation completion

Advocate on behalf of consumers and/or caregivers to assist individuals in securing Medicaid and appropriate services and care settings in collaboration with providers of service

Collaborates with stakeholders as needed to meet consumer and Agency goals

Support WRAAA mission, vision and strategic plan goals, and management decisions

Maintains individual’s confidentiality according to Agency policy

Participates in trainings, meetings, in-services, and continuing education opportunities

Participate in department and agency initiatives for the purpose of improving quality, efficiency, and positive stakeholder interactions

All staff have the responsibility and authority to propose ways to improve quality and to fully participate in quality improvement efforts

Qualification

Home care experienceMedical terminologyMicrosoft OfficeCustomer service skillsDetail orientedVerbal skillsCollaborative communicationMulti-taskingWritten skillsPositive attitude

Required

Minimum requirement of High School Diploma with a preference of an Associate's Degree

At least two years of experience in home care, geriatrics, medical/insurance processing, human services, health care, long term care or other related training

Intermediate computer skills including Microsoft Office applications, particularly Excel and Outlook

Basic knowledge of major chronic illnesses, disease processes, normal aging, and medical terminology

Excellent verbal and written interviewing and skills

Ability to communicate in a collaborative, effective manner with others to establish and maintain good working relationships

Must be detail oriented, and can prioritize job duties, multi-task, and complete assignments within deadlines so that Agency and consumer goals are met

Ability to portray a positive attitude and demonstrate commitment to the mission of the Agency

Ability to record information in an accurate, timely manner and meet each program's time frames

Ability to be trained and effectively navigate within IT platforms used for the successful completion of work duties

Must have excellent customer service skills