Advance Care Alliance New York
Job Details
Job Location Manhattan Hub - New York, NY
Secondary Job Location(s) Hauppauge Hub - Hauppauge, NY
Position Type Full Time
Salary Range $31.00 - $33.00 Hourly
Description
Position Summary:
The Care Connection Specialist is responsible for enrolling eligible new members into care management services at ACA/NY. The Care Connection Specialist is responsible for providing support to eligible members and ensuring successful enrollment. This position is responsible for ensuring compliance and quality standards are met, as well as to upholding agency policy and practices.
ACA/NY is a 501(c)(3) not for profit organization that has been designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. ACA/NY is dedicated to meeting the needs of people with Intellectual and Developmental Disabilities by providing comprehensive care management and coordination of service. ACA/NY supports 25,000+ people in its program with support services spanning New York City, Long Island, and the Lower Hudson Valley.
Duties and Responsibilities: The Care Connection Specialist is responsible for assisting the person/family/advocate with the formal CCO intake and enrollment process. The Care Connection Specialist/Care Manager is responsible for informing the individual/family about Health Home Care Management, as well as HCBS Basic Plan support, and assisting them in making an informed choice. Reviews criteria for OPWDD eligibility, and CCO Eligibility/Enrollment process with the person, and / or family member/advocate. Assists family with navigating OPWDD eligibility application process, and LCED application process. Obtain all necessary documentation, and when it is missing, facilitate missing assessments with community services providers Reviews and Completes Health Home / CCO DOH enrollment forms with person/family. Completes HH CCO program enrollment within the OPWDD CHOICES system. Updates and maintains Intake Database, including tracking of required documents such as but not limited to; Eligibility, LCED, Letter of Introduction, (if applicable) Medicaid, DOH HH Consent forms. Maintains all relevant documents and documentation in Person's record, including all phone contacts, correspondence, assessments, and reports. Complete all necessary paperwork related to enrollment, transfer, and discharge to/from the program. Support with community outreach, as needed, to connect with those individuals who are interested in information regarding CCO enrollment. Complies with OPWDD and DOH regulations pertinent to Care Coordination. Reports to supervisor and/ Care Connection management team the status of intakes. Establishes and maintains a community network between service providers internal and external to the Agency. Attends all required training in accordance with Agency and Departmental policies and procedures. Serves as a mandated reporter by reporting incidences of abuse, neglect, and maltreatment, and follows ACA/NY OPWDD untoward incident reporting procedures. Adheres to standard safety practices of job, department, and Agency policies and procedures related to safety. Provide support to ensure the correct type of Medicaid is secured to receive OPWDD eligible services. This may include completion of Medicaid applications, parental deeming, support with processing, follow up activities as needed. Work with supervisors to support capacity management and to identify current availability by region. Provide information to supervisor for enrollment trend reporting. Participate in planning activities with the Care Management team and share recommendations for ensuring seamless enrollment. Form and maintain working relationships with all OPWDD Regional Offices, with the goal of ensuring that ACANY is positioned as a responsive CCO when a referral is needed. Provide referral information for those who require a different service model. Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy. Complete all required trainings. Travel throughout the designated service area to meet with people interested in receiving services as needed Maintain confidentiality. Perform other duties as assigned. Qualifications
A Bachelor of Arts or Science degree plus two years of relevant experience; OR a master's degree with one year of relevant experience (*Or any lesser educational level approved and grandfathered into the role prior to 1/1/2023). One-year experience completing intake and enrollment for OPWDD supports and services, strongly preferred. Demonstrated knowledge regarding access to member benefits (e.g. Medicaid), preferred. Proficiency with the use of excel and other software products used for tracking the flow of information. Experience using OPWDD's CHOICES system, a plus. Absolute sense of integrity and personal commitment to serving people with I/DD and their families. Excellent interpersonal, communication organization and demonstrated ability to manage multiple tasks simultaneously. Ability to work autonomously. Demonstrate professionalism, respect, and ability to work in a team environment. Work Environment
This is not a remote position. This is a flexible work environment position with a blend of work from home, field work, and regional travel as well as in office expectations.
Whether working from an ACA/NY office, one's home, or another remote location, each employee is required to follow minimum privacy standards when working in the flexible work environment:
Employee has access to a password secured WiFi connection and/or ACA/NY Mobile Hotspot. Employee is able to secure any printed materials containing individual or employee personal and/or health information, so as no one else in the household will be able to access it. Employee is able to conduct phone and video calls in a private area where the conversation cannot be overheard, and their screen is not visible to others. Employee is able to conduct their work in a location where personal and health information on a monitor is not visible to others.
This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. The noise level in the work environment is usually moderate. Frequent travel to off-site locations required; therefore, the incumbent must be comfortable driving or using various forms of public transportation to reach destinations.
Physical Requirements
While performing the duties of this position, the employee is regularly required to perform the following: Engage in verbal and written communication, operate a computer, smart-phone, and other office tools and equipment; travel between locations and within locations, stand, walk, sit, reach with hands and arms; stoop, kneel, and crouch, moving objects up to 25 pounds, and to visually or otherwise focus and navigate; ACANY will provide reasonable accommodation, in accordance with applicable policies and laws.
AAP/EEOC
ACANY provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, the organization complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training, and all other legally protected classifications.
Job Location Manhattan Hub - New York, NY
Secondary Job Location(s) Hauppauge Hub - Hauppauge, NY
Position Type Full Time
Salary Range $31.00 - $33.00 Hourly
Description
Position Summary:
The Care Connection Specialist is responsible for enrolling eligible new members into care management services at ACA/NY. The Care Connection Specialist is responsible for providing support to eligible members and ensuring successful enrollment. This position is responsible for ensuring compliance and quality standards are met, as well as to upholding agency policy and practices.
ACA/NY is a 501(c)(3) not for profit organization that has been designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. ACA/NY is dedicated to meeting the needs of people with Intellectual and Developmental Disabilities by providing comprehensive care management and coordination of service. ACA/NY supports 25,000+ people in its program with support services spanning New York City, Long Island, and the Lower Hudson Valley.
Duties and Responsibilities: The Care Connection Specialist is responsible for assisting the person/family/advocate with the formal CCO intake and enrollment process. The Care Connection Specialist/Care Manager is responsible for informing the individual/family about Health Home Care Management, as well as HCBS Basic Plan support, and assisting them in making an informed choice. Reviews criteria for OPWDD eligibility, and CCO Eligibility/Enrollment process with the person, and / or family member/advocate. Assists family with navigating OPWDD eligibility application process, and LCED application process. Obtain all necessary documentation, and when it is missing, facilitate missing assessments with community services providers Reviews and Completes Health Home / CCO DOH enrollment forms with person/family. Completes HH CCO program enrollment within the OPWDD CHOICES system. Updates and maintains Intake Database, including tracking of required documents such as but not limited to; Eligibility, LCED, Letter of Introduction, (if applicable) Medicaid, DOH HH Consent forms. Maintains all relevant documents and documentation in Person's record, including all phone contacts, correspondence, assessments, and reports. Complete all necessary paperwork related to enrollment, transfer, and discharge to/from the program. Support with community outreach, as needed, to connect with those individuals who are interested in information regarding CCO enrollment. Complies with OPWDD and DOH regulations pertinent to Care Coordination. Reports to supervisor and/ Care Connection management team the status of intakes. Establishes and maintains a community network between service providers internal and external to the Agency. Attends all required training in accordance with Agency and Departmental policies and procedures. Serves as a mandated reporter by reporting incidences of abuse, neglect, and maltreatment, and follows ACA/NY OPWDD untoward incident reporting procedures. Adheres to standard safety practices of job, department, and Agency policies and procedures related to safety. Provide support to ensure the correct type of Medicaid is secured to receive OPWDD eligible services. This may include completion of Medicaid applications, parental deeming, support with processing, follow up activities as needed. Work with supervisors to support capacity management and to identify current availability by region. Provide information to supervisor for enrollment trend reporting. Participate in planning activities with the Care Management team and share recommendations for ensuring seamless enrollment. Form and maintain working relationships with all OPWDD Regional Offices, with the goal of ensuring that ACANY is positioned as a responsive CCO when a referral is needed. Provide referral information for those who require a different service model. Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy. Complete all required trainings. Travel throughout the designated service area to meet with people interested in receiving services as needed Maintain confidentiality. Perform other duties as assigned. Qualifications
A Bachelor of Arts or Science degree plus two years of relevant experience; OR a master's degree with one year of relevant experience (*Or any lesser educational level approved and grandfathered into the role prior to 1/1/2023). One-year experience completing intake and enrollment for OPWDD supports and services, strongly preferred. Demonstrated knowledge regarding access to member benefits (e.g. Medicaid), preferred. Proficiency with the use of excel and other software products used for tracking the flow of information. Experience using OPWDD's CHOICES system, a plus. Absolute sense of integrity and personal commitment to serving people with I/DD and their families. Excellent interpersonal, communication organization and demonstrated ability to manage multiple tasks simultaneously. Ability to work autonomously. Demonstrate professionalism, respect, and ability to work in a team environment. Work Environment
This is not a remote position. This is a flexible work environment position with a blend of work from home, field work, and regional travel as well as in office expectations.
Whether working from an ACA/NY office, one's home, or another remote location, each employee is required to follow minimum privacy standards when working in the flexible work environment:
Employee has access to a password secured WiFi connection and/or ACA/NY Mobile Hotspot. Employee is able to secure any printed materials containing individual or employee personal and/or health information, so as no one else in the household will be able to access it. Employee is able to conduct phone and video calls in a private area where the conversation cannot be overheard, and their screen is not visible to others. Employee is able to conduct their work in a location where personal and health information on a monitor is not visible to others.
This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. The noise level in the work environment is usually moderate. Frequent travel to off-site locations required; therefore, the incumbent must be comfortable driving or using various forms of public transportation to reach destinations.
Physical Requirements
While performing the duties of this position, the employee is regularly required to perform the following: Engage in verbal and written communication, operate a computer, smart-phone, and other office tools and equipment; travel between locations and within locations, stand, walk, sit, reach with hands and arms; stoop, kneel, and crouch, moving objects up to 25 pounds, and to visually or otherwise focus and navigate; ACANY will provide reasonable accommodation, in accordance with applicable policies and laws.
AAP/EEOC
ACANY provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, the organization complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training, and all other legally protected classifications.