Medicaid Enrollment and Outreach Specialist 1

As a community, the University of Rochester is defined by a deep commitment to Meliora - Ever Better. Embedded in that ideal are the values we share: equity, leadership, integrity, openness, respect, and accountability. Together, we will set the highest standards for how we treat each other to ensure our community is welcoming to all and is a place where all can thrive.

Job Location (Full Address):

601 Elmwood Ave, Rochester, New York, United States of America, 14642

Opening:

Worker Subtype:

Regular

Time Type:

Full time

Scheduled Weekly Hours:

40

Department:

500169 Medicaid Enrollment

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 207 H

Compensation Range:

$23.51 - $31.74

Responsibilities:

Counsels, guides, advises, and provides outreach services to elderly, chronically ill, and high risk self pay acute care patients for the purpose of securing Medicaid eligibility. Shares Medicaid knowledge by providing consultation to Physicians, Social Workers and other hospital staff who request assistance in obtaining Medicaid coverage for their patients.

ESSENTIAL FUNCTIONS

• Provides outreach service to patients referred by other hospital staff via telephone contact and home visitation for discharged SMH patients or SMH inpatients who are unable or unwilling to comply with requirements to secure appropriate documentation for Medicaid Eligibility Examiners, which may also include accompanying or representing the patient at Department of Social Services eligibility interviews, case conferences or fair hearings.
• Assesses Medicaid referrals to determine patient's potential for Medicaid approval and advises all parties involved of appropriate plan of action.
• Prepares status reports for department management, including counseling documentation notes for individual patients.
• Attends weekly meeting with Social Work Discharge Consultation Team to advise team of Medicaid issues and report status of Medicaid cases for SMH patients awaiting discharge with home services or placement in a sub-acute care facility.
• Maintains good working relationships with professional staff at SMH, Department of Social Services representatives, and staff in various community agencies who can help in the Medicaid process.
• Exercises judgement to determine if a home visit is a serious safety risk. Keeps co-workers advised of planned visits and takes appropriate safety precautions.
• Attends Medicaid seminars and reviews New York State Department of Social Services literature to maintain expert knowledge of the Medicaid program.
• Operates a motor vehicle to transport self and client as necessary. Ensures all safety precautions are taken during operation of vehicle.
• Other duties as assigned.

MINIMUM EDUCATION & EXPERIENCE

• Bachelor's degree and 1 year of relevant experience required
• Or equivalent combination of education and experience

KNOWLEDGE, SKILLS AND ABILITIES

• Specialized knowledge of Medicaid rules and regulations and New York State Social Service laws preferred

LICENSES AND CERTIFICATIONS

• NY State of Health Certified Application Counselor upon hire (or obtained within 30 days of hire)  
• Must provide and maintain a valid NYS Class 5 Driver’s License

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University’s Mission to Learn, Discover, Heal, Create – and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.