Full-Time
Resident Support Specialist
Glen Park Senior Living
Compensation Overview
$25 - $27/hr
Long Beach, CA, USA
In Person
Travel between community sites is required.
Category
 Customer Experience & Support (1) |
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Required Skills
Microsoft Office
CPR
First Aid
CRM
Quality Assurance (QA)
Google Workspace
HIPAA
Requirements
- Two or more years of experience working with Social Security, SSI/SSP, and Medi-Cal benefits, including eligibility, aid codes, and Share of Cost, preferably in senior living, RCFE/board-and-care, skilled nursing, or the healthcare/insurance industry.
- Working knowledge of California Title 22 RCFE personnel and resident record requirements.
- Strong file-audit, analytical, and organizational skills with close attention to detail and accuracy.
- Background clearance through the FBI and Department of Justice.
- Current First Aid and CPR certification.
- Valid California driver's license and good driving record, with the ability to travel between communities for on-site audits.
- Proficiency with Microsoft Office and Google Workspace, and comfort using CRM and EMR/EMAR systems.
- Ability to lift up to 15 pounds at times.
Responsibilities
- Assist residents and families in establishing and maintaining Social Security, SSI/SSP, and Medi-Cal benefits before, during, and throughout residency.
- Notify the Social Security Administration when a resident moves into a licensed non-medical board-and-care facility and ensure the resident's aid code and SSI/SSP payment are changed to the correct non-medical board-and-care living-arrangement rate.
- Verify each resident has no Medi-Cal Share of Cost issue and address any existing issue through spend-down, redetermination, or documentation.
- Confirm Medi-Cal eligibility is active and current for every resident, track redetermination dates, and prevent lapses in coverage.
- Assist with appointing Glen Park as representative payee where appropriate and maintain accurate payee records.
- Maintain a resident-by-resident benefits log capturing aid code, Share of Cost status, Medi-Cal active date, and dollar value recovered or protected.
- Conduct on-site audits of employee personnel files and resident files across all communities to confirm mandated documents are present, current, and compliant under Title 22, Title 17, Regional Center, Department of Labor, and company policy.
- Flag each deficiency with a corrective action and resolve-by deadline, and report status to the Quality Assurance Manager, Executive Directors, and President.
- Ensure facility records are audit-ready for unannounced third-party and licensing inspections and assist with audit-preparation activities.
- Work with the Quality Assurance and Accounting departments to identify and report delayed or non-payment of Social Security/SSI and Medi-Cal benefits and drive resolution to protect collections.
- Attend monthly Quality Assurance meetings with upper management and present benefits-recovery and compliance status.
- Review documents for conformity with HIPAA and maintain confidentiality of resident and personnel records.
- Remain current on Title 22, Title 17, and regulatory changes affecting benefits and quality.
- Prepare weekly resident benefits status reports and on-site file-audit findings with deadlines.
- Prepare monthly benefits-recovery dollar reports for Quality Assurance and Accounting.
Desired Qualifications
- Familiarity with the representative-payee process, MEDS/BIC look-ups, and county Medi-Cal redetermination.
- Bilingual ability in English and Spanish.