University of Rochester

Private research university in Rochester, NY

Medicaid Enrollment and Outreach Specialist 1

Case Management & AdvocacyPosted on Nov 10

Full-timeRochester, NY, USA$23.51 - $31.74In-person

About the Job

Requirements

A bachelor's degree and one year of relevant experience are required, or an equivalent combination of education and experience.
Specialized knowledge of Medicaid rules and regulations and New York State social service laws is preferred.
Must obtain NY State of Health Certified Application Counselor certification upon hire or within 30 days of hire.
Must provide and maintain a valid New York State Class 5 driver's license.

Responsibilities

Counsel, guide, advise, and provide outreach services to elderly, chronically ill, and high-risk self-pay acute care patients to secure Medicaid eligibility.
Share Medicaid knowledge by consulting with physicians, social workers, and other hospital staff who request assistance obtaining Medicaid coverage for their patients.
Provide outreach to patients referred by hospital staff through telephone contact and home visits for discharged or inpatient Strong Memorial Hospital patients who are unable or unwilling to obtain appropriate documentation for Medicaid eligibility examiners; this may include accompanying or representing patients at Department of Social Services eligibility interviews, case conferences, or fair hearings.
Assess Medicaid referrals for potential Medicaid approval and advise involved parties on an appropriate plan of action.
Prepare status reports for department management, including counseling documentation notes for individual patients.
Attend weekly meetings with the Social Work Discharge Consultation Team to advise on Medicaid issues and report case status for Strong Memorial Hospital patients awaiting discharge with home services or placement in a sub-acute care facility.
Maintain working relationships with professional staff at Strong Memorial Hospital, Department of Social Services representatives, and staff at community agencies that can assist with the Medicaid process.
Use judgment to determine whether a home visit poses a serious safety risk, keep co-workers informed of planned visits, and take appropriate safety precautions.
Attend Medicaid seminars and review New York State Department of Social Services literature to maintain knowledge of the Medicaid program.
Operate a motor vehicle to transport oneself and clients as necessary and follow appropriate safety precautions.

Desired Qualifications

Specialized knowledge of Medicaid rules and regulations and New York State social service laws.

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:

Department:

500169 Medicaid Enrollment

Work Shift:

UR - Day (United States of America)

Range:

UR URCA 207 H

Compensation Range:

$23.51 - $31.74

The referenced pay range represents the minimum and maximum compensation for this job. Individual annual salaries/hourly rates will be set within the job's compensation range, and will be determined by considering factors including, but not limited to, market data, education, experience, qualifications, expertise of the individual, and internal equity considerations.

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.

About the Company

University of Rochester

Private research university in Rochester, NY

The University of Rochester is a research university with programs spanning the humanities, health care, business, education, music, engineering, and the sciences.

Company size: Not listed
Company stage: Not listed
Total funding: Not listed
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Founded: Not listed

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