Remote Medicaid Waiver Service / Incident Coordinator openings with a Major Health Plan / Managed Care Company based in the state of Ohio! Starting ASAP!! Apply now with Silvana M. at A-Line!
Remote but Must live in Ohio (anywhere in Ohio welcomed)
Hours: 8AM-5PM EST No OT
Pay Rate: $20 – $28 hourly (determined on experience / licensure)
Job Summary:
- Review both critical and reportable incidents submitted for MyCare Waiver members, MyCare Specialized Recovery members and critical incidents for Medicaid members; These incidents will then be placed into Ohio’s Incident Management System; The individual will either substantiate or unsubstantiate reportable incidents on the MyCare side and all critical incidents on the Medicaid side.
- Review member’s TruCare chart, and any medical records available; contact member, family members, providers and appropriate community agencies as needed.
- Work with the care management team for submission of prevention plans, HSAP’s and any pertinent information.
- Work with Ohio’s assigned vendor, PCG (Public Consulting Group) and provide needed information as requested for MyCare’s critical incidents.
Performance Expectations/Metrics:
- Employee is expected to submit incidents and ensure that these are followed through and closed within the time period given in MyCare’s 3-way contract CMS and Ohio Department of Medicaid and Medicaid’s contract with the state of Ohio
What previous job titles or background work will in this role?
- Waiver Service Coordinator, LPN or social worker with knowledge of Ohio’s MyCare, investigator
Required Skills/Experience:
- Knowledge of Ohio MyCare Waiver
- Education/License Requirement: LPN, BSW, MSW, or LPC
- Basic computer skills with ability to maneuver efficiently through programs
- Efficiency with Microsoft and ability to move through programs
Preferred Skills/ Experience:
- Incident reporting
- Working with multiple programs concurrently
Why Apply with A-Line?
- Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
- 401k after 1 year of employment: With employer match and profit sharing
- GREAT Hours! Monday through Friday, 40 hours per week
- Competitive Pay Rate!
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