Waiver Support Specialist (Remote in TX)
Dallas, Texas
Employer: Molina Healthcare
Industry:
Salary: $13.41 - $29.06 per hour
Job type: Full-Time
JOB DESCRIPTION
Job Summary
Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
JOB QUALIFICATIONS
Required Education
HS Diploma or GED
Required Experience
Preferred Education
Associate degree
Preferred Experience
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer
(EOE) M/F/D/V
Pay Range: $13.41 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time
Posting Date: 06/18/2024
Job Summary
Molina Healthcare Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service.
KNOWLEDGE/SKILLS/ABILITIES
- Provide non-clinical operational support for Waiver coordination.
- Facilitate communication between Waiver coordinators and the state Program Support Unit.
- Responsible for receiving the initial State referrals for waiver services and working with the Long-Term Services & Supports (LTSS) Coordinator to schedule the initial assessment.
- Monitor status for initial assessment, reassessment, and transition assessments for members.
- Interface with the State agency that determines eligibility and the LTSS Coordinator to process and obtain approval of Waiver services.
- Monitors transition process of Nursing Facility members in custodial beds to return to the community for 'Money Follows the Person' program.
- Initiates referral for Medicare and Waiver process if member is not already Medicare or waiver established.
- Tracks referrals and case documents via designated state systems.
- Track activities occurring within the transitional, assessment and authorization processes, using internal systems and designated state systems, and report results to coordinators, supervisors, and the State agency.
- Ensure Medicaid and Waiver eligibility have been requested and received from state partners before transition or services are initiated.
- Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA).
- Attend internal meetings and regularly scheduled calls as assigned.
- Other administrative functions as needed.
JOB QUALIFICATIONS
Required Education
HS Diploma or GED
Required Experience
- 1-3 years' experience in an administrative support role in healthcare.
- Experience demonstrating ability to handle multiple work tasks, prioritize tasks, and excellent problem solving.
- Experience demonstrating strong communication skills.
Preferred Education
Associate degree
Preferred Experience
- 3+ years' experience in an administrative support role in healthcare, Medical Assistant preferred.
- 2 years Long Term Care experience preferred and/or Managed Care experience.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer
(EOE) M/F/D/V
Pay Range: $13.41 - $29.06 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Job Type: Full Time
Posting Date: 06/18/2024
Created: 2024-06-20
Reference: 2025961
Country: United States
State: Texas
City: Dallas
ZIP: 75287
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