Job title: Enrollment Case Manager – For Pennsylvania Residents
Company: Maximus
Job description: Description & RequirementsPlease note: Pennsylvania residency is required.The Enrollment Case Manager is a community-based role and will be scheduled (in most instances) throughout the day with appointments that have a travel time of 45 minutes or less from their prior location, usually within their assigned county. There may be instances where ECM’s are expected to, and scheduled to, travel outside of this radius as dictated by business needs. ECM’s work primarily in applicants’ places of residence. They will conduct intake visits for waiver applicants and acts as a facilitator for the eligibility determination.This position will be community-based. You’ll work from a home office, but you’ll conduct in-home assessments in your assigned region. It requires you to possess reliable transportation, accessible 5 days a week, 8 AM to 5 PM. Mileage is reimbursed.Pay is $20.50 for monolingual and $21.50 for bilingual.You will receive a region (based on zip code) that you’ll be responsible for supporting. You must live within a commutable distance of your assigned zip code(s): 19112, 19118, 19119, 19127, 19128, 19129, 19142, 19144, 19145, 19148, 19150, and 19153Essential Duties and Responsibilities:
– Travels throughout assigned counties, working primarily in applicants’ places of residence– Conducts intake visits for program applicants and acts as a facilitator for the eligibility determination process, providing assistance from the time individuals are identified as potential participants in specified program to the time they are enrolled as participants or are terminated from the intake process– Presents and discusses the concept of the programs, and advises applicants of their rights and responsibilities– Assists applicants with selecting options that best meet their needs, ensuring consumer control is maintained throughout the application process– Assists with developing relationships with community-based organizations, advocates and stakeholders to gather feedback on improving the application process and removing barriers to enrolling in waiver programs– Fosters and maintains relationships with parties serving our mutual consumers, including physicians, County Assistance Offices, providers, nursing homes and rehabilitation facilities– Attends regularly scheduled meetings 10. Reports on schedule availability at regular intervals
– Assists with application submission, including data entry of the Compass Application
– Facilitates the efficiency of the application process, ensuring any stalled cases receive extra attention and support
– Attends regularly scheduled meetings Reports on schedule availability at regular intervals
– Perform other duties as assigned.1. Travels throughout assigned county and neighboring counties as dictated by business needs, working primarily in applicants’ places of residence2. Conducts intake visits for HCBS applicants and acts as a facilitator for the eligibility determination process, providing assistance from the time individuals are identified as potential participants in an HCBS program to the time they are enrolled as participants or are terminated from the intake process3. Presents and discusses the concept of HCBS programs, and advises applicants of their rights and responsibilities4. Assists with application submission, including data entry of the Compass Application5. Assists applicants with selecting an MCO, Life Provider or Supports Coordinators that best meet their needs, ensuring consumer control is maintained throughout the application process6. Assists with developing relationships with community-based organizations, advocates and stakeholders to gather feedback on improving the application process and removing barriers to enrolling in HCBS waiver programs7. Fosters and maintains relationships with parties serving our mutual consumers, including physicians, County Assistance Offices, providers, nursing homes and rehabilitation facilities8. Facilitates the efficiency of the application process, ensuring any stalled cases receive extra attention and support9. Attends regularly scheduled meetings10. Reports on schedule availability at regular intervals11. Occasionally lifts, carries, or otherwise moves items weighing up to 25 pounds.12. Performs other duties as assigned by managementMinimum RequirementsMinimum Requirements:
– High School diploma or equivalent with 4+ years of experience, or Associate degree with 2+ years’ experience.
– May have additional training or education in area of specialization required by specific project.EDUCATION/EXPERIENCE: Enrollment Case Managers must satisfy one of the following qualifications:1. A minimum of one year experience in public or private social work; or a minimum of two years of case work experience including one year of experience performing assessments of individuals functional ability to determine the need for institutional or community-based services; and a Bachelor’s degree, with or supplemented by a minimum of 12 semester hours credit in sociology, social welfare, psychology, gerontology, or other related social science; Or a Bachelor’s degree with a social welfare major; Or any equivalent combination of experience or training with successful completion of a minimum of 12 semester hours credit in sociology, social welfare, psychology, gerontology, or other related social science.a. One-year experience in a local AAA office may be substituted for one-year assessment experience.In Addition:The equivalency statement in the items means that related advanced education may be substituted for a segment of the experience requirement and related experience may be substituted for required education except for the required 12 semester credit hours of college level courses in the majors referenced above.Relevant experience may include: Coordinating assigned services as part of an individual’s treatment plans; Teaching individuals living skills; Aiding in therapeutic activities; Providing socialization opportunities for individuals.Other desired skills include: Excellent organizational, written and verbal communication skills; Ability to interact courteously and effectively with a variety of audiences, including the disability community; Ability to handle pressure and perform multiple tasks; Ability to work independently; Experience entering data into automated information systems; Knowledge of local health care networks and providers; Ability to maintain cultural sensitivity. Must be willing to travel to applicants’ places of residence throughout assigned region. Occasional evening and weekend hours required. Employment is contingent upon successful clearance of criminal and child abuse background checks and an absence of affiliations with Office of Long-Term Living (OLTL) providers.#PAIEBEEO StatementActive military service members, their spouses, and veteran candidates often embody the core competencies Maximus deems essential, and bring a resiliency and dependability that greatly enhances our workforce. We recognize your unique skills and experiences, and want to provide you with a career path that allows you to continue making a difference for our country. We’re proud of our connections to organizations dedicated to serving veterans and their families. If you are transitioning from military to civilian life, have prior service, are a retired veteran or a member of the National Guard or Reserves, or a spouse of an active military service member, we have challenging and rewarding career opportunities available for you. A committed and diverse workforce is our most important resource. Maximus is an Affirmative Action/Equal Opportunity Employer. Maximus provides equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disabled status.Pay TransparencyMaximus compensation is based on various factors including but not limited to job location, a candidate’s education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus’s total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant’s salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Expected salary:
Location: Sioux Falls, SD
Job date: Thu, 06 Jun 2024 22:58:34 GMT
