Clinical Assessment Outreach Manager - MLTC - Brooklyn / Manhattan, NY

The Execu|Search Group

Brooklyn, New York

$115K-$120K a year

Permanent

Responsibilities

The Clinical Assessment Outreach Manager

Meet referral and enrollment goals set forth by management by building relationships with referral partners to create engagement opportunities with prospective enrollees and their caregivers
Ensure high performance and productivity of pre-enrollment verifications of Medicare, Medicaid, and PACE eligibility
Educate referral sources, prospective participants / caregivers, and other audiences on relevant program benefits as well as initiatives and projects
Provide program education through lectures, presentations, events, meetings or other necessary communications with community and business stakeholders to facilitate PACE referral generation
Maintain knowledge of all applicable CMS, DOH and PACE-specific guidelines, including organizational and departmental policies and procedures
Ensure familiarity with & compliance, amongst staff, with state & federal laws regarding Medicaid and Medicare Eligibility and Enrollment regulations
Directly assist intake activities as necessary, including general qualification screening, documentation collection, benefit education / applications, site tours, home visits, and other follow-up to aid in the enrollment or education of a prospect
Work closely with the Intake Navigators and Account Managers to schedule in-home or virtual pre-enrollment assessment appointments with prospective participants
Document all interactions and outcomes in the designated clinical management / electronic record system
Perform other duties, as needed

Qualifications :

1+ year of experience working with a Frail and / or Elderly population
Bachelor's Degree in Nursing
NYS Registered Nurse (RN) license

Desired Skills :

3+ years of experience in Geriatrics, Home Care, MLTC (Managed Long-Term Care), MAP (Medicare Advantage Plan), D-SNP (Dual Special Needs Plan), and / or PACE (Program of All-Inclusive Care for the Elderly) Long-Term Care products
Familiarity with Community-based Long-Term Care services for dual-eligible and frail adult populations
Knowledge of the Uniform Assessment System of New York (UAS-NY)

30+ days ago

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