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Health Program Coordinator/ Medical Program Coordinator

ADIL BUSINESS SYSTEMS INC
Topeka, KS Full Time
POSTED ON 1/21/2025
AVAILABLE BEFORE 3/20/2025

Job Title - Client Assessment Referral and Evaluation (CARE) Program Coordinator

Location- Topeka, KS 66603

Duration- 1 year (Contract to hire)

Job Description

Coordination of the Client Assessment Referral and Evaluation (CARE)/Pre-Admission Screening and Resident Review (PASRR) Process – collaborate with clients families, hospitals, Area Agencies on Aging (AAA), Medicaid, level II contractors, and stake holders regarding communication related to assessors and assessments as well as tracking the assessments. Assist Care Specialists with processing Special Admissions, CARE Level I Assessments, Level II PASRR Evaluations and follow up. Review, evaluate and follow up on the 3164 requests from Medicaid. Assist with the determination letters for the assessments. Provide the CARE Program Manager with information regarding assessments and the performance levels of CARE program, identify problems, concerns, and unmet customer needs. Complete quarterly quality review of the 11 designated AAA’s as it relates to data transfer & entry of specified level I’s and timeliness of level II referrals.

Specific Duties:

  • Facilitation of monthly/bi-monthly stake holder meetings: CARE Office Hours, AAA bi-monthly, Assist CARE Program Manager with CARE Advisory Council Meeting and updates for internal staff meetings
  • Quality Assurance Quarterly Review of the Area Agencies on Aging (AAA) (11): Complete Quarterly reviews of each AAA to ensure compliance with the CARE Manual and protocol questions. Work with each AAA when scheduling the quarterly review of level I’s completed by their respective AAA to ensure all documentation needed to complete the reviews are at central office during time of review, obtain updated quarterly list of all level I assessors within their AAA, & address compliance concerns to AAA lead. Provide feedback to CARE Program Manager to reflect any trends happening between the AAA’s and provided bi-monthly updates during AAA-CARE meeting.
  • Serve as point of contact for stake holders, constituents, and AAA’s: Develop and maintain professional relationship with nursing facilities, nursing facilities for mental health, hospitals, AAAs, the Level II contractor, and others as necessary. Serve as the main point of contact for the CARE Team to triage incoming calls and emails.
  • Medicaid Requests and Escalations: Work with the CARE Program Manager to manage concerns or issues with CARE Program from the Medicaid Clearinghouse at KDHE. In coordination with the CARE Program Manager, respond to the 3164 Medicaid Request (CARE Inquiry) and CARE escalations timely so Medicaid can issue timely payments to the nursing facilities. Research complaints from the nursing facilities on payment issues from the Clearinghouse and provide information about trends to the CARE Program Manager. Other Duties As Assigned

Skills required:

  • Developing and maintaining professional relationships, especially with key stakeholder.
  • Providing thorough and direct written/verbal communication.
  • Customer Service skills and knowledge.

Experience required:

  • 2 years in providing direction necessary to implement the objectives of an agency, program or organizational unit
  • 2 years in managing, administering, and/or supervising human, physical or communication resources.

Physical requirements (lifting, repetitive motion, etc):

  • Typing

Job Types: Full-time, Contract

Pay: $18.00 - $20.00 per hour

Expected hours: 35 – 40 per week

Schedule:

  • 8 hour shift
  • Monday to Friday

Work Location: In person

Salary : $18 - $20

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