What are the responsibilities and job description for the Coordinator Disability Advocacy Program position at AmeriHealth Caritas?
Responsibilities
Responsible for the preparation of case management files for assigned Plan members who are eligible to receive Supplemental Security Income (SSI) or CSHCS benefits and the creation and maintenance of case management documentation in the CSHCS / SSI database. Coordinates with the Manager of the DAP and the UM associates to receive monthly data loads and distribute member data to UM for process of renewals. Coordinates and facilitates the CSHCS / SSI conversion application process by working closely with member, providers, Utilization Management (UM), and the local Medicaid office (MC), as needed. Coordinates with UM to contact members and / or process mailings to Plan members identified as eligible for renewal in the CSHCS / SSI program. Maintains relationship and works with providers to facilitate the exchange of medical documentation regarding specialty treatment received for designated chronic medical conditions. Work involves frequent contact with members, medical services, government services, providers and others to obtain and verify medical and financial information needed to determine SSI / CSHCS eligibility.
Education / Experience :
- High School Diploma / GED required.
- Associate’s Degree preferred.
- 3 to 5 years managed care experience.
Other Skills :
Diversity, Equity, and Inclusion
At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
We keep our associates happy so they can focus on keeping our members healthy.
Our Comprehensive Benefits Package
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
Generous paid time off and paid volunteer time off.
Employer-matched 401(k) and additional non-elective contributions, starting on day one.
Medical, dental, and vision plans — with coverage starting on day one.
Employee assistance programs, fitness reimbursements, nutrition counseling, and more.
Employer-paid life insurance, with opportunities to purchase additional coverage.
Employer-paid short-term disability coverage and long-term disability coverage.
Tuition assistance, including reduced tuition at certain schools.
Financial assistance with adoption, including paid time off.
Flexible spending and health savings accounts to pay for qualified expenses.
Discount programs on entertainment, travel, and more.
