Personal Care Management Integrated Care Admin Assistant

The Personal Care Management (PCM) Intake and Administration department includes the team who is responsible for processing Evaluations for the Personal Care Attendant (PCA) program and Prior Authorizations.  This includes the quality check of evaluations, submission, tracking, extension and receiving of the Prior Authorization from either Mass Health, or the integrated care teams including Senior Care (SCO) and One Care.   The PCM Intake Coordinator is responsible to process referrals involving SCO, Community Case Manager (CCM) and One care (OC) United Health Care (UHC). The PCM Intake and Admin for Integrated Care will receive and verify information for all integrated care consumers and update consumer information in the database as needed during the referral process. This position will perform their job according to Tempus Unlimited operating procedures, Mass Health PCM Contract, PCA Operating Standards and SCO, CCM and OC UHC and contract. Stoughton office location Full time at 35 hours a week Training in person, after training hybrid model Experience preferred Working in an office environment Phone etiquette  Data entry Microsoft Office Suite Medical office background are transferable skills for this role   Essential Duties Check the Community Services (CS) SCO-Intake and CS SCO-Renewal Inbox periodically and retrieve new SCO/ UHC One Care Referrals, PACE, Transfers and CCM referrals. Process new referral for the integrated plans in consumer database. Notify PCM Administrative Coordinator of any delays in processing of intakes. Work with the PCM Administrative Coordinator to notify SCO, UHC One Care, Program of All-Inclusive Care for Elderly (PACE) and CCM on any issues including unable to contact and other instances when termination is required. Check and return all received voice and email messages as soon as possible or no later than 72 business hours. Ability to enter data into the Zuke database with accurate spelling and free from error with the information entered.  Verify information for all transfers from other PCMs Assist other department as needed. Other duties as assigned. Competencies Must display teamwork and commitment while performing daily duties. Must demonstrate initiative and discipline in time management and assigned completion. Excellent organizational skills for initiation and maintenance of efficient workflow. Regular and reliable attendance and time reporting. Excellent telephone manner and organizational skills Able to operate a computer keyboard, mouse, and other office type implements to accomplish document imaging duties. Ability to work in a high production environment while maintaining close attention to detail and confidentiality. Ability to work independently.   Preferred Experience Must have experience working in an office environment   Required Education High School Diploma or equivalent education   Work Environment This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers and scanners.   Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and/or hear.  The employee is frequently required to sit; stand; walk; use hands and fingers and also must be able to reach with hands and arms.   Travel No travel is required for this position.   Other Duties Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.

Salary : $20