Case Management Support-Integrated Health Care
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10/25/2024
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This is a professional administrative support position responsible for assisting the Integrated Health Team in the coordination of behavioral and mental health/substance abuse services for children through the Medicaid Managed Care Plan.
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- Establish and maintain positive working relationships with HFC customers
- Perform routine administrative functions, drafting correspondence, scheduling appointments, organizing and maintaining electronic files
- Assist case managers, foster parents, caregivers and medical offices with Medicaid inquiries for access to Medicaid services
- Responsible for ensuring there is no lapse in coverage from notices provided by Agency for Health Care Administration for children with open child welfare cases
- Notify HFC REVMAX Specialists with insurance reinstatements for youth
- Review medical bills, research coverage and forward to appropriate designee
- Complete necessary Primary Care Physician (PCP) changes to ensure children receive appropriate medical care
- Utilize data systems (FSFN, FLMMIS, DOH Immunization Portal, PRO, JJIS to review information, pull reports, and enter updates when applicable
- Communicate with medical offices to coordinate timely appointments, as necessary
- Coordinate distribution of all member ID cards, handbook or other notifications to case managers
- Maintain relationships with insurance company representatives and provided necessary documents for change requests and provide assigned case manager information to Care Management teams
- Completes Medicaid Managed Plan changes via the Medicaid Member Portal or customer service line for caregivers and case management
- Upload Multi-Disciplinary Team (MDT) staffing notes, Suitability Assessment recommendations and medical records into FSFN and in SharePoint
- Provides case manager assignment to Lakeland Regional Health and Peace River Baker Act facilities
- Provide parents, caregivers and case managers with guidance and support when navigating Medicaid Plan Portals for creating profiles
- Monitors phone calls and forwards to correct HFC team, CMO or CBC
- Assists IH team by searching for medical providers
- Orders department supplies
- Perform special projects as assigned
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High school diploma or GED required and a minimum two years data entry experience.
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Three years data entry experience in a mental health or related field preferred.
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Excellent benefits package with tuition assistance, domestic partner coverage, retirement and generous paid time off.
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Drug free workplace. Drug testing required. EOE/M/F/D/V.
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CONVICTION WILL NOT BE AN ABSOLUTE BAR TO EMPLOYMENT EXCEPT AS REQUIRED BY LAW
Are you currently charged, excluded, suspended, debarred or otherwise ineligible to participate in the federal health care programs, including Medicare and Medicaid?
Have you been convicted of a criminal offense related to the provision of health care items or services and have not been reinstated in the federal health care programs?
Have you ever been charged, convicted or suspended (including pled guilty, nolo contendere or no contest) of a criminal offense related to any of the federal health care programs (including Medicare or Medicaid)?
Have you ever been convicted (including pled guilty, nolo contendere, no contest) of any criminal offense?
Have you ever been discharged from employment?
Have you ever been dismissed from employment due to abuse of residents or clients?
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