Medicaid Transition Specialist

Location: South Bend
Department: AAA
FLSA Status: Non-Exempt
Job Type: Full Time

JOB SUMMARY

This full-time position supports the Options Counselors as they complete initial assessments and establish initial service plans. The Medicaid Transition Specialist plays an essential role in individual’s needs being met, eligible benefits being accessed timely, and the development and maintenance of professional partnerships with the Division of Family Resources.

ESSENTIAL DUTIES include the following:

  • Assists individuals to apply for Medicaid.
  • Visits individuals, their caregivers, and families as needed.
  • Assists Option Counselors in tracking Medicaid applications in process and outcomes.
  • Attends staff meetings and training sessions when appropriate.
  • Alerts supervisor when his/her consultation is needed. 
  • Appraises appropriate staff to status updates and problems encountered.
  • Documents activities appropriately.   
  • Assists with special projects.
  • Updates and maintains mandatory computer programs, including software required by the Indiana FSSA Division of Aging.
  • Performs other duties in support of the team or to provide services to individuals.

RESPONSIBILITIES

The work involves the application of standardized or accepted practices, normally in connection with individual cases, persons, or situations.  All work is reviewed for adherence to instructions or guidelines, as well as soundness of judgment.

This position may be paid for by Area Agency on Aging programs. 

EDUCATION AND/OR EXPERIENCE REQUIREMENTS

High school diploma or general education degree (GED)

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED

  • Ability to follow instructions, established processes and procedures, and to complete required forms accurately.
  • Ability to communicate well (both oral and written), to utilize sound judgment, and to work cooperatively and productively toward team goals.
  • Knowledge of, or the ability to learn, the Medicaid application and approval process.
  • Knowledge of, or the ability to learn, the CHOICE approval process. 
  • Ability to relate to the needs of individuals and to accurately relay information to staff from home care agencies, assisted living and other vendor agencies.
  • Ability to plan, organize, prioritize, and track tasks.
  • Knowledge of the geographical area.
  • A practical knowledge of practices, rules, regulations and techniques developed through on-the-job training and extended experience.
  • Knowledge of standard methods, practices and procedures of a specialized field and the ability to utilize this knowledge effectively.
  • Ability to operate office equipment, including but not limited to telephone, facsimile, copy machines, printers and computer equipment.
  • Ability to use CaMSS and  other computer programs, as relevant to successful completion of the job.

DIFFICULTY OF WORK

Most of the work is performed in accordance to specific instructions by the position’s supervisor for tracking and reporting purposes.  The position demands judgment be exercised in selecting the most appropriate method to convey information to individual and their family. The work is repetitive in nature. The same forms and procedures are repeatedly utilized, but does involve variables and consideration when dealing with diverse situations.

PERSONAL WORKING RELATIONSHIPS

  • With Option Counselors, Team Leaders, and program Directors.
  • With individuals, families, and other formal/informal supports.
  • With staff in other departments to insure integrated and forward thinking in approaches to individuals care.

WORKING CONDITIONS AND PHYSICAL DEMANDS 

The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is usually seated, standing, or walking at will in a typical office setting.  Very limited physical effort required.  Travel is periodically required. Valid driver’s license and a dependable vehicle required.

CONDITIONS OF EMPLOYMENT

  • Successful candidate must submit to a pre-employment drug screening, National Sex Offender Registry check, motor vehicle history driver check and a limited criminal history check.
  • Proof of educational credentials is required at time of employment.
  • This position has a 6 month probationary period.

BENEFITS

  • Health insurance
  • Flexible Spending Account
  • Dental insurance
  • Vision insurance
  • Life and disability insurance
  • Two-part retirement plan
  • Paid vacation
  • Paid personal days
  • Paid sick leave
  • 8 1/2 paid holidays
  • Plus a bonus paid floating holiday that you choose
  • 37.5 hours/week

Apply for this position

Thank you for applying for this position. Please remember to fill out and upload your Pre-Employment Application and resume.

Download the Pre-Employment Application at: https://realservices.org/app

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