RPCGB has the following positions open:
Case Manager - Medicaid Waiver
Description:
The Medicaid Waiver Case Manager assists individuals in gaining access to appropriate, needed, and desired waiver and other State Plan services, as well as needed medical, social, educational, and other appropriate services. The position serves to provide necessary coordination with direct service providers (DSP) of non-medical, non-waiver services when the services provided by these entities are needed to enable the client to function at the highest attainable level or to benefit from programs for which clients might be eligible. The Case Manager reports to the Medicaid Waiver Supervisor.
Tasks & Responsibilities:
General Duties:
Prepares personal work plan to meet departmental objectives and expectations; schedules office and field activities to include data collection, research, and meetings.
Assists Program Supervisor as needed.
Communicates with client, caregivers, service providers, and physicians on a regular basis.
Completes and submits required paperwork in a timely manner. Must meet deadlines.
Responsible for maintaining orderly, confidential files.
Conducts verification of monthly service billing and eligibility.
Attends and participates in monthly staff meetings.
Communicates with Assistant Supervisor and Program Supervisor on a regular basis to ensure caseload work is being met.
Prepares and submits daily activity log.
Case Management Duties
Maintains a caseload of 35-40 clients each month.
Executes ongoing monitoring of the provision of waiver and non-waiver services including the individual’s Plan of Care.
Conducts intake and screening of clients.
Authorizes initial waiver services and determines continued eligibility.
Determines level of care.
Determines choice of institution or community care.
Develops plan of care based on individual needs.
Coordinates, monitors, changes, re-determines, level of services.
Authorizes termination of services or case transfer/termination.
Makes monthly visit to client to ensure level of care is being upheld. Responsible for other required home visits when needed.
Responsible for in depth record keeping including documenting monthly visits and keeping daily logs.
Maintains regular contact with clients and advocates for their rights within scope of services.
Facilitates crisis intervention.
Provides guidance and support for clients, client’s families, and staff.
Competencies:
Active listening skills.
Ability to communicate in a collaborative, effective manner with others and to maintain good working relationships.
Ability to comprehend basic medical terminology.
Possess knowledge of Medicaid Waiver programs and service providers.
Flexibility. Workload may include working before or after normal business hours.
Communication Proficiency. Both written and oral.
Personal Effectiveness/Credibility.
Strong interpersonal skills.
Project Management.
Critical thinking and deductive reasoning skills.
Ability to maintain high degree of confidentiality.
Microcomputer skills to preform word processing and spreadsheet analysis, use databases and software, use e-mail, and access the internet.
Experience with Microsoft Office programs (Word, PowerPoint, and Excel).
Ability to interpret and communicate complex rules and regulations.
Excellent organization skills.
Ability to work towards objectives with little supervision.
Strong time management skills. Ability to meet deadlines.
Problem solving skills.
Attention to detail.
Experience:
Bachelor’s Degree from an accredited college or university in human services related field (preferably in social work) and at least 2 years of professional experience in the human services field. Knowledge of Medicaid programs and experience working with elderly and disabled people preferred.
-OR-
Master’s Degree in Social Work.
Licensed Clinical Social Worker (LCSW) preferred.
To apply please send resume to hr@rpcgb.org
Medicaid Waiver Administrative Assistant
Description:
The Medicaid Waiver Administrative Assistant provides administrative, secretarial, and clerical support to others in the Medicaid Waiver Program in order to maintain an efficient and organized office environment. The position performs routine clerical and administrative functions such as drafting correspondence, billing services, scheduling appointments, organizing and maintaining office supplies and filing systems, preparing and distributing incoming and outgoing mail, greeting the public, and answering the Medicaid waiver office telephone line.
Tasks & Responsibilities:
Answers Medicaid Waiver telephone line. Assists callers. Directs calls to appropriate staff member. Takes and distributes messages.
Greets and directs public and clients. Directs them to correct staff member. Prepares outgoing mail and shipments.
Receives, sorts, and distributes incoming mail and shipments for Medicaid Waiver Department.
Coordinates messenger and courier services.
Fax, scan, copy documents as needed.
Maintains office filing and storage systems.
Co-ordinates and organizes appointments and meetings for Program Supervisor.
Monitors/maintains office supplies, place orders, and distribute supplies to Medicaid Waiver Department.
Updates and maintains databases such as mailing lists, contact lists, and client information.
Types documents, reports, and correspondence as needed.
Assists in event planning and implementation.
Organizes travel arrangements for staff.
Ensures office equipment is maintained and serviced.
Assists/fills in for front desk receptionist as needed.
Medicaid Waiver Program Duties:
Prints, punches, and binds items for Medicaid department as needed.
Calculates, processes, and submits Elderly & Disabled, 530, Alabama Community Transition (ACT), and Technology Assisted (TA) waiver monthly billings.
Completes intake referral forms.
Verifies Medicaid eligibility through MSIQ.
Enters client information into AIMS software by month end.
Submits additions and changes to Care Plans into AIMS software on a weekly basis.
Updates and processes annual requests for proposals and Direct Service Provider contracts and addendums.
Plans and coordinates team events and training.
Trains new Direct Service Providers on billing processes.
Assists in auditing process.
Acts as a liaison between clients and Direct Service Providers.
Maintains Medicaid Waiver Program files.
Provides assistance to Program Director and department case managers as needed.
Competencies:
Communication Proficiency. Both written and oral.
Excellent telephone etiquette and customer service skills.
Strong interpersonal skills.
Critical thinking and deductive reasoning skills.
Ability to maintain high degree of confidentiality.
Experience with Microsoft Office programs (Word, PowerPoint, and Excel).
Experience using postage machines, operating multi-line telephone system, using scanner, copiers, and fax machines.
Excellent organization and prioritization skills.
Ability to work towards objectives with little supervision.
Strong time management skills. Ability to meet deadlines.
Attention to detail. Accuracy.
Reliability and flexibility.
Experience:
High school diploma or equivalent. At least 1-3 years of job-related experience, preferably in office administration or other relevant professional field. Knowledge of Medicaid programs and experience working with elderly/disabled people preferred.
-OR-
Associates Degree, Bachelor’s degree in related field.
To apply please send resume to hr@rpcgb.org
Part-Time Front Desk Receptionist
Role Description
This is a part-time Front Desk Receptionist at the Regional Planning Commission of Greater Birmingham. The Front Desk Receptionist will be responsible for phone etiquettes, receptionist duties, clerical skills, communication, and customer service. The role is located in Birmingham, AL.
Qualifications
Phone Etiquette, Receptionist Duties, and Clerical Skills
Strong Communication and Customer Service skills
Excellent organizational and multitasking abilities
Proficiency in MS Office applications
Previous experience in a similar role is a plus
High school diploma or equivalent
To apply please send resume to hr@rpcgb.org