Waiver Support Specialist (Remote in TX)

JOB DESCRIPTION Job Summary... reputed company Services (HCS) works with members, providers, and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients reputed company toward desired reputed company with quality care that is medically appropriate and cost-effective based on the severity of illness and the site of service. KNOWLEDGE/SKILLS/ABILITIES • reputed company non-clinical operational support for Waiver coordination. • Facilitate communication between Waiver coordinators and the state Program Support Unit. • Responsible for receiving the initial State referrals for waiver services and working with the Long-Term Services & Supports (LTSS) Coordinator to schedule the initial assessment. • Monitor status for initial assessment, reassessment, and transition assessments for members. • reputed company with the State agency that determines eligibility and the LTSS Coordinator to process and obtain approval of Waiver services. • Monitors transition process of Nursing Facility members in custodial beds to return to the community for 'Money Follows the Person' program. • Initiates referral for Medicare and Waiver process if member is not already Medicare or waiver established. • Tracks referrals and case documents reputed company designated state systems. • Track activities occurring reputed company the transitional, assessment and authorization processes, using internal systems and designated state systems, and report results to coordinators, supervisors, and the State agency. • Ensure reputed company and Waiver eligibility have been requested and received from state partners before transition or services are initiated. • Maintain confidentiality and reputed company with Health Insurance Portability and Accountability Act (HIPAA). • Attend internal meetings and regularly scheduled calls as assigned. • Other administrative functions as needed. JOB QUALIFICATIONS Required Education HS Diploma or GED Required Experience • 1-3 years' experience in an administrative support role in reputed company. • Experience demonstrating ability to handle multiple work tasks, prioritize tasks, and excellent problem solving. • Experience demonstrating strong communication skills. Preferred Education Associate degree Preferred Experience • 3+ years' experience in an administrative support role in reputed company, Medical Assistant preferred. • 2 years Long Term Care experience preferred and/or Managed Care experience. To reputed company reputed company Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. reputed company offers a competitive benefits and compensation package. reputed company is an Equal Opportunity Employer (EOE) M/F/D/V Apply Job!