Self-Direction PPP Support Counselor (Field Based - Monmouth County)

About the Role Self-Direction PPP Support Counselor is responsible for conducting quarterly in-person evaluations on members enrolled in the Personal Preference Program within Ocean County. During these quarterly meetings, the Support Counselor is responsible for all workforce functions including budgeting, back‑up plan, capacity planning, forecasting, safety planning, scheduling, and real‑time monitoring. The Support Counselor will provide member assistance and strategic insight during the development and review of the member’s cash management plan, budget performance, review of monthly results and to ensure the cash management plan is meeting the member’s needs. What You’ll Do Work with member to develop a cash management plan that is member‑specific, member choice and member‑centric; enabling the member to use their budget to meet their daily needs. Review monthly cash expenditures to ensure the member is within monthly budget allowance. Review monthly budget on a quarterly basis and update, as needed. Develop and review member’s back‑up plan on a quarterly basis. Review worker timecards to analyze PTO submissions, EVV compliance and hours of work. Update and maintain member’s electronic medical record. Identify, report, and follow up on allegations or reports of suspected fraud, waste, neglect, or abuse. Identify and maintain available community resources and other services. Maintain timely documentation: in‑home visit notes must be completed during the time of visit and uploaded on the day of the participant’s visit. Educate members on notification requirements for changes in condition, hospitalizations or caregiver issues. Provide education on safety tips including but not limited to fall‑risk prevention. Provide clear and consistent communication. Perform other relevant tasks as assigned by management. Education and Experience High School Diploma/GED required LPN or healthcare background preferred Equivalent and relevant professional experience in budgeting or finance preferred but not required Minimum of 3 years’ experience in a health insurance industry or professional business‑related field required Experience with MS Office and other WFM solutions highly preferred. Knowledge Knowledge of Healthcare industry helpful. Ability to balance multiple priorities. Team player, strong analytical and interpersonal skills. Proficient in MS Word, MS Excel and MS PowerPoint. Skills and Abilities Demonstrate strong analytical skills with emphasis on forecasting. Ability and willingness to learn new software applications. Skills in problem solving, judgment, critical thinking and decision making. Ability to be highly organized with an emphasis on accuracy and timeliness. Ability to organize information, have attention to detail and accurately follow procedures. Ability to work alone with minimum supervision and with others in a team environment, occasionally under time pressure and on several tasks at the same time. Ability to visit a diverse population of participants in their homes, which may encompass a wide range of home settings. Ability to assume an increased home visit schedule (i.e., greater than 60% of working hours) as dictated by business needs. Ability to organize home visit caseload to ensure efficient use of driving time. Salary Range $63,000 - $84,420 This compensation range is specific to the job level and takes into account the wide range of factors that are considered in making compensation decisions, including but not limited to: education, experience, licensure, certifications, geographic location, and internal equity. This range has been created in good faith based on information known to Horizon at the time of posting. Compensation decisions are dependent on the circumstances of each case. Horizon also provides a comprehensive compensation and benefits package which includes: Benefits Comprehensive health benefits (Medical/Dental/Vision) Retirement Plans Generous PTO Incentive Plans Wellness Programs Paid Volunteer Time Off Tuition Reimbursement Horizon BCBSNJ employees must live in New Jersey, New York, Pennsylvania, Connecticut or Delaware. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process. #J-18808-Ljbffr Horizon Blue Cross Blue Shield of New Jersey