Medicaid Managed Care Liaison

Medicaid Managed Care Liaison

A29i Health Services Brooklyn, NY Full-Time

Location: Brooklyn, New York

Salary Range: $40,000 $50,000

Employment Type: Full-Time

Start Date: Immediate

About Us

Founded as an orphanage in 1831, Rising Ground has been at the forefront of evolving community needs. Driven by the belief that each of us can thrive when life has hope and opportunity, Rising Ground provides caring support and proven paths to positive change, helping children, adults, and families rise above adversity, and each year, Rising Ground is a positive force in the lives of more than 72,000 individuals annually. We do this through 101 programs across 138 sites, throughout New York City and Westchester. Our strong belief and commitment to diversity is shown not just through our work with supported persons but is integral to the building of a strong staff that reflects the communities we serve. Rising Ground is headquartered in New York City.

Role Overview

Health Services Clinic at Rising Ground is a pediatric primary care clinic for children and adolescents in the Foster Care, Residential, and Justice for Youth and Families Programs. The Medicaid Managed Care Liaison is responsible for working together with the Health Services clinical and administrative teams to ensure the delivery of high quality, and continuity of care. This includes frequent interactions with clients and their families, service providers, care coordinators, and insurance companies. The Health Services Clinic is in Brooklyn, near a major subway hub.

Key Responsibilities

• Participates in interviewing and hiring of Family Childcare Providers.
• Answer phones at the Clinic.
• Greet clients/confirm registration of clients
• Enter and track demographics information in Electronic Medical Record
• Opening clinic mail, answering email from the medicaloncall mailbox
• Track subspecialty referral appointments, obtain documentation of subspecialty appointments, assist with additional medical records requests as needed
• Support the coordination of healthcare and behavioral health services for children and youth.
• Coordinate and assist with scheduling medical appointments, psychiatric evaluations, and medication management appointments.
• Retrieve medical, psychiatric, and behavioral health documentation from outside and community-based providers.
• Communicate and follow up with internal staff, outside providers, and other stakeholders to obtain required documentation and support continuity of care.
• Maintain confidentiality when handling sensitive clients, medical, psychiatric, and behavioral health information.
• Provide assistance to coworkers and contribute to team projects and departmental responsibilities as needed
• Participate in quarterly Medicaid Managed Care meetings
• Prepare forms and letters as requested
• Upload documents in the Electronic Medical Record
• CNNX note entries ACS system
• Other related duties as assigned by supervisor.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice

Required Qualifications

• High School Diploma minimum requirement
• Minimum of two years' experience in a healthcare setting
• Excellent computer skills, proficiency in Microsoft Office (Word and Excel), familiarity with electronic health records
• Bilingual Spanish preferred

Work Environment

• Field
• Corporate Office

Position Type/Expected Hours of Work

This is a full-time in person position. Days and hours of work are Monday through Friday at our Brooklyn Hub Office, 111 Livingston Street Brooklyn NY 11201. Work hours are 9:00 am - 5:00 pm.

Benefits & Compensation

• Competitive salary structure
• Health, dental, and vision insurance
• 401(k) with company match
• PTO policy (11 Paid Holidays, Paid Sick Time, Paid Vacation & Paid Personal Days)
• Remote / flexible work options (If applicable)

Additional Requirements

• Authorized to work in the U.S.
• Ability to work in-person in New York City (NYC)
• Ability to travel to other Rising Ground Sites (if required)

Equal Employment Opportunity

It is the policy of Rising Ground that the Agency wholly complies with equal treatment of all employees and applicants for employment without unlawful discrimination as to an individual's perceived or actual race, creed, color, national origin, alienate, citizenship status, gender, age, disability, marital status, partnership status, sexual orientation, ethnicity, religion, or veteran status in all employment decisions, including but not limited to recruitment, hiring, compensation, training and apprenticeship, promotion, upgrading, demotion, downgrading, transfer, layoff and termination and all other terms and conditions of employment