Department of Human Services Eligibility Coordinator
Primary Location Honolulu, Hawaii
Worker Location Remote
Job Number 1282965 Date posted 06/13/2024
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Description:
Identifies early stages and potential cases for Medicaid/Quest referral. Provides overall management of Medicaid application process. Acts as liaison for Department of Human Services (DHS). Coordinates data gathering efforts of Medicaid/Quest applications. Serves as Regional subject matter expert on community resources. Develops departmental policies and procedures.
Job Summary:
Identifies early stages and potential cases for Medicaid/Quest referral. Provides overall management of Medicaid application process. Acts as liaison for Department of Human Services (DHS). Coordinates data gathering efforts of Medicaid/Quest applications. Serves as Regional subject matter expert on community resources. Develops departmental policies and procedures.
Essential Responsibilities:
- Develops, coordinates, and facilitates a network of community resources for patients.
- Identifies, plans and implements process for timely notification of patients with no insurance and/or patients requiring Medicaid/Quest from Admissions, Business Office, UM Pre-admission Screening, and Support Services.
- Acts as liaison for DHS to Social Services department. Establishes rapport with key personnel in DHS offices. Develops more efficient/effective processes of timely approval.
- Orients and trains all social services staff on DHS eligibility process and procedures, defines needs, arranges continuing education of assigned staff on new procedures or updates from DHS.
- Develops and implements departmental policies and procedures related to Medicaid/Quest process. Monitors changes in regulations. Informs social workers and other staff of changes. Recommends procedure changes.
- Reports problems and progress to supervisor. Collaborates with supervisor in resolution.
- Coordinates intake of all referrals for Medicaid/Quest applications. Coordinates timely processing of entire Medicaid/Quest application process with members in preparation for alternative levels of care and placement. Makes long-term placement recommendations based on assessment of Medicaid eligibility.
- Represents Kaiser Social Services at community meetings with DHS as directed.
- Attends community seminars and workshops specific to professional needs. Maintains network of information with peers in community.
- Participates formally and informally in approved educational programs.
- Ensures success of DHS eligibility and timely discharge of placement patients.
Basic Qualifications:
Experience
- Minimum two (2) years of healthcare or acute care experience dealing with third party liability, Medicare and/or state agencies.
Education
- Bachelors degree in social work, public health, or related area, OR four (4) years of experience in a directly related field.
License, Certification, Registration
- N/A
Additional Requirements:
- Working knowledge of state and federal government health care programs and application processes.
- Demonstrated ability to produce and present management reports.
- Demonstrated knowledge of and skill in adaptability, conflict resolution, decision making, diplomacy, customer service, group presentations, influence, interpersonal relations, oral communication, problem solving, project management, quality management, results orientation, teamwork, and written communication.
Preferred Qualifications:
- DHS application experience.
- Case management experience.
- Knowledge of healthcare information systems.
- Working knowledge of medical terminology.
Primary Location: Hawaii,Honolulu,3400 Moanalua Road Parking
Scheduled Weekly Hours: 40
Shift: Day
Workdays: Mon, Tue, Wed, Thu, Fri,
Working Hours Start: 08:00 AM
Working Hours End: 04:30 PM
Job Schedule: Full-time
Job Type: Standard
Worker Location: Remote
Employee Status: Regular
Employee Group/Union Affiliation: NUE-HI-01|NUE|Non Union Employee
Job Level: Individual Contributor
Department: Moanalua Medical Center - Utilization Mgmt-Admin - 1201
Pay Range: $64000 - $82720 / year
The ranges posted above reflect the location in the job posting. The salary range may vary if you reside in a different location or state than the location posted.
Travel: No
Remote: Work location is the remote workplace (from home) within KP authorized states.
Worker location must align with Kaiser Permanente's Authorized States policy.
At Kaiser Permanente, equity, inclusion and diversity are inextricably linked to our mission, and we aim to make it a part of everything we do. We know that having a diverse and inclusive workforce makes Kaiser Permanente a better place to receive health care, a more supportive partner in our communities we serve, and a more fulfilling place to work. Working at Kaiser Permanente means that you agree to and abide by our commitment to equity and our expectation that we all work together to create an inclusive work environment focused on a sense of belonging and wellbeing.
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
Kaiser Permanente is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status. Submit Interest
