Job Information
The Resource Exchange CMA Pueblo Coordinator in Colorado Springs, Colorado
Position Title:CMA Pueblo Coordinator
Teams: Billing, Intake, Quality, Ongoing or State GF
Starting Range: $21.15 - $21.99 hourly *This position is eligible for a $1500 sign on bonus
Benefits offered: Health, dental, vision, employer paid life and short-term disability, voluntary life, voluntary long-term disability, paid time off, holiday pay, 401K with employer contributions, pet insurance, other supplemental insurance options, flexible work environment, training and growth opportunities, workgroup participation, public student loan forgiveness, mileage reimbursement, and more.
General Description: * Coordinators at TRE are the heart of this organization. Coordinators work in a variety of functions within the organization to assist and synchronize supports and services with the persons and potential persons we serve (and their families) through each phase of the person's life cycle and time with TRE.
Education and Experience Requirements: * MINIMUM: Bachelor's degree in a human behavioral science or related field of study. * If an individual does not meet the educational requirement, considerations may be made if the individual has experience working with long-term services and supports (LTSS) population, in a private or public agency, or has a combination of LTSS experience and education, demonstrating a strong emphasis in a human behavioral science field. Considerations may also be made for a combination of experience and education or 5 years of verifiable experien * PREFERRED: In addition to the minimum standards, one to three years' experience in a case management environment. Experience working with or possessing knowledge of family dynamics. Knowledge of community services and resource development. Working knowledge of Medicaid Waiver programs and requirements.
Essential Duties/Responsibilities: * Promote excellent internal and external customer service, through written and verbal communication, to all TRE stakeholders, with the intent of promoting TRE's values through intentional communication strategies daily. * Exhibit strong written and interpersonal communication skills to promote clarity of intent with all levels of communication daily. * Develop a strong understanding of the rules and regulations that direct LTC and IHSS services to maintain compliance and best support the people served by TRE, daily. * Critically analyze case documentation, behavioral and medical reports, guardianship paperwork, financial documents, and other data pertaining to promote the health and wellbeing of the people we serve daily. * Enter case notes in multiple systems to promote documentation of all client contact, communication, records, and tasks completed for the people we serve daily. * Organize and implement service plan development tasks (varies by position) in person, by phone, and/or through the use of technology (i.e. Outlook, Office 365, ZOOM, etc.) to promote and remain knowledgeable of the needs of the people we serve while maintaining compliance with rules, regulations, policies, and procedures daily. * Develop positive relationships with all TRE stakeholders to promote TRE mission, vision, and values through all interactions daily. * Maintain client and company records utilizing a variety of internal and external data management systems to support continuity of care, manage client contacts, support transparency, comply with HIPAA standards, and promote state and federal regulations daily. * Cultivate an understanding of community resources in addition to those provided by TRE to support the additional needs of the people we serve weekly. * Maintain HIPAA standards throughout all aspects of TRE engagement to comply with regulations and protect the privacy of the people we serve and TRE staff daily. * Attend departmental and agency meetings and trainings in person, by phone, and/or through the use of technology (i.e. Outlook, Office 365, ZOOM, etc ) as specified by the meeting or training coordinator to maintain and improve your performance, knowledge, skills, and abilities to best support the people served by TRE weekly.
Team Duties/Responsibilities: * The Billing Coordinator position is responsible for submitting all Targeted Case Management (TCM) billing through Medisked. They are responsible for reconciling the BUS and Medisked prior to submitting billing to ensure TCMs claimed match in both systems before billing is processed. They also will also process all re-bills, voided claims, denial claims, and Service Utilization. In addition to these duties, it is also their responsibility to work through billing issues submitted via the provider, Service Coordinator, or person in services. * The Intake Coordinator is responsible for completing and documenting all initial in-home 100.2 assessments (functional needs assessment), Medicaid application, Arbor Review Group (ARG) applications and all corresponding applications for Long Term Care Medicaid waiver services on the individual's behalf in compliance with the rules and regulations set for by Health Care Policy and Financing (HCPF). * The Quality Coordinators complete reviews of Incident Reports for individuals served by TRE. Reviews of Incident Reports include looking for systemic issues, reporting and tracking of incidents and Critical Incidents to applicable governing entities (i.e. Health Care Policy and Financing or Colorado Department of Public Health and Environment), and trending of incidents. Quality Coordinators are also responsible for partnering with Adult/Child Protective Services and Law Enforcement to complete investigations of alleged incidents of Mistreatment. Additionally, Quality Coordinators assist with facilitating the Human Rights Committee. Quality Coordinators complete a thorough review of internal and external documentation of an individual's support needs and strengths. They are responsible for