Jobs
>
Philadelphia

    Referral and Compliance Coordinator - Philadelphia, United States - Public Health Management

    Default job background
    Description
    PHMC is proud to be a leader in public health. PHMC requires that all employees are fully vaccinated with the Covid-19 vaccine before the first day of employment.

    The Referral and Compliance Coordinator RCC is responsible for a combination of referral and compliance related activities such as facilitating and coordinating service referrals to providers and collecting information from service coordinators and Providers.

    In addition the RCC works closely with the Philadelphia Office of Intellectual disAbility Services and other providers to exchange information, coordinate corrective actions and report on referral and compliance activities.


    Responsibilities:

    • Collect/organize information and data enter information used for monitoring compliance related events such as service delivered dates, referrals, MDEs and IFSPs;
    • Collect referral information, review for quality, accuracy and completeness, and data enter information in PEIDS and PELICAN as directed;
    • Obtain family's choice or preference of provider agency as appropriate and when needed, to complete PEIDS authorization process for services;
    • Post services on PEIDS Master Referral List (MRL) as needed;
    • Respond to Providers who request to be the service provider from the MRL, authorize providers in PEIDS, process necessary paperwork, collect information and enter information in PEIDS and PELCAN;
    • Add, revise, end services on IFSPs in PELICAN and EIP, associate providers and assign COR to initial Plans, and document assign EI Providers to Plans;
    • Review and correct data before and after data entry in PEIDS and Pelican, for quality improvement;
    • Distribute referral information to providers by fax, mail and electronically;
    • Collect/organize information and complete/report/distribute status updates as directed regarding the status of completing MDEs and IFSPs, and delivered services;
    • Generate and distribute reports, reminders and requests to ChildLink service coordinators and supervisors, early intervention providers and MRS about timelines, missing service delivered dates, explanations concerning delays and action steps to correct delays and interruptions;
    • Participate on work groups as required;
    • Complete paperwork and attend meetings and trainings as requested;
    • Complete other duties as assigned

    Skills:

    • Excellent organizational and time management skills
    • Excellent verbal and written communication skills
    • Excellent interpersonal skills
    • Ability to understand and follow policies and procedures
    • Ability to be detailed oriented
    • Excellent analytical and problem solving skills
    • Good skills with typing on computer keyboards and entering information into electronic programs
    • Ability to multi-task in a fast paced environment

    Performance Criteria:

    • Enter service notes in PELICAN for billable SC activities
    • Interact with Providers in a professional and timely manner
    • Review and ensure that all MDE, IFSP, service and Addendum information is correct before data entering
    • Data enter all MDE, IFSP and service data into PEIDS and PELICAN without errors
    • Authorize services to providers in a timely manner and without errors
    • Work/follow up on the concrete goals established on the quality improvement plan developed by the Referral and Compliance Management Unit Supervisor
    • Ensure all referral information is entered into PEIDS same day as received
    • Ensure all paperwork is completed and distributed in a timely and efficient manner.
    • Participate in team meetings as part of the Referral and Compliance Management Unit
    • Meet with the Referral and Compliance Management Unit Supervisor for supervision as needed
    • Attend meetings and trainings as requested by ChildLink, TLC, and IDSEducation:
    • A Bachelor's degree in the social sciences, or other related fields which include 12 college credits in early intervention, early childhood special education, early childhood education, child development, special education, family counseling, family studies, social welfare, psychology or other comparable social sciences

    Experience:

    • At a minimum one (1) year experience working with children and families, case management programs, early intervention and/or other service delivery programs in addition to experience in collecting information and working with electronic programs and data systems

    Salary:

    • Commensurate with education and experience.
    • Grade 15FLSA Classification: Non-Exempt
    • This position is classified as salaried non-exempt in accordance to FLSA standards.#J-18808-Ljbffr


  • GREATER PHILADELPHIA URBAN AFFAIRS Philadelphia, United States

    Job Description · Job DescriptionThe Urban Affairs Coalition (UAC) is a not‐for‐profit corporation that unites government, businesses, neighborhoods, and individual initiative to improve the quality of life in the region; build wealth in urban communities; and solve emerging issu ...


  • KENCCID Philadelphia, United States

    Job Description · Job DescriptionPosition Description · The Compliance Enhancement Coordinator (CEC) is responsible for ensuring that all · KenCCID's Individuals and employees are in a safe and healthy environment. This professional · oversees the incident management system and i ...


  • Blue Cross and Blue Shield Association Philadelphia, United States

    Bring your drive for excellence, teamwork, and customer commitment to Independence. Join us as we renew and reimagine the future of health care. Together we will achieve our mission to enhance the health and well-being of the people and communities we serve. · The Senior Pharmacy ...


  • Knewin Philadelphia, United States

    PHMC is proud to be a leader in public health. PHMC requires that all employees are fully vaccinated with the Covid-19 vaccine before the first day of employment.The Referral and Compliance Coordinator RCC is responsible for a combination of referral and compliance related activi ...


  • FMC Philadelphia, United States

    Global Regulatory Compliance Analyst/Coordinator · Duties: Lead and drive activities related to the regulatory compliance of formulated products and co-formulants/inerts with internal stakeholders including Operations, Supply Chain, Procurement, Country and Global Registration Ma ...


  • Dornelas Excavation Inc Philadelphia, United States

    Dornelas Excavation is looking for a Safety and Compliance Manager to work out of its office in Philadelphia, PA. This position requires maintaining and supervising the Company safety program to ensure compliance with DOT requirements, FMCSA guidelines and applicable state laws. ...


  • FMC Philadelphia, United States

    Global Regulatory Compliance Analyst/ Coordinator Duties: Lead and drive activities related to the regulatory compliance of formulated products and co-formulants/inerts with internal stakeholders including Operations, Supply Chain, Procurement, Count Compliance Coordinator, Regul ...


  • FMC Philadelphia, United States

    Global Regulatory Compliance Analyst/Coordinator · Duties: Lead and drive activities related to the regulatory compliance of formulated products and co-formulants/inerts with internal stakeholders including Operations, Supply Chain, Procurement, Country and Global Registration M ...


  • HirefinderRPO West Berlin, United States

    ???? We are seeking a highly skilled and experienced professional to join our leadership team as the Safety & Compliance Coordinator, to lead our client's focus in Health, Environmental, and Safety throughout their organization. · Your primary objective will be to maintain a saf ...


  • Deborah Heart and Lung Center Lumberton, United States

    Job Details · Description · Position Summary: Assists the Director to meet the objectives and goals of the department including providing support for audit projects surrounding HIPAA compliance, RACS, E&M Billing and coding, etc and assist in the preparation of education tracking ...


  • HirefinderRPO West Berlin, United States

    We are seeking a highly skilled and experienced professional to join our leadership team as the Safety & Compliance Coordinator, to lead our clients focus in Health, Environmental, and Safety throughout their organization. · Your primary objective will be to maintain a safe work ...


  • Deborah Heart and Lung Center RANCOCAS, United States

    Job Details · Description · Position Summary: Assists the Director to meet the objectives and goals of the department including providing support for audit projects surrounding HIPAA compliance, RACS, E&M Billing and coding, etc and assist in the preparation of education tracking ...


  • Deborah Heart and Lung Center Browns Mills, United States

    Position Summary: Assists the Director to meet the objectives and goals of the department including providing support for audit projects surrounding HIPAA compliance, RACS, E&M Billing and coding, etc and assist in the preparation of education tracking, Annual Reports, Conflict o ...


  • Paramount Capital Group LLC King of Prussia, United States

    Paramount Capital Group is seeking an individual who loves organization, improvement, and accuracy to join our growing Compliance Team. As a Compliance Associate, you will assist in the continued development and maintenance of a strong compliance program under the supervision of ...


  • Holman Automotive Group, Inc. Mount Laurel, United States

    Holman is a family-owned, global automotive services organization anchored by our deeply rooted core values and principles that have enabled us to continue Driving Whats Right throughout the last century. Our teams deliver the Holman Experience by t Support, Coordinator, Complian ...


  • Holman Automotive Mount Laurel, United States

    Holman is a family-owned, global automotive services organization anchored by our deeply rooted core values and principles that have enabled us to continue Driving What's Right throughout the last century. Our teams deliver the Holman Experience by treating our customers and each ...


  • Ramapo Communication Corp Trenton, United States

    Ramapo Communication Corp · Vendor Procurement and Compliance Coordinator · South Hackensack, NJ 07606 · Position Overview: · We are seeking a detail-oriented and proactive individual to support our procurement and vendor management operations. This individual will work closely ...


  • Long Haul LLC Bensalem, United States

    Trucking company is looking for a Safety and Compliance Manager to work out of its office in West Chicago, IL. This position requires maintaining and supervising Company safety program to ensure compliance with DOT requirements, FMCSA guidelines and applicable state laws. · **Rol ...


  • Alera Group Mount Laurel, United States Full time

    Related Risk Management & Compliance, an Alera Group Company is seeking a Customer Service Specialist/Intake Coordinator to join our team. · Why Work Here? · "Collaborative team of caring, proactive problem solvers with opportunity for advancement in a high-growth company" · In a ...

  • Trinity Consultants Engineering & EHS Workforce Solutions

    Air Permitting SME

    5 days ago


    Trinity Consultants Engineering & EHS Workforce Solutions Philadelphia, United States

    Responsibilities: · Provide support for ongoing environmental air compliance by ensuring controls, monitoring, record keeping, and reporting requirements are satisfied. · Develop and implement compliance systems/tools. · Responsible for continuous emissions monitoring (CEMS), ...