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Topeka

    CARE Coordinator - Shawnee, United States - State of Kansas

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    Description

    Employment Benefits

  • Comprehensive medical, mental, dental, vision, and additional coverage
  • Sick & Vacation leave
  • Work-Life Balance programs: parental leave, military leave, jury leave, funeral leave
  • Paid State Holidays (designated by the Governor annually)
  • Fitness Centers in select locations
  • Employee discounts with the
  • Retirement and deferred compensation programs
  • Position Summary & Responsibilities

    Position Summary:

    Coordination of the CARE/PASRR Process collaborate with clients families, hospitals, Area Agencies on Aging, Medicaid, level II contractors, and stake holders regarding communication related to assessors and assessments as well as tracking the assessments. Assist Care Specialists with processing Special Admissions, CARE Level I Assessments and Level II PASRR Evaluations and follow up. Review, evaluate and follow up on the 3164 requests from Medicaid. Assist with the determination letters for the assessments. Provide the CARE Program Manager with information regarding assessments and the performance levels of CARE program, identify problems, concerns, and unmet customer needs.

    Job Responsibilities may include but are not limited to the following:

    Medicaid Requests and Escalations

    Work with the CARE Program Manager to manage concerns or issues with CARE Program from the Medicaid Clearinghouse at KDHE. In coordination with the CARE Program Manager, respond to the 3164 Medicaid Request (CARE Inquiry) and CARE escalations timely so Medicaid can issue timely payments to the nursing facilities. Research complaints from the nursing facilities on payment issues from the Clearinghouse and provide information about trends to the CARE Program Manager.

    Management and Coordination of Assessment Services

    Develop and maintain, in coordination with the CARE Program Manager, relationships with the Area Agencies on Aging (AAA) and CARE Contractors to ensure assessor and evaluator lists are up to date in KAMIS and training documentation is on file. Ensure the Quality Assurance Team receives updated assessor lists and provides quarterly lists of quality assurances issues for CARE Team review.

    Public Relations and Education

    Develop and maintain professional relationship with nursing facilities, nursing facilities for mental health, hospitals, AAAs, the Level II contractor, and others as necessary. Serve as the main point of contact for the CARE Team to triage incoming calls and emails. Assist the CARE Program Manager with:

  • the development of One Drive folders for each nursing facility and other stakeholders as a tool for more efficient communication.
  • the development of materials and training for Level I and Level II assessors.
  • preparation of professional presentations to community groups and public gatherings.
  • participation in national, regional, and state CARE and PASRR activities.
  • the CARE Advisory Council quarterly meetings, CARE/AAA monthly training calls, etc..
  • Planning and Reporting

    Assist with data collection during CARE assessments and evaluate performance levels of CARE program, identify problems, concerns and unmet customer needs and assemble conclusions into an Annual Report. And other duties as assigned.

    Completes special projects and performs other duties as assigned including but not limited to ensuring the agency is adequately staffed during and immediately following natural and/or manmade disasters, infectious disease outbreaks, and/or acts of terrorism. Assists other employees in the work unit in accomplishing assignments as necessary.

    Qualifications

    Minimum Qualifications:

  • Two years of experience in providing direction necessary to implement the objectives of an agency, program or organizational unit; or, 1 year of experience as a CARE Specialist. Education may be substituted for experience as determined relevant by the agency.
  • Skill in developing and maintaining professional relationships especially with key stakeholders
  • Customer service skill and knowledge
  • Travel
  • Preferred:

  • Two years of experience in managing, administering, and/or supervising human, physical or communication resources
  • Two years customer service
  • Experience with assessments and problem solving related to assessments
  • Knowledge of community resources and nursing home facility regulations, ability to interpret federal code of regulations and state statutes for PASRR or similar regulations.
  • Ability to make sound judgement in evaluating if field assessors have performed proper assessment of the individual and made appropriate recommendations.


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