Medicaid 医疗补助顾问

APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to self-sufficiency as quickly as possible. The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs. Home Care Services Program (HCSP) is recruiting for one (1) Principal Administrative Associate II, to function as a Medicaid Consultant who will: • Interpret Medicaid policies and procedures for assigned cases for individuals applying for or in receipt of services through one of the CASA offices, the Managed Long-Term Care (MLTC) Program, the Long Term Home Health Care Program (Lombardi), Care At Home (CAH), the Assisted Living Program (ALP), and the Field Services/Homebound Unit to ensure that cases are processed in compliance with Federal, State, and City Guidelines. • Supervise and distribute work schedules/assignments to the Medicaid Eligibility Team Supervisors, provide a timetable for efficient completion of work and ensure adequate coverage during the hours of operation. • Provide second-level sign-off approval for all adverse case actions to ensure that the cases are properly documented, and that the appropriate processing protocols are applied. • Conduct random review of completed cases to determine if the proper decision was made based on the documentation provided. • Conduct meetings with Medicaid Eligibility Team Supervisors to advise on problems identified in their teams and provide written reports of meetings indicating problems found, resolution(s) initiated, and recommendations for corrective training. • Conduct training sessions to provide Medicaid Eligibility Team Supervisors and/or Eligibility Specialists with correction and feedback based on the unit review to reduce or eliminate Quality Control errors. • Review computer error reports, check for repetition of specific errors and follow up to determine reason for the errors. Review the control process to ensure that it is operating with maximum efficiency. • Aid Medicaid Eligibility Team Supervisors and/or Eligibility Specialists on cases requiring resolution for high-priority actions such as Tape Match, Fair Hearing and Quality Assurance issues. Hours/Shift: 9am - 5pm (FLEX)