Administrative Case Manager - Aging & Disabilities

Sedgwick County•Wichita, KS

36d

About The Position

Administrative Case Management (ACM) helps individuals who wish to remain in their communities with in-home services access services through a streamlined eligibility process. Services are available to eligible consumers in Sedgwick, Harvey, and Butler Counties who qualify for the Home and Community Based Services (HCBS) Physical Disability, Frail Elderly, or Brain Injury Waiver, or the Program of All-Inclusive Care for the Elderly (PACE). ACM includes Medicaid application assistance and liaison services. The role facilitates Medicaid financial applications, helps consumers obtain supporting documentation, and performs administrative and quality assurance functions.

Requirements

Associate’s degree from an accredited college or university in Social Sciences, Humanities, Public Health, or a relevant field; alternatively, a high school diploma or state-approved equivalent and two years of relevant experience.
At least one year of experience working with aging and disability populations or one year of experience working with the Kansas Medicaid population.
Basic computer skills.
Valid, unrestricted Kansas driver’s license and current proof of automobile insurance.

Nice To Haves

Two years of experience in the field of aging and disability.
Bachelor’s degree from an accredited college or university in Social Sciences, Humanities, Public Health, or a relevant field of study.
Bilingual in English and a language other than English.

Responsibilities

Assist HCBS waiver consumers with gathering and completing paperwork for Medicaid financial initial determinations and recertifications.
Initiate and coordinate meetings with consumers and serve as their single point of contact during the Medicaid process.
Follow up with the Medicaid financial eligibility entity to confirm applications were received.
Monitor application status and update consumers until determinations are made.
Help consumers obtain documentation supporting initial and recertification eligibility for Medicaid.
Assist with completing the Consumer Evaluation of Needs form for consumers requesting a Crisis Exception.
Help obtain supporting documentation for applicable HCBS waiver Crisis Exception Requests.
Complete required documentation and billing within the service contract timeframe.
Maintain consumer files in accordance with ACM and HIPAA guidelines.
Complete customer satisfaction surveys and enter survey results.
Provide program quality assurance data.
Ensure required Medicaid- and Department-mandated training is completed.