Care Connection Specialist

Advance Care Alliance New York•New York, NY

2d•$33 - $34•Hybrid

About The Position

The Care Connection Specialist enrolls eligible new members into care management services at ACA/NY and supports members through successful enrollment. The role ensures compliance with quality standards, agency policies, and applicable regulations. ACA/NY is a New York State-designated Care Coordination Organization/Health Home serving people with intellectual and developmental disabilities across New York City, Long Island, and the Lower Hudson Valley. The position supports individuals, families, and advocates through CCO intake and enrollment, explains Health Home Care Management and HCBS Basic Plan support, and helps people make informed choices. It also assists with OPWDD eligibility and Medicaid processes, coordinates required documentation and assessments, maintains accurate enrollment records, supports outreach and capacity management, and builds relationships with service providers and OPWDD Regional Offices. This is not a remote position. The work environment blends work from home, field work, regional travel, and office expectations. Frequent travel to off-site locations is required, using a vehicle or public transportation. The role routinely uses standard office equipment, and employees must follow privacy standards when handling personal and health information. The position includes physical activities such as traveling between and within locations, standing, walking, sitting, reaching, stooping, kneeling, crouching, and moving objects up to 25 pounds. Reasonable accommodations are available in accordance with applicable policies and laws.

Requirements

Bachelor of Arts or Science degree plus two years of relevant experience, or a master’s degree with one year of relevant experience; a lesser educational level grandfathered into the role before January 1, 2023, may also qualify.
Excellent interpersonal, communication, and organizational skills, with demonstrated ability to manage multiple tasks simultaneously.
Ability to work autonomously and professionally, respectfully, and as part of a team.
Absolute integrity and personal commitment to serving people with intellectual and developmental disabilities and their families.
Proficiency with Excel and other software used to track information flow.
Ability to travel frequently to off-site locations using a vehicle or public transportation.
Ability to meet the physical requirements of the position, including moving objects up to 25 pounds, with reasonable accommodation available as applicable.
Ability to follow minimum privacy standards while working in office, at home, or at another remote location, including securing Wi-Fi and printed materials and conducting calls and screen-based work privately.

Nice To Haves

One year of experience completing intake and enrollment for OPWDD supports and services is strongly preferred.
Demonstrated knowledge of access to member benefits, such as Medicaid, is preferred.
Experience using OPWDD’s CHOICES system is a plus.

Responsibilities

Assist individuals, families, and advocates with the formal CCO intake and enrollment process.
Explain Health Home Care Management and HCBS Basic Plan support and help individuals make informed choices.
Review OPWDD eligibility criteria and the CCO eligibility and enrollment process with individuals and their families or advocates.
Assist families with OPWDD eligibility and LCED applications.
Obtain required documentation and coordinate missing assessments with community service providers.
Review and complete Health Home/CCO DOH enrollment forms with individuals and families.
Complete Health Home CCO program enrollment in the OPWDD CHOICES system.
Update and maintain the intake database, tracking required documents such as eligibility records, LCED, Letters of Introduction, Medicaid information, and DOH Health Home consent forms.
Maintain relevant documents and records, including phone contacts, correspondence, assessments, and reports.
Complete paperwork for enrollment, transfer, and discharge from the program.
Support community outreach to connect with people interested in CCO enrollment information.
Comply with OPWDD and DOH regulations applicable to care coordination.
Report intake status to the supervisor and/or Care Connection management team.
Establish and maintain a community network with internal and external service providers.
Attend required training in accordance with agency and departmental policies and procedures.
Serve as a mandated reporter by reporting abuse, neglect, and maltreatment, and follow ACA/NY OPWDD untoward incident reporting procedures.
Follow job, department, and agency safety practices and policies.
Help ensure the correct type of Medicaid is secured for OPWDD-eligible services, including completing applications, parental deeming, processing support, and follow-up as needed.
Work with supervisors on capacity management and identifying availability by region.
Provide information to the supervisor for enrollment trend reporting.
Participate in care management team planning and recommend ways to ensure seamless enrollment.
Develop and maintain working relationships with OPWDD Regional Offices so ACANY is positioned as a responsive CCO when referrals are needed.
Provide referral information for individuals who require a different service model.
Attend scheduled department and team meetings, trainings, and supervision.
Travel throughout the designated service area to meet with people interested in receiving services as needed.
Maintain confidentiality.
Perform other duties as assigned.