Eligibility Specialist - Las Vegas, NV

Care Lync•Las Vegas, NV

9d•$48,000 - $55,000

About The Position

Care Lync is hiring an Eligibility Specialist to provide service coordination and case management to adults with intellectual, developmental, or physical disabilities and autism spectrum disorder who receive services through the Department of Human Services Medicaid Waiver Program. The position supports clients in navigating, understanding, and obtaining services that help them live independently in their homes and communities. The Eligibility Specialist provides case management for participants assigned to a consolidated care team. The role develops individualized care management plans, coordinates and brokers services, and monitors and evaluates clinical outcomes to help ensure services are professional, comprehensive, and cost-effective. The specialist helps locate, coordinate, and monitor services and supports through the development and implementation of an Individual Support Plan (ISP), and assists participants in identifying and communicating their needs and requests, including those related to housing, medical care, social and vocational services, and other community supports. The posting describes the position as based in Las Vegas, Nevada, while the agency overview references services throughout Pennsylvania. The role includes travel to participants as needed, stated as 50%.

Requirements

Bachelor of Science or Bachelor of Arts degree in related coursework.
Experience with Microsoft Office and state-maintained databases.
Maintain proficiency in company-sponsored training and certifications.
Maintain CPR/First Aid certification and current state-related clearances.
Successfully complete and maintain training courses required or amended by program regulations.
Valid driver’s license, personal vehicle liability insurance, and current vehicle registration; copies must be maintained on file with Care Lync.
Specify whether bilingual in English and Spanish.

Responsibilities

Complete assessments to identify each participant’s needs and preferences for service delivery.
Develop a Person-Centered Service Plan for each participant and modify it at least annually or following a significant medical or social change.
Provide information that enables participants to make fully informed choices about providers.
Ensure the Behavioral Support Plan and Crisis Plan, when applicable, are consistent with the ISP.
Immediately report participant abuse, neglect, or exploitation to a supervisor or director.
Coordinate with individuals and entities involved in participants’ physical or behavioral care, including other care coordinators, to support seamless coordination of physical, behavioral, and support services.
Research and develop alternative solutions to participants’ needs.
Maintain confidentiality of sensitive materials and participants’ private health information.
Attend required training and recertification classes.
Consult regularly with supervisors and directors regarding participants’ needs, abilities, learning levels, and physical limitations.
Travel to participants as needed; the posting states 50% travel.