About The Position

Performs enrollment assessments within Shelby, Tipton, Fayette, and Lauderdale counties. Schedules and conducts home visits to assess potential applicant's needs for in-home services, as well as the applicant's natural support system, as part of the application process for enrollment into CHOICES.

Requirements

  • Two (2) years' experience in social work, nursing, social services, healthcare or a closely related field; AND
  • Bachelor’s degree from an accredited college or university in social work, sociology, psychology, or a closely related field; OR
  • An equivalent combination of related education and/or experience.
  • PROOF OF EDUCATION, TRAINING, AND/OR EXPERIENCE IS REQUIRED.
  • Knowledge and skills in Microsoft Word, and Excel.
  • Ability to plan, organize, and maintain an even flow of work.
  • Ability to analyze and solve problems, exercise good judgment, and express ideas clearly, concisely, and effectively verbally, and in writing.
  • Ability to communicate courteously with the public, other departments, and to resolve problem situations in an effective manner.
  • Knowledge of the goals and purposes of the program and agency.
  • Must be a Registered Nurse or Licensed Practical Nurse or Licensed Social Worker.
  • Must possess a valid Tennessee driver's license or secure one as of employment date.
  • Must have daily access to an operable automobile and meet county requirements for automobile insurance upon date of employment.
  • Must pass background check to include: TBI/FBI Criminal, Tennessee Abuse Registry, Tennessee Felony Offender Registry, National Sex Offender Registry, Interstate Compact Offender Tracking System, Tennessee Department of Health Abuse Registry, Tennessee Drug Offender Registry, and Substantiated Investigations Records Inquiry.
  • Must obtain Home and Community Services Assessor's Code certification within one month of employment.

Responsibilities

  • Receives referrals from Single Point of Entry (SPOE) on potential non-Medicaid applicants or MDS Section Q referrals and conducts initial and follow-up functional and social assessments, and enters and utilizes state-wide tools to determine applicant's eligibility enrollment criteria for CHOICES.
  • Counsels potential enrollees and family members about the CHOICES program, which includes explanation of program and qualifications for CHOICES, limits on enrollment, and Federal Estate Recovery Program.
  • Responds to questions posed by family, caregivers and representatives regarding information provided by intake and assessment staff.
  • Begins the Pre-Admission Evaluation (PAE) application process during intake site via laptop, by logging into the online PERLSS system.
  • Facilitates the Medicaid application process during the intake site visit by collecting, scanning and/or copying all appropriate DHS required documents and identification in the applicant's home, and ensuring patient liability forms are signed, and all appropriate DHS required documents and identifications.
  • Maintains individual caseloads and reports. gives weekly updates to management on the application status until participant's enrollment status is complete.
  • Documents actions to applicant's electronic files and closes the file for incomplete applications or for non-receipt of required documents.
  • Completes Pre-Admission Screening Reviews in homes and in long term care facilities as needed.
  • Contacts enrollee within 24 hours of receipt of assigned referral to confirms site visit and conduct visit(s) within (5) business days of receipt..
  • Completes consumer satisfaction surveys.
  • Follows up every three days until the consumer's history and physical (H&P) are received.
  • Performs chart audits.
  • Performs other related duties as required or directed.

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Number of Employees

1,001-5,000 employees

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