Medical Benefit Review Services Associate - Region 7
About The Position
This field-based position serves individuals throughout Bienville, Bossier, Caddo, Claiborne, DeSoto, Red River, Sabine, and Webster Parishes and requires regular travel within the assigned region. As a Medical Benefit Review Services Associate, you will support Louisiana Medicaid and long-term care programs by conducting in-home assessments, coordinating services, and helping older adults and individuals with disabilities access the healthcare and community resources they need to remain safely and independently in their homes. This is an excellent opportunity for recent graduates seeking experience in social services, case management, care coordination, healthcare navigation, disability services, aging services, Medicaid programs, long-term care, community outreach, and person-centered care planning.
Requirements
- Bachelor's degree in Social Work, Human Services, Psychology, Sociology, Public Health, Healthcare Administration, or related field.
- Strong verbal and written communication skills.
- Interest in working directly with diverse populations.
- Louisiana resident.
- Reliable transportation.
- Valid driver's license, current auto insurance, and ability to travel daily.
- Ability to work independently while managing multiple client cases and priorities.
Nice To Haves
- Experience in social services, human services, healthcare, case management, care coordination, community outreach, or client advocacy.
- Experience working with older adults, individuals with disabilities, or vulnerable populations.
- Knowledge of Medicaid programs, long-term care services, healthcare systems, or HCBS.
- Experience conducting assessments, interviewing clients, or developing care plans.
Responsibilities
- Conduct in-home assessments for applicants and participants receiving Long-Term Personal Care Services (LT-PCS).
- Evaluate client needs and gather information to support eligibility determinations, care planning, and service coordination.
- Provide Choice Counseling for Home and Community-Based Services (HCBS) programs when requested.
- Educate applicants and family members about Louisiana Medicaid long-term care programs, healthcare services, and community-based support resources.
- Develop and maintain person-centered Plans of Care based on individual needs, goals, and functional assessments.
- Coordinate services and connect clients with healthcare providers, community organizations, and social service resources.
- Complete monitoring visits, client surveys, case documentation, and quality management activities.
- Maintain accurate records and ensure adherence to state and program guidelines.
Benefits
- Health and Welfare Benefits
- Retirement Savings
- Employee Discounts
- Career Growth Opportunities
- Paid Training
- Paid time off
- health insurance coverage
- voluntary dental and vision programs
- life and disability insurance
- a retirement savings plan
- paid holidays
- paid time off (PTO) or vacation and/or sick time
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
