Participant Services Representative

CONNECTICUT COMMUNITY CARE INCBristol, CT
Onsite

About The Position

The Participant Services Representative provides exceptional customer service, program navigation, technical assistance, and administrative support to participants and their representatives enrolled in Connecticut's self-directed Community First Choice program. In this role you will serve as a knowledgeable and compassionate resource helping participants understand their rights and responsibilities within the self-directed service model while empowering them to successfully manage their own care. This position plays a key role in supporting effective program operations through proactive outreach, accurate documentation, timely follow-up, and meaningful collaboration with internal teams and external stakeholders. At CCC, all duties are performed in a manner that fosters the achievement of the organization's mission.

Requirements

  • Associate degree preferred; equivalent combination of education, training, and relevant experience may be considered.
  • Experience in customer service, human services, healthcare, aging services, disability services, social services, or a related field preferred.
  • Strong interpersonal, verbal, and written communication skills.
  • Ability to explain complex program requirements in a clear, supportive, and understandable manner.
  • Strong organizational, problem-solving, follow-through, and documentation skills.
  • Ability to manage multiple priorities and work both independently and collaboratively.
  • Proficiency with Microsoft Office applications and electronic record systems.
  • Knowledge of Community First Choice, Medicaid, self-directed services, or Home and Community-Based Services programs preferred.
  • Reliable transportation, valid driver's license and current automobile insurance.

Responsibilities

  • Serve as a primary point of contact for participant and representative questions related to the Community First Choice program.
  • Provide exceptional customer service, program navigation, technical assistance, and administrative support.
  • Assist participants and representatives in understanding program requirements, responsibilities, documentation, timelines, and next steps.
  • Adapt communication and support approaches to meet the needs and preferences of individuals participating in the program.
  • Promote a positive participant experience through responsive communication, problem-solving, and timely follow-up.
  • Support participant outreach, quality assurance activities, and follow-up related to program participation.
  • Maintain accurate participant information and documentation in accordance with CCC and state requirements.
  • Identify and appropriately escalate participant questions, barriers, concerns, safety issues, or incidents requiring clinical or supervisory review.
  • Collaborate with participants, families, representatives, stakeholders, and internal teams to support effective program operations.
  • Maintain confidentiality and comply with HIPAA, DSS requirements, and CCC policies and procedures.
  • Perform other duties as assigned to support program operations.
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