Program Coordinator - Community Services
About The Position
The Program Coordinator - Community Services will coordinate the training and implementation of the Community Care Service Program (CCSP) at PruittHealth Home First, Inc. Case Management agencies. This role involves developing training materials, monitoring referrals, managing program development strategies to meet operational goals, and ensuring compliance with contractual, legal, and regulatory requirements for Georgia’s Medicaid Elderly and Disabled Waiver Program (EDWP). The coordinator will provide assistance and guidance to PruittHealth Home First offices to ensure CCSP sites deliver services in accordance with all requirements.
Requirements
- Knowledge of contractual, legal, and regulatory requirements with Georgia’s Medicaid Elderly and Disabled Waiver Program (EDWP).
- Knowledge of all DCH Policy Manuals.
Responsibilities
- Coordinate training and implementation of Community Care Service Program (CCSP) at PruittHealth Home First, Inc. Case Management agencies.
- Develop training courses, training guides, and process workflows for CCPS implementation.
- Monitor referrals and coordinate communication with Area Agency on Aging (AAA).
- Manage and strategize program development for CCSP to grow and meet operational goals and initiatives.
- Demonstrate knowledge of contractual, legal, and regulatory requirements with Georgia’s Medicaid Elderly and Disabled Waiver Program (EDWP).
- Provide assistance and guidance to the PruittHealth Home First offices to ensure CCSP sites deliver services in accordance with contractual, legal, and regulation requirements.
- Submit Programmatic Reports to the Department of Community Health (DCH).
- Generate and review Harmony Advance Reporting (HAR) reports monthly.
- Maintain trackers monthly (Supervisory, Scheduler, Eligibility Checks).
- Demonstrate knowledge of all DCH Policy Manuals.
- Maintain and update PolicyTech documents and forms for CCSP.
- Attend meetings (regional, Care Division, Provider Network Meetings, Train the Trainer).
- Present at Corporate Conferences regarding any CCSP updates.
- Host monthly CCSP calls with all CCSP staff.
- Assist with questions (clients, caregivers, providers, staff).
- Notify offices of No Bill and Billable Late Lock-In.
- Follow up with Medicaid status.
- Follow up on Prior Authorization (PA) billing issues.
- Set-up MOUs with AAAs to receive MFP payment.
- Follow up with Referrals.
- Resolve PA issues.
- Manage user access in Microsoft Teams – Home First.
- Manage user accesses in Harmony – Pruitt CCSP sites.
- Upload pertinent documents from DCH’s Train the Trainer to Microsoft Teams – Home First.
- Coordinate between ADRC and Pruitt Contracting team re: annual MOU contracts for MFP assessments.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
