Program Enrollment Assistant
About The Position
The Program Enrollment Assistant works within the Georgia Medicaid Management Information System (GAMMIS) to extract level of cares for individuals who meet criteria for program enrollment. This person works directly with Community Care Services Program (CCSP) and Service Options Using Resources in Community Environment (SOURCE) nursing staff to improve the denial rate of enrollees seeking placement onto CCSP and SOURCE. The Program Enrollment Assistant reports directly to the Health Programs Director for procedural updates and continuing education.
Requirements
- High school diploma or equivalent required.
- Ability to communicate and coordinate effectively with clients, family members, service providers, other agency staff, and care coordination staff.
- Possess leadership abilities to guide and educate personnel.
- Proficient computer skills with ability to learn agency systems.
- Well organized and detail oriented.
- Knowledge of community organization and service system development.
- Knowledge and understanding of the CCSP and SOURCE programs.
- Valid State Driver’s License
Nice To Haves
- Associate’s or bachelor’s degree highly considered
- current valid Georgia RN License
Responsibilities
- Extracts Level of Care (LOC) determinations from GAMMIS
- Works directly with field staff on processing of denials
- Gathers information for field nurses, as requested
- Follows up on denials weekly
- Presents common denials at monthly team meeting to encourage nurses toward ways to improve denial rate
- Uploads requested information into GAMMIS for level of care reconsideration
- Ensures assessment packages are complete prior to releasing assessments to case management
- Composes weekly medical director agendas
- Updates Index Card System to assists the Health Programs RN Team Leader in monthly assessment assignments. Discusses any discrepancies with Health Programs RN Team Leader
- Scans LOCs to support staff, brokering personnel, Medicaid Specialists, and program employees
- Assists brokering personnel by scanning and emailing initial assessment packets
- Assists case management by scanning and emailing reassessments packets to providers
- Under the direction of the CCSP Program Manager, assigns case management roles in Wellsky
- Assists case management by scanning and emailing initial and reassessment packets to providers
- Updates Alliant Roster and SOURCE Roster
- Under the director of the SOURCE Program Manager, assigns case management roles on the SOURCE Roster.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
51-100 employees
