POSITION MAY INCLUDE UP TO $5,000 SIGN ON BONUS!
Position Summary
The Outreach/Care Connection Specialist is responsible for promoting ACA/NY’s mission and services by attending/organizing outreach events at schools, provider agencies, and referral sources as well as enrolling eligible new members into care management services at ACA/NY. The Outreach/Care Connection Specialist is also responsible for ensuring the outreach activities necessary are executed to expedite enrollment and engage and facilitate steps for enrollment with prospective members to receive services from the designated Care Coordination Organization (CCO) and OPWDD HCBS Waiver services. This position is responsible for ensuring compliance and quality standards are met, as well as to upholding agency policy and practices.
ACA/NY is a 501(c)(3) not for profit organization that has been designated as a Care Coordination Organization/Health Home (CCO/HH) by New York State. ACA/NY is dedicated to meeting the needs of people with Intellectual and Developmental Disabilities by providing comprehensive care management and coordination of service. ACA/NY supports 25,000+ people in
Duties and Responsibilities
Outreach:
• Plan, develop, and execute community outreach for new applicants, including but not limited to distributing brochures, speaking to community groups, engaging with OPWDD/local DDROs.
• Cultivate relationships with school districts/Transition Coordinators, facilitate presentations with districts and families to educate and inform about services ACA/NY offers to young adults and timeframes for enrollment.
• Develop and maintain working relationships with OPWDD Regional Office(s), specifically the Agingout/Transition Coordinators, with the goal of ensuring that ACA/NY is positioned as a responsive CCO when a referral is needed.
• Work in partnership with the Director of Member Engagement and Marketing Strategist to create marketing and informational ACA/NY materials for distribution and presentations as requested.
• Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy. Complete all required trainings.
• Travel throughout the designated service area to meet with people interested in receiving services as needed, to support expedited enrollment.
• Maintain confidentiality.
• Perform other duties as assigned.
Care Connection:
• The Care Connection Specialist is responsible for assisting the person/family/advocate with the formal CCO intake and enrollment process. The Care Connection Specialist/Care Manager is responsible for informing the individual/family about Health Home Care Management, as well as HCBS Basic Plan support, and assisting them in making an informed choice.
• Reviews criteria for OPWDD eligibility, and CCO Eligibility/Enrollment process with the person, and / or family member/advocate.
• Assists family with navigating OPWDD eligibility application process, and LCED application process. Obtain all necessary documentation, and when it is missing, facilitate missing assessments with community services providers
• Reviews and Completes Health Home / CCO DOH enrollment forms with person/family. Completes HH CCO program enrollment within the OPWDD CHOICES system.
• Updates and maintains Intake Database, including tracking of required documents such as but not limited to; Eligibility, LCED, Letter of Introduction, (if applicable) Medicaid, DOH HH Consent forms.
• Maintains all relevant documents and documentation in Person’s record, including all phone contacts, correspondence, assessments, and reports.
• Complete all necessary paperwork related to enrollment, transfer, and discharge to/from the program.
• Support with community outreach, as needed, to connect with those individuals who are interested in information regarding CCO enrollment.
• Complies with OPWDD and DOH regulations pertinent to Care Coordination.
• Reports to supervisor and/ Care Connection management team the status of intakes.
• Establishes and maintains a community network between service providers internal and external to the Agency.
• Attends all required training in accordance with Agency and Departmental policies and procedures.
• Serves as a mandated reporter by reporting incidences of abuse, neglect, and maltreatment, and follows ACA/NY OPWDD untoward incident reporting procedures.
• Adheres to standard safety practices of job, department, and Agency policies and procedures related to safety.
• Provide support to ensure the correct type of Medicaid is secured to receive OPWDD eligible services. This may include completion of Medicaid applications, parental deeming, support with processing, follow up activities as needed.
• Work with supervisors to support capacity management and to identify current availability by region.
• Provide information to supervisor for enrollment trend reporting.
• Participate in planning activities with the Care Management team and share recommendations for ensuring seamless enrollment.
• Form and maintain working relationships with all OPWDD Regional Offices, with the goal of ensuring that ACANY is positioned as a responsive CCO when a referral is needed.
• Provide referral information for those who require a different service model.
• Attend department/team meetings, trainings, supervisions, etc. as scheduled and in accordance with agency practice and policy. Complete all required trainings.
• Travel throughout the designated service area to meet with people interested in receiving services as needed.
• Maintain confidentiality.
• Perform other duties as assigned.
This job operates in a remote and office environment, at an approximate ratio of 90% remote work (home, field, non-ACA/NY office settings) and 10% in-office.
This role consistently uses standard office equipment such as computers and phones in remote and office-based settings. This role also intermittently uses standard office equipment such as photocopiers, filing cabinets and fax machines in office-based settings. If such equipment is not available within remote locations, office visits will be necessary to support with these functions.
The noise level in the work environment is usually moderate. Travel to off-site locations required; therefore, the incumbent must be comfortable driving or using various forms of public transportation to reach destinations.
ACANY provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, the organization complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, training, and all other legally protected classifications.
