EPSDT RN Coordinator

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Aloha Care’s leadership empowers and engages its employees by recognizing outstanding job performance and collaboration. We share organization-wide updates during quarterly All Staff meetings. We encourage participation in volunteer and educational opportunities. We put a high value on honesty, respect, and trust-building. We encourage open-door, two-way, and frequent communication.

Aloha Care’s comprehensive benefits package includes low-cost medical, dental, drug and vision insurance, paid time-off, 401k employer contribution, referral bonus and pretax transportation and parking program.

The EPSDT (Early, Periodic, Screening, Diagnostic, and Treatment) RN Coordinator serves as a liaison between the Med Quest Division (MQD) and Aloha Care via the EPSDT Advisory Committee. This role ensures timely access and coordination of services for all members who qualify for the EPSDT Medicaid benefit.

• Coordinates EPSDT program for the health plan
• Attends all EPSDT Advisory Committee meetings chaired by MQD and effectively communicates relevant information back to appropriate business owners within the health plan
• Develops Desk Level Procedures (DLPs) and revises Aloha Care policies and procedures for EPSDT.
• Ensures that all State mandated reports for EPSDT (CMS 416) and dental reports are completed in a timely manner
• Responsible for developing and implementing EPSDT Program and EPSDT Program Evaluation
• Collaborates with Population Health Management and other internal departments for Keiki Wellness and other services
• Represents Aloha Care at community EPSDT functions that are congruent with Aloha Care’s mission and goals.
• Serves as a resource for providers and AC staff to improve EPSDT services.
• Attends coalition meetings of groups related to pediatric health care to remain current with health issues and trends.
• Identifies community and other resources available to meet pediatric preventive health needs.
• Provides annual training to providers/staff on EPSDT.
• Educates providers through mailings and Provider Newsletter articles and Provider Manual.
• Educates and coordinates care for members related to EPSDT services.
• Coordinates member care when requested by PCPs for members who are delayed in receiving EPSDT visits, immunizations, or follow-up.
• Identify members with delayed EPSDT services from state mandated reports or site visits, and follow-up with PCP’s or members.
• Educates targeted members through phone calls as needed.
• Participates in Quality Improvement activities (including HEDIS, CAHPS, etc.)
• Facilitates EPSDT document preparation and maintenance, which enables prompt response to requests for reports concerning EPSDT. This includes clinical studies, regulatory agency audits, and surveys that apply to EPSDT.
• Analyzes specific reports and studies for variance and other statistical data, outlier reporting of findings and recommendations for QI activities related to EPSDT.
• Participates in facility and medical record review audits as needed, particularly for providers who have not met standards in previous EPSDT medical record reviews
• Drives target outreach related to MQD EPSDT requirements (i.e. mass mail outs, communications etc.)
• Coordinates with State and other programs
• DOH - Children with Special Needs
  • Transition for EIS (Early Intervention Services)
  • Community Integration Services Plus (CIS+)
    • Coordination of dental screening and diagnostic services in the thirty (30) days prior to release or as soon as is practicable following release; and
    • Targe…