Social Worker​/Medicaid waiver Coordinator

Remote Medicaid waiver Service / Incident Coordinator openings with a Major Health Plan / Managed Care Company based in the state of Ohio! Starting ASAP!!

Remote but Must live in Ohio (anywhere in Ohio welcomed).

Hours:

8AM-5PM EST No OT. Pay Rate: $20 – $28 hourly (determined on experience / licensure).

• Review both critical and reportable incidents submitted for MyCare Waiver members, MyCare Specialized Recovery members and critical incidents for Medicaid members;
  These incidents will then be placed into Ohio’s Incident Management System;
  The individual will either substantiate or unsubstantiate reportable incidents on the MyCare side and all critical incidents on the Medicaid side.
• Review member’s Tru Care chart, and any medical records available; contact member, family members, providers and appropriate community agencies as needed.
• Work with the care management team for submission of prevention plans, HSAP’s and any pertinent information.
• Work with Ohio’s assigned vendor, PCG (Public Consulting Group) and provide needed information as requested for MyCare’s critical incidents.

• Employee is expected to submit incidents and ensure that these are followed through and closed within the time period given in MyCare’s 3-way contract CMS and Ohio Department of Medicaid and Medicaid’s contract with the state of Ohio

• Waiver Service Coordinator, LPN or social worker with knowledge of Ohio’s MyCare, investigator

• Knowledge of Ohio MyCare Waiver
• Education/License Requirement: LPN, BSW, MSW, or LPC
• Basic computer skills with ability to maneuver efficiently through programs
• Efficiency with Microsoft and ability to move through programs

• Working with multiple programs concurrently

• Full benefits available after 90 days: Medical, Dental, Vision, Life, Short-term Disability
• 401k after 1 year of employment: With employer match and profit sharing
• GREAT Hours! Monday through Friday, 40 hours per week
• Competitive Pay Rate!

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