Good Shepherd Services · 3 months ago
Medicaid Managed Care Liaison
New York, NY, US
Full-time
Onsite
Entry, Mid LevelGood Shepherd Services is dedicated to providing health services and support for children in foster care. The Medicaid Managed Care Liaison will coordinate health care services between Good Shepherd Health Services and Medicaid Managed Care Plans, ensuring effective communication and management of health care access for children in foster care.
CharityConsultingNon Profit
Responsibilities
Coordinate health care services and benefits with the following: 1. 29-I VFCA Health Facilities treatment team 2. MMCP’s foster care liaison 3. LDSS’s managed care foster care liaison 4. Health care providers, including school and community-based services 20 VFCA HEALTH FACILITIES LICENSE GUIDELINES DECEMBER 2024
Inform and coordinate with the MMCP when a child’s primary care provider needs to be changed
Be the primary contact person for the MMCP to assist with the following: - MMCP enrollment, disenrollment, and transitions - Immediate issuance of a Welcome Letter - Securing identification showing the effective enrollment date (including immediate temporary identification)
Replacement insurance identification card
Assist with foster care placement changes including: - Access to health care - Facilitate a single case agreement when a child is placed outside of the MMCP’s service area or provider network
Interact with clinical and billing staff
Refer children for needed services and assist in provider selection
Maintain eligibility for public or private health insurance
Assist with consent and/or confidentiality issues
Oversee all Medicaid business functions
Assist with court ordered services and fair hearings Central to the VFCA Medicaid Managed Care Liaison role is communication, both internally and externally. The 29-I VFCA Health Facility will communicate with MMCPs using secure phone, fax, and email
The 29-I VFCA Health Facility will develop and implement a system of communication and notification with MMCPs that includes:
Mechanisms for sending and receiving information, including new enrollments or dis-enrollments from MMCPs
Foster care intake and discharge status
Changes in placement or address
Changes in health status or provider This system of communication will include the use of the Medicaid Managed Care Foster Care and 29-I Transmittal Form which must be used for any of the following situations within required timeframes
Qualification
Required
High School Diploma/GED Required
Must have experience with Medicaid Managed Care
Must have experience, expertise, and knowledge of the child welfare system & foster care healthcare requirements
Understanding of the unique complex needs of the foster care population
Familiarity with Medicaid Managed Care policies and procedures
Ability to clearly communicate both in writing and verbally
Proficient in Microsoft Office (MS Word & Excel) Outlook Required
Preferred
Associate Degree is preferable
Company
Good Shepherd Services
Good Shepherd Services provides social services and support for children, youth and women from vulnerable communities.
Founded in 1857
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Diana Noriega
Chief Anti-Racism and Equity Officer
Elizabeth Garcia
Chief Program Officer, Community Based Programs
Company data provided by crunchbase