Position Overview:   Coordinates access to managed care networks, insurance eligibility/verification/transfers and assist with referrals as needed for children in foster care and in residential treatment.

 

Position Qualifications: Experience, expertise, and knowledge of:

Managed Care policies and operations Medical/Clinic Front/Back-office experience including EHR. Some exposure to unique complex needs of the specialized populations/medically fragile.Prior authorizations Medicaid Treatment Planning and Discharge Planning staff must comply with all the following:Be at least 21 years of age.Meet educational requirements of at least a bachelor’s degree or high school diploma or equivalent experience.Required background checks:NYS Statewide Central Register of Child Abuse and Maltreatment (SCR)NYS Sex Offender Registry (SOR)NYS Division of Criminal Justice Services (DCJS) fingerprintingNYS Justice Center Staff Exclusion List (SEL)NYS OMIG Medicaid Exclusion ListReceive training that is commensurate with the intensity, scope, and duration of the needs of the children served. Training must include the following:Mandated reporterRisk and safetyTrauma-informed careFamily engagementBasic child developmentCurrent certification by the American Red Cross (or an equivalent) in First Aid and cardiopulmonary resuscitation (will certify upon hire if needed)Additional training for health care needs of children which are age and need appropriate.Maintain a valid NYS driver’s license, if operating a motor vehicle

The Children’s Village does not discriminate against any employee, prospective employee or contractor because of race, color, religion, sex, sexual orientation, gender identity, gender expression, creed, age, national origin, citizenship status, physical or mental disability, marital status, veteran status, genetic predisposition, domestic violence victim status, criminal conviction history or any other protected classification under federal, state or local law.