CMA Case Aide

Compensation Range

--

Job Description Summary

--

Job Description

Administrative Support - 25%

• Performs a variety of basic clerical duties that include data entry imaging mail distribution and copying.
• Assembles and distributes informational packets forms and medical information requests.
• Pickups or delivers documents or forms or other routine duties using own vehicle within Weld County.
• Assists with meeting preparation to ensure adequate seating technology provision and materials available.
• Answers incoming calls and efficiently and accurately identifies the callers need. Directs caller to the proper department employee in a customer focused manner.
• Monitors various meetings and committees to ensure case managers and/or providers are not double booked.

Intake and Eligibility Support - 25%

• Understands CMA program rules and regulations and provides information to individuals requiring qualification information and/or documentation.
• Asks questions to discern all relevant facts and gather as much information as possible to prepare member file.
• Creates files for all verified and certified members.
• Compiles tracks and distributes enrollment paperwork.
• Accepts referrals of potential members by phone in-person or other forms of communication.
• Enters all member information into tracking system for case assignment.
• Supports individuals and families with application process to ensure the application is received and reviewed for eligibility determination.
• Assists in resolving eligibility issues.
• When all member information including financial information has been received may assign case to appropriate Case Manager according to unit guideline and case volume.
• Assists with developing and distributing approval/denial letters to members families and guardians.
• Assists with transition of members appropriately between case managers and CMA programs.
• Send various medical information documents to physicians; track receipt of completed documentation; follow up with physicians office until received.

Case Management Support - 40%

• Assists the Case Managers with requesting collecting and/or distributing documentation needed for a multitude of tasks across the various waiver and/or State General Fund programs.
• Tracks data using internal tracking system and notifies appropriate staff of any updates within required timeframes.
• Develops a comprehensive system that tracks eligibility redetermination (RRR) dates and notifies Case Manager of the need for completion of the renewal paperwork by member or legal representative.
• Uses computerized tracking system to follow-up with Medicaid technician if financial information has not been received.
• Receives referrals for services from Case Managers and distributes to providers in accordance with procedural requirements.
• Effectively utilizes State prescribed computer system(s).
• Enters all case activity into computerized State data base.
• Documents all member contact information requests and follow-up activity in appropriate data base.
• Tracks incident reports being reviewed to assist with procedural and timeline compliance.
• Compares services and units to those authorized in the Service Plan and notifies Case Manager of any discrepancies.
• Distributes bus passes to members whose service plan allocate this service.
• Develops and uses reports that may be helpful in continuity of care across programs.
• Acts as a liaison between the member CMA and both internal and external community partners regarding Medicaid Long Term Care programs.
• Conduct and track annual satisfaction surveys for all members and families in Family Support Services Program (FSSP) and State Supported Living Services (SLS).
• Sends allocation letters and monthly verification of use to service providers.
• Tracks service activity and verification and refers any nonuse to appropriate Case Manager.
• Updates provider lists with current information.
• Review monthly progress notes from providers and update system with start dates of new services when applicable.

Professionalism and Teamwork - 10%

• Participates in a positive and value-added manner with both internal and external professional partners.
• Stays informed by participating as appropriate in all team unit and division meetings attends or views recordings for department updates and reads county wide messaging.
• Participates as a team member of the department establishing and maintaining a high degree of cooperation with coworkers.
• Display a willingness to collaborate and problem solve.
• Understands how ones day to day work significantly impacts the teams success.
• Accepts responsibility for own actions and follows through on commitments.

--

Required Qualifications

Required Education

• High School Diploma/GED

Experience Qualifications

• 2 years full-time business or clerical experience in an office environment that includes extensive customer service in a team atmosphere.

Preferred Experience

• Knowledge of community resources and other community-based services for the aging or individuals with disabilities.

Skills and Abilities

• Candidate must possess the ability to learn and apply new computer skills on a regular basis.
• Candidate must possess knowledge of computer programs such as Microsoft Windows and Word Excel and Outlook.
• Candidate must possess the ability to read and comprehend instructions correspondence and department policies and procedures.
• Candidate must possess the ability to keyboard at 35 words per minute.
• Candidate must possess the ability to write correspondence.
• Candidate must possess the ability to effectively communicate with diverse populations in a variety of settings.
• Candidate must possess the ability to apply math concepts and calculations in the work environment.
• Candidate must possess the ability to apply common sense to problem solve in a work environment.
• Candidate must possess the ability to adapt to fast paced high volume and ever-changing work environment and be able to handle high stress situations.
• Candidate must demonstrate the ability to show initiative meet timelines organize work manage time and manage multiple priorities.
• Candidate must pass criminal background check prior to employment start date.

Licenses and Certifications

• Candidate must pass Human Services Background Checks. (Required)
• Candidate must pass a Colorado Adult Protective Services (CAPS) check and will continue to be monitored by CAPS throughout employment. (Required)
• Driving is essential in this position.
• Candidate must have a valid Drivers License and Liability Insurance (Upon Hire Required)
• Candidate must pass a Motor Vehicle Record (MVR) evaluation and if hired will be subject to continuous monthly MVR monitoring throughout employment. Candidate must provide own transportation and be willing to travel as needed to meet the essential functions of the position. (Required)
• Pre-employment substance screening is required for this position.
• This position is subject to a pre-employment drug screening. Employment is contingent upon successfully passing the screening in accordance with Weld County policy.

This position is non-exempt from the minimum wage and overtime requirements of the Fair Labor Standards Act and is therefore eligible for overtime pay.

As an applicant for this position you should be aware of Senate Bill 19-085 the Equal Pay for Equal Work Act. The act requires employers to announce the pay range for job openings.

--

Use the link below to get a closer look at the generous benefits offered:

County is an equal employment opportunity employer. We ensure that all employment practices are conducted without regard to race color religion sex national origin age disability status marital status sexual orientation gender identity or expression genetic information protected veteran status or any other protected status in accordance with federal state and local laws. Weld County pledges to uphold a work environment free from discrimination and harassment promoting fairness and dignity for all employees. We actively take affirmative action to comply with nondiscrimination policies and invite qualified individuals in need of reasonable accommodations to contact our Human Resources Department ator.