Intake and Eligibility Manager

The Intake and Eligibility Manager will provide for all functions of the departmental responsibilities and processes including as defined by He-M 505 including: receive referrals; assist individuals and their families/legal representatives in completing an application for eligibility in accordance with all applicable State laws and regulations; process applications for eligibility determination. The I/E Manager will be responsible for processing such applications through comprehensive file review and/or assessment to determine eligibility under state regulations. The Manager will oversee Transfers to and from Region 7 and will perform/facilitate standardized functional evaluation when needed. The Intake and Eligibility Manager will be responsible for data collection and tracking related to referrals intakes eligible and ineligible determinations and other metrics as assigned.

Pay: $25-$30/hr.

Hours: 8am-4pm or 8:30am-4:30pm

Essential Responsibilities:

Providing office presence and availability during business hours to receive and respond to referrals by potential applicants and external stakeholders tracking relevant data

Assist applicants/families and/or client representatives in making written application for eligibility determination in accordance with He-M 503.04 and/or He-M 522.03(a) and in accordance with Area Agency Standards and Policies

Assist and/or guide individual/family/guardian in obtaining pertinent records (evaluations assessments) and other relevant documentation that support and substantiate the individuals application and/or which allows the Area Agency to determine eligibility.

Review each application for services and relevant records being able to distinguish presence if necessary data and/or provide list of missing information.

Ensure that the Area Agency adheres to eligibility determination timelines stated in He-M 503.05(d) and/or He-M 522.06(a) apply for extensions when appropriate and document actions and timelines accordingly.

Arrange for and coordinate comprehensive screening and evaluation of each client determined to be eligible in accordance with He-M 503.05 and/or He-M 522.06(a); this may include facilitating standardized interviews

Meet with individual/family/guardian to determine services needed and approximate time frame of when services will be needed (i.e. Case Management Family Support Day Program etc.)

Notify applicant/representative of eligibility findings in writing (HeM 503.05 (h) and/or (HeM 522.06(b)

Remain informed of appeals process and represent the Agency at an appeal when individual/guardian files an appeal; meet with Agencys legal counsel gather additional documentation prepare and file documentation with Administrative Appeals Unit and attend hearings.

Demonstrate general working knowledge of steps for Medicaid applications and Probate Court guardianship petitions; have a general understanding of legal roles defined therein.

Refer clients to all appropriate internal or external relevant community resources

Ensure that clients needs and rights during referral/eligibility process are considered and documented

Understand initial service planning steps such as to refer eligible clients with families to Family Support department to determine need for respite services and/or other services

Maintain documentation data entry and documentation storage processes defined by the Agency.

Oversee completion of transfer process between regions: review documentation meet with identified parties gather additional documentation as needed

Other duties and responsibilities as assigned by Supervisor

Qualifications:

Education and Experience

Masters Degree preferred Bachelors Degree required as well as experience in the Human Services field

Minimum of 2 years experience working with developmentally disabled persons preferred; sensitivity to the needs of the Intellectual Disability population their families and representatives

Proficiency in Microsoft Office Suite and database systems

$100000/300000 Automobile Liability Insurance

Valid drivers license and access to a safe operating vehicle during scheduled working hours

Skills and Abilities

Demonstrate a commitment to The Moore Centers values

Competency in reviewing and understanding documentation that summarizes functional or diagnostic profiles.

Ability to review understand and comply with all state agency and department policies and procedures

Work independently and as part of a team both with internal and external stakeholders

Interact effectively with people of varied educational socioeconomic and ethnic backgrounds skill levels and value systems

Exhibit superior customer service skills including mediation skills and the ability to maintain a professional demeanor amid crisis

Possess excellent organization and time management skills with a variety of tasks

Demonstrate flexibility with evolving processes and systems (both internally and within the system)

Demonstrate proficiency in Microsoft Office including Word Excel Outlook and the ability to master new software

Demonstrate creative innovative thinking and problem solving including delegation of relevant administrative tasks