HOME/COMMUNITY BASED SERVICES REFERRAL COORDINATOR - HEALTH PLAN SERVICES Job Number: 00125645
Job Posting : May 3, 2021, 10:19:46 PM Closing Date : May 18, 2021, 4:59:00 AM Full-time A.M. P.M.
Collective Bargaining Unit: AFSCME 1111 Health and Hospital Systems Posting Salary: $21.850/HOURLY
Organization: Health and Hospital Systems
LOCATION: JOHN H. STROGER HOSPITAL/ HEALTH PLAN SERVICES
SHIFT: VARIOUS SHIFTS
Working with a team of Home/Community Based Services (HCBS) Waiver staff members, the HCBS Referral Coordinator assists with the completion of the administrative tasks to support the requirements of the Department of Rehabilitation Services (DRS) and Department of Aging (DOA). Timely completion of forms, authorizations and data entry supports the provision of care and timeliness of services. The referral coordinator also responds to vendor questions regarding authorizations and service plans in a timely manner. MULTIPLE VACANCIES
High School Diploma or GED is required. (Must provide proof at time of interview)
A minimum of two (2) years of experience in claims processing or utilization review is required.
A minimum of one (1) year of managed care experience is required.
A minimum of one (1) year of experience using electronic systems to retrieve or review data is required.
A minimum of one (1) year of experience with a health care organization is required.
KNOWLEDGE, SKILLS, ABILITIES and OTHER CHARACTERISTICS:
Knowledge of LTSS program requirements
Knowledge of managed care concepts
Strong oral and listening skills
Ability to effectively prioritize
Ability to communicate effectively to solve problems within scope of responsibility
Focuses on team accomplishments
When applying for employment with the Cook County Health & Hospitals System, preference is given to honorably discharged Veterans who have served in the Armed Forces of the United States for not less than 6 months of continuous service
To take advantage of this preference a Veteran must :
* Meet the minimum qualifications for the position .
* Identify self as a Veteran on the employment application by answering yes to the question by answering yes to the question, "Are you a Military Veteran?"
* Attach a copy of their DD 214, DD 215 or NGB 22 (Notice of Separation at time of application filing. Please note: If you have multiple DD214s, 215s, or NGB 22S, Please submit the one with the latest date. Coast Guard must submit a certified copy of the military separation from either the Department of Transportation (Before 9/11) or the Department of Homeland Security (After 9/11). Discharge papers must list an Honorable Discharge Status. Discharge papers not listing an Honorable Discharge Status are not acceptable
A copy of a valid State ID Card or Driver's License which identifies the holder of the ID as a Veteran, may also be attached to the application at time of filing.
If items are not attached, you will not be eligible for Veteran Preference
VETERANS MUST PROVIDE ORIGINAL APPLICABLE DISCHARGE PAPERS OR APPLICABLE STATE ID CARD OR DRIVER'S LICENSE AT TIME OF INTERVIEW.
Medical, Dental, and Vision Coverage
Basic Term Life Insurance
Pension Plan and Deferred Compensation Program
Employee Assistance Program
Paid Holidays, Vacation, and Sick Time
100% Tuition Reimbursement for nursing-related programs
You may also qualify for the Public Service Loan Forgiveness Program (PSLF)
MUST MEET ALL REQUIRED QUALIFICATIONS AT TIME OF APPLICATION FILING.
Degrees awarded outside of the United States with the exception of those awarded in one of the United States' territories and Canada must be credentialed by an approved U.S. credential evaluation service belonging to the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE). Original credentialing documents must be presented at time of interview.
*Please note all offers of Employment are contingent upon the following conditions: satisfactory professional & employment references, healthcare and criminal background checks, appropriate licensure/certifications and the successful completion of a physical and pre-employment drug screen.
*CCHHS is strictly prohibited from conditioning, basing or knowingly prejudicing or affecting any term or aspect of County employment or hiring upon or because of any political reason or factor.
COOK COUNTY HEALTH AND HOSPITALS SYSTEM IS AN EQUAL OPPORTUNITY EMPLOYER.
ABOUT COOK COUNTY HEALTH (CCH)
The Cook County Health’s mission is to deliver integrated health services with dignity and respect regardless of a patient’s ability to pay; foster partnerships with other health providers and communities to enhance the health of the public; and advocate for policies that promote the physical, mental and social wellbeing of the people of Cook County.
CCH is comprised of two hospitals, John H. Stroger, Jr. Hospital and Provident Hospital, a robust network of more than a dozen community health centers, the Ruth M. Rothstein CORE Center, the Community Triage Center, the Cook County Department of Public Health, Cermak Health Services, which provides health care to individuals at the Cook County Jail and the Juvenile Temporary Detention Center, and CountyCare, a Medicaid managed care health plan.
The system cares for more than 300,000 patients each year and its physicians are experts in their fields, committed to providing their patients with comprehensive, compassionate and cutting-edge care. Today, CCH is transforming the provision of health care in Cook County by promoting community-based primary and preventive care, growing an innovative, ...collaborative health plan and enhancing the patient experience.
COOK COUNTY HEALTH IS AN EQUAL OPPORTUNITY EMPLOYER
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