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Center for Human Development Enrollment Specialist in Pittsfield, Massachusetts

Receives enrollee referrals, electronically and telephonically from MassHealth, ACOs, MCOs, and community providers - Reviews EHR portal throughout the day and develops a revolving call schedule to ensure that enrollees are assigned a Care Coordinator within five business days - Verifies eligibility for CP services with MassHealth or the applicable ACA - Applies decision tree to assign enrollees to appropriate CP treatment teams - Initiates recruitment contact to enrollees, either by phone calls or conducts outreach visits to enrollees? homes or community settings - Utilizes multiple vehicles in order to obtain updated contact information for enrollee - Introduces enrollee to the ICP program - Assigns enrollees using established protocols and criteria - Responds to enrollee questions and concerns in a timely manner, provides enrollee handbook and has enrollee review, understand and sign participation form and any other Community Partner program information - Verifies demographic and insurance information of enrollees - Establishes electronic health record for enrollees - Schedules initial visit for Care Coordinator - Facilitates communication between enrollee and care team members Expectations: Outreaching to various communities - Connecting with different agencies to assist with enrollment - Signing up enrollee?s on our assignment list - Knowledge of ICP and being able to talk about it. - Ability to work with people from different backgrounds. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor?s legal duty to furnish information. 41 CFR 60-1.35(c)