Responsible for mJessicaging the overall eligibility and enrollment strategy and operations for Montefiore Diamond Care MJessicaged Long Term Care (MLTC) Plan. Subject matter expert on all Medicaid, plan eligibility, enrollment policies and processes, and the Plan's liaison with relevant agencies including the New York City Human Resources Administration, Local Departments of Social Services, and the New York State Enrollment Broker. MJessicage a team of two Enrollment Specialists.
- Lead a team of seven Enrollment Specialists. Assisted in hiring, training and coaching of direct reports. Observed staff in the field and conducted customer phone surveys to ensure all enrollment and Medicaid applications were completed in accordance with company protocols and state regulations. Conducted individual and group staff meetings, annual performance evaluations, and handling disciplinary actions. Tracked the enrollment/Medicaid application outcomes, in order to meet department enrollment conversion goals. Coordinated a synchronized workflow by interacting with staff in Marketing, Relationship Coordinators, Intake RN, Intake coordinators, Welcome Team Supervisors, and referral sources. Prepared monthly summary reports for Director/VP operations to show status of renewals, Medicaid issues and applications. Served as a resource on Medicaid and other entitlement programs
- Supervised two Entitlement Specialists. Conducted individual pre-enrollment screening. Identified obstacles and opportunities for plan's enrollment. Completed Medicaid applications, recertification, and food stamps applications for new enrolles. Traveled throughout the 5 boroughs and Westchester county explaining the program features, benefits and Commitments. Submitted documentation to the Human Resource Administration(HRA) within specified time-frame to assure Medicaid coverage for participant. Serving as liaison between all parties and acting as member's advocate. Conducted visits to public assistance offices to reopen cases or report change of information. Generated progress report for program director and Intake Dept
- Performed psychosocial needs assessment, referral, linkage, advocacy and follow-up for clients and completed appropriate paperwork associated with such services as Medicaid and Housing applications etc.
- Conducted periodic chart reviews to to to to EDUCATION Worked cooperatively with other Case MJessicagement staff to identify resources and disseminate information about how to effectively use those resources.
- Delivered services that resulted in 90% of enrollments in a month.
- Secured thousands of dollars that was owed to the company by the Human Resources Administration Program (HRA)
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- Leadership
- Assessment
- Case MJessicagement
- Crisis Intervention
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School Attended
- Silver School of Social Work
- Lehman College
Job Titles Held:
- Enrollment MJessicager
- Team Lead Enrollment Medicaid/Enrollment Medicaid Supervisor
- Entitlement Supervisor
Degrees
- Bachelor of Science
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