EPD Wavier Case Management Liason

Berhan Home Health Care Agency • Full-time • Washington, DC, US • $22 - $24 / hour • 1w ago

Job Overview
As an EPD Waiver Case Management Liaison, you will play a pivotal role in connecting individuals and families with essential services and resources. Your expertise in crisis intervention, addiction counseling, and behavioral health will empower you to support clients through challenging situations. You will collaborate with various stakeholders to ensure that clients receive comprehensive care tailored to their unique needs, all while fostering a positive and motivating environment.

Essential Functions/Areas of Accountability

Use the DC Medicaid DC Care Connect portal for Care coordination with patients, case managers, HHAs, RNs, and caregivers
Tracking of recertification completed by Case Managers in DCCC, coordinating care regarding recertification as needed, and generating a report from HHC using authorization due tracking.
Completing ePOF in DCCC to Telligen and following up with the physician's office and/or family member for signature
Participate in developing POC/485 with the clinicians, including PCSP.
Update Prior Authorizations (PAs)
Assist with payroll and review timesheets vs. EVV records from Sandata
Submit and manage documents via DC Care Connect.
Submit and follow up on EPPR after submission.
Complete and track EPOFs, InterRAI, and PCSP submissions
Coordinate with Comagine and Telligen for authorizations
Report incident SRI and RI within 24 hours and follow up appropriately in DC Care Connect to close out
Support general administrative and office duties.
Reviews client referral information and responds suitably to requests and inquiries.
Collaborate with the clinical supervisor to determine the client's eligibility and appropriateness for home care service
Determines the appropriateness of referral for home care services and responds according to Agency policy and standard guidelines.
Consider the physical, psychological, and socioeconomic needs of the client, the level of family acceptance, and the ability to meet these needs within the home.
Collaborate with physicians, other healthcare professionals (including therapists, social services, pastoral care, and supportive services), clients, and families to develop a comprehensive and coordinated plan of care.

Why you’ll love it here
We are dedicated to fostering an environment where our employees can thrive both personally and professionally. Our commitment extends beyond just the workplace; we offer a supportive atmosphere that encourages growth, development, and well-being.

Job Type: Full-time

Pay: $22.00 - $24.00 per hour

Expected hours: 40 per week

Benefits: