Long Term Care Services Specialist

FLSA STATUS: Not-Exempt

Location: Tampa FL; Hybrid role

About Leeds Resources:

At Leeds Professional Resources, our priority is client and candidate customer service. We want our clients to feel that they have received the best customer service experience from start to finish of the recruitment process.

We pride ourselves on taking the time to understand the client’s business and the challenges that an organization incurs on a daily basis.

About our Client

Our client is a reputable resource center for senior citizens and is committed to excellence for their client base. Their staff of professionals work closely with seniors, their families, and help to identify and locate any services they need.

The team is looking to add an additional Long Term Care Services Specialist to the growing team. This role is a temp to perm role (Pending performance) and will be in a HYBRID role after three to four weeks of training on site. This role is an hourly based position and will be eligible for overtime payment.

Position Description:

• Accepts referrals from the Elder Helpline, as well as other resources for intake and screening as assigned by the Long Term Care Services (LTCS) Coordinator and/or Manager.
• Refers individuals in need of community resource assistance to the Elder Helpline. Determines the individual’s needs and screen for potential eligibility for Medicaid related services utilizing a standardized screening instrument.
• Provides efficient, timely and consumer friendly services to facilitate the eligibility application and review process; Verifies an individual’s current Medicaid eligibility status for purposes of the Medicaid eligibility process.
• Explains Medicaid eligibility rules and the Medicaid eligibility process to prospective applicants.
• Conducts comprehensive screening on Medicaid probable individuals on the Assessed Priority Consumer List (APCL)
• Inputs client assessments into CIRTS (Client Information and Registration Tracking System).
• Posts information in the enrollment and termination screens of CIRTS to update the APCL as needed.
• Provides necessary forms and package all forms in preparation for Medicaid eligibility determination.
• Gathers information related to the application and eligibility determination for an individual, including resource information and third party liability information, as a prelude to submitting a formal Medicaid application.
• Assists individual in collecting and gathering required information and documents for the Medicaid application, this assistance may be provided in the individual’s home.
• The activity includes assisting the potential applicant, as a secondary resource to family members and care providers, in gathering information and completing an application for Medicaid benefits.
• Refers the individual to the local (or ADRC collocated) Department of Children and Families/Automated Community Connection to Economic Self-Sufficiency (DCF/ACCESS) staff to make application for Medicaid benefits.
• Coordinate with these staff regarding eligibility matters for Medicaid eligible or potentially eligible individuals.
• Assists in obtaining the Physical Referral form (3008) for Medicaid Waiver probable individuals and coordinate with CARES (Comprehensive Assessment and Review for Long Term Care Services) staff for determination of functional eligibility.
• Collects, reviews and maintains accurate Medicaid eligibility determination tracking data to ensure completeness, accuracy and timeline.
• Tracks Medicaid applications through the eligibility process. Contacts individuals on the APCL as required to update information and screen for Medicaid eligibility.
• Participates in meetings with DCF, CARES and other entities as appropriate to facilitate and enhance the Medicaid eligibility determination process.
• Acts as a consumer advocate by coordinating with CARES and DCF/ACCESS staff to resolve in a timely manner any eligibly issues that arise during the Medicaid eligibility determination process.
• Standardizes and makes consistent outreach efforts to ensure public awareness of Medicaid programs and services and how to access them.
• Develops, compiles and distributes materials to inform individuals about the Medicaid programs, as well as how and where to obtain those benefits. Note: This activity does not include compiling information already available through the Medicaid agency or Department of Elder Affairs.
• Builds relationships with and educate service providers, professional entities and other professionals, such as hospital discharge planners and nursing home social workers, to facilitate referrals and increase awareness of Medicaid resources.
• Regularly meets with and training ADRC access points to increase awareness of Medicaid resources to individuals and target populations.
• Performs other Medicaid-related duties as assigned; which may include counseling disaster victims about Medicaid programs options and the eligibility process.
• Performs other related duties as required.

Minimum Qualifications:

• Bachelors Degree; or Associate Degree and two (2) years of experience; or High School Graduate or Equivalent and four (4) years of experience
• Successful completion of applicable background screening required