The CFC Non-Waiver Coordinator serves as the primary point of contact for Individuals, families, and Managed Care Organizations (MCO's) navigating the intake process for Community First Choice (CFC) services. This position is responsible for conducting initial screenings, requesting and gathering eligibility documentation, managing referral and renewal tracking, coordinating eligibility-related activities, and providing information regarding available services and community resources.
Job Duties:
- Intake and Screening
- Serve as the primary contact for incoming CFC Non-Waiver referrals received through LIDDA Connect tracking systems.
- Conduct initial screenings and gather information necessary to begin the eligibility process.
- Provide information regarding available services and complete interest list additions as appropriate.
- Eligibility and Documentation
- Request, collect, review, and maintain documentation necessary to support eligibility determinations.
- Verify receipt of required records, including psychologicla evalutaions, medical records, and other supporting documentation.
- Assist in determining functional eligibility and level of care requirements.
- Assessment Coordnation
- Coordinate diagnostic eligibility assessments as needed.
- Complete ICAP assessments and related documentation when required.
- Monitor assessment and reassessment timelines to ensure timely completion.
- Collaboration and Coordination
- Work closely with Medicaid Managed Care Organizations (MCO's) to facilitate access to Non-Waiver CFC Services.
- Communicate effectively with individuals, families, providers, and community partners regarding eligibility and service options.
- Coordinate referrals and facilitate connections to appropriate resources and services.
- Data Management and Compliance
- Utilize interna and external data management systems ro register appkicants, maintian records, and track referral and reaasessment activities.
- Ensure all doucmentaion is accurate, complete, and maintained in accordanced with HIPAA and agency requirents.
- Maintain spreadsheets and tracking systems related to referrals, renewals., and program activities.
- Information and Referral
- Provide accurate information regarding non waiver CFC services and eligibility requirements.
- Identify and refer individuals to alternative community resources and supports when appropriate.
- Promote a positive customer service experience for individuals and families seeking assistance.
Minimum Qualifications:
High School Diploma or GED; Valid Texas Driver's License, Personal automobile insurance as required by the State of Texas.
Preferred Qualifications:
Bilingual (English/Spanish). Experience working with individuals with Intellectual and Developmental Disabilities (IDD). Experience in intake, benefits coordination,e ligbility determination, service coordination, case management, continuity of services, or related human services roles. Knowledge of Medicaid programs, Managed Care Organizations, Community First Choice, and IDD Service systems. Experience utilizing electronic health records, atse reporting systems registry databases, or similar data management systems. Experience coordinating assessments, gathering eligibility documentation, and tracking referrals or renewals.
Knowledge, Skills, and Abilities:
- Strong verbal and written communication skills.
- Ability to communicate professionally and effectively with individuals, families, providers, and community partners.
- Strong organizational skills and attention to detail.
- Ability to manage multiple deadlines and monitor timelines accurately.
- Ability to maintain confidentiality and comply with HIPAA and other applicable privacy requirements.
- Proficient computer skills, including Microsoft Word, Excel, Outlook, and data management systems.
- Ability to collect, organize, and maintain accurate records and documentation.
- Ability to work independently and collaboratively with internal and external stakeholders.
Salary: $18.11 per hour
Schedule: Monday - Friday 8:00am to 5:00pm
Employee Benefits at Full-Time Include:
- Employer-Cost Sharing of Health Insurance (Plus 50% of Elected Dependent Coverage)
- Employer-Paid Short-Term Disability Insurance
- Employer-Paid Term Life Insurance
- Employer-Match Retirement Contributions (Up to 5% of Base Salary)
- Optional Dental, Vision, Life and Long-Term Disability Insurance
- 13 Paid Holidays per Year
- 2 Weeks of Paid Vacation Leave per Year with Graduating Accrual Rate
- 2+ Weeks of Paid Sick Leave per Year
- Public Service Loan Forgiveness
- Tuition discounts for select Colleges