Job Description
Job title : Pregnancy Promise Program Project Specialist
Location: Indianapolis, IN
Contract : 8 + Months
Essential Duties /Responsibilities:
Required /Desired :
Location: Indianapolis, IN
Contract : 8 + Months
- The mission of the Family and Social Services Administration (FSSA) is to compassionately serve Hoosiers of all ages and connect them with social services, health care and their communities. The agency includes the Office of Medicaid Policy and Planning (OMPP), a division that receives around 13 percent of the state's budget to provide vital healthcare coverage to roughly 1 in 5 Hoosiers. This position supports the grant-supported Pregnancy Promise Program, which helps pregnant individuals with substance use disorder (SUD) achieve sustained recovery and reduces neonatal abstinence syndrome in their offspring through three initiatives:
- Collaborative care coordination – With the State's four Managed Care Entities (MCEs) and community health providers, develops collaborative problem-solving, shared best practices and innovative strategies for pregnant individuals with opioid use disorders (OUD).
- Provider Education – With the IU School of Medicine Project ECHO team, the Division of Mental Health and Addiction, and the Indiana State Department of Health Maternal and Child Health division, developed three educational tracks: obstetrical care of pregnant individuals with OUD, evidence-based neonatal abstinence syndrome management, and care coordination best practices for pregnant individuals with SUD.
- Addressing social determinants of health – Screens participants for social determinants and makes trauma-informed community referrals for identified needs. The Project Specialist works closely with the Project Manager, FSSA Chief Medical Officer, and internal and external stakeholders. Medicaid members, families, providers and advocates are engaged at all stages. This high-profile State initiative addresses one of the Governor's five pillars: attacking the drug epidemic and lowering infant mortality
Essential Duties /Responsibilities:
- Help develop and revise project materials and outreach for referring agencies, including health care systems, human service agencies and community-based organizations • Monitor, review and analyze performance outcomes and data quality for each of the four MCEs, and review biweekly MCE updates to ensure required CMS measures are met • Ensure accurate data reaches OMPP so enrollment is reflected in CoreMMIS; work with OMPP on a CoreMMIS enrollment "check box” and on answering eligibility questions for potential enrollees • Develop and revise MCE Complex Case Manager training materials
- Monitor and analyze performance and quality outcomes data for each MCE's complex case management program; assist and give feedback to MCE project managers • Help develop and deliver stakeholder presentations, traveling statewide to present to all provider types, at conferences and at other events • Help write quarterly and annual CMS reports; with the Project Manager, track grant activities to meet report and budget timelines and assist with CMS documentation requests during the grant period • Help develop a new statewide MCE Complex Case Manager Best Practices Forum, collect quality improvement data, and facilitate implementation of new standard procedures • Research, draft and disseminate complex case management best practice guidelines; draft a program manual, updated at least annually, covering guidelines, data requirements, case management practices, etc. • Ensure grant funds are allocated per federal, state and grant guidelines and financial reports are submitted on time per federal requirements • Address implementation barriers through field visits with MCE and community provider case managers, with problem-solving and feedback loops • Develop agendas and coordinate cross-sector participants for regional meetings and MOM grant listening tours in the State's five Medicaid regions
- Serve as liaison to enrollees, community mental health center staff, referral sources and project partners; answer emails, calls and texts from enrollees, MCE care coordinators and other providers within 2 business days, providing program guidance Help develop the public-facing website of resources for members, loved ones and providers; review it for updates and work with the communications team on changes • Manage website referrals: confirm Medicaid coverage/eligibility and route to the correct MCE • Obtain and maintain Indiana Navigator licensure (8 hours of training, provider quiz, IDOI exam) • Complete Medicaid applications for potential enrollees without coverage, with continuous outreach through 90 days postpartum • Make all program materials as equitable and inclusive as possible; collaborate with Indiana 211 for members who are not eligible for the program
- Resolve disputes between MCE and community case managers; support and assist managed care case managers on individual client issues and best practices • Coordinate with the Project ECHO Coordinator on curriculum, presenters and scheduling for case managers and community health workers serving the target population • Work with the data and analytics team on developing an FSSA data app • Record thorough, accurate minutes at all meetings for FSSA colleagues, MCEs and stakeholders • Analytical, with keen attention to detail while keeping the broader picture and message in view • Ability to resolve issues with professionalism and sensitivity and work well with other agencies and divisions • Ability to use standard word processing, spreadsheet and database programs; compile, synthesize and present complex recommendations; and • Passion for public service
Required /Desired :
- Bachelor's Degree in social work, public health, public administration or similar (consider 4-5 yrs. exp. in lieu of degree)
- Care coordination or case management with pregnant/postpartum individuals with SUD/OUD in a Medicaid setting, Required, 3 yrs
- Experience working with Medicaid MCEs/MCOs (data review, escalations, care coordination, joint problem-solving).
- Knowledge of state and federal laws, regulations and policies on addiction treatment
- Experience managing federal or state grants, including budget oversight
- Exp. working with a wide range of stakeholders, including people with lived experience, families, advocates and mental health or addiction providers
- Exp. with planning, program development and program evaluation.
- Exp. working with standard word processing, spreadsheet and database programs
- Experience with culturally diverse, at-risk populations
- Direct experience working with individuals with substance use disorders, with OUD preferred
- Direct exp. serving pregnant or postpartum women, infants, and/or children (e.g., maternalchild health, home visiting, NAS/NOWS, perinatal programs
- Active Indiana Navigator license or documented experience completing Medicaid applications and eligibility screening (Navigator, CAC, or equivalent).
- Public speaking and stakeholder presentations to providers, conferences, and community audiences
Numbers & Facts
| Location | Indianapolis, IN |
| Industry | Computer/IT Services |
| Company Size | 20 to 49 employees |
| Year Founded | 2002 |
| Website | http://crescensinc.com/ |
About Company
Crescens Inc. is an industry leader in providing IT staffing services and tailored workforce solutions to meet the demanding expectations and distinctive needs of clients across the United States and Canada. We have grown tremendously in the past years and have been applauded by our clients for the quality of workforce and the quick turnaround time. We have evolved from good service to great service and all management plans are geared towards quality.
Our vision is to be the best in Talent Acquisition and strive for excellence consistently by focusing on four performance dimensions; Quality, Efficiency, Cost and Risk. A satisfied client and candidate are the backbone to our continued success. Headquartered in New Jersey, we are a team with unique expertise to deliver exceptional results to our clients by setting benchmarks and establishing best practices.
Skills
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