Transition Specialist (Adolescence) - iMCS Group : Job Details

Job Title: Transition Specialist

Duration: 4 months Contract to Hire

Location: Remote (Team sits in Texas. Very rarely, all the team tries to get together, maybe once a year. 1–2-day summit)

Shift Type: 9am-6pm

Payrate: 17-18$/hr

Position Purpose

This team supports Medicaid kids program. We work with the star kids program, which is Medicaid kids' program. This team specifically works with the population of 15–20-year-olds up to their 21st birthday age range. Our purpose is to get them prepared for adulthood and transitioning them to adult Medicaid and adulthood. We talk to them about what it means to become an adult, and we try to help them with education, jobs, etc. These children have disabilities, so we try to assist them with getting jobs, going to college, and become successful adults. We provide resources for housing,, utilities, food banks, etc. when needed.

Job Duties:

• This team works off of spreadsheets and makes live phone calls to different age groups. We have an auto dialer who does the work, but we wait for the phone calls to go out and transfer the call to us.

• This is about 2 times a week for about 3 hours each day. For days we don't have palm its more taking your spreadsheets, looking at your numbers and start making outreach calls and see if they are available to complete an assessment.

• We also work to obtain guardianship documents, converting doctors etc. anything that the kids will need help, but a lot of outreach calls all day long.

• There is a quota- we ask our team members have 20 transitions a day and 2 assessments a day.

• Supports care coordination team, providers, and/or other health care team members to develop an effective transition plan for members in the community and/or into adulthood and adult services/providers, as appropriate

• Assists with the transition for members in the community based on enrollment or transition of care for services identified

• Works with care coordination and care management team to identify new member enrollees requiring transition services

• Ensures existing authorizations are honored during the transition process and works with care management team and providers to address any issues

• Acts as an available resource for members and their families and/or caregivers to educate on services, requirements, limitations, and/or exclusions of services as a result of transition planning

• May track and maintains transition metrics including new member assessments, volume of members transitioning into or out of care to identify trends and process improvements, and ensures all transition of care information is appropriately documented

• Supports with efforts to draft education materials and resources for members on requirements, limitations, or exclusions of services for transition of care

• Assists with developing education and training programs for care coordination staff and providers to improve transition services for members

• May evaluate the needs of the member, the resources available, and recommends and facilitates the plan for the best outcome

• May coordinate as appropriate between the member and/or family/caregivers and the care provider team to ensure members are being effectively treated

• Interacts with healthcare providers as appropriate to facilitate member care coordination needs

Skills Required:

• Case management experience

• Basics of understanding excel.

• Someone who have worked with kids ages 15-21.

Disqualifiers: Someone who is not comfortable on the phone as this role will require you to be on the phone almost all day.

Education/Experience:

Requires a bachelor's degree and 2 – 4 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.