Enrollment Specialist (Spanish Preferred)

Overview

The Enrollment Specialist is the initial point of contact for people inquiring about and seeking care management information and support from Care Design New York. The Enrollment Specialist ensures a suitable entry into services and a smooth hand-off to care management staff. Responsibilities include but are not limited to assisting with eligibility, gathering documentation, interfacing with OPWDD's Front Door staff, and acting as a liaison with LGUs, school districts, hospitals, and other service providers who may be seeking to refer individuals for services, and communication with regional CM staff to ensure a smooth transition into services.

At Partnership Solutions, our work is performed in support of, and on behalf of, Care Design NY (a Care Coordination / Health Home), and Partners Health Plan (a Managed Care Organization), dedicated to providing supports and services for persons with intellectual and/or developmental disabilities. As their administrative arm, we share in a unified organizational culture and the work we do is in furtherance of our collective ability to achieve our shared organizational mission, vision, and values as stated below:

Purpose - Connecting people to their chosen supports to live a healthy and meaningful life.Vision – We see a world that is accepting, inclusive, and promotes positive health for all individuals with intellectual and /or developmental Disabilities (I/DD).Mission – Our mission is twofold: to provide compassionate, skilled person-centered care planning that includes a holistic approach to health and wellness, and to advocate for a disability inclusive world.Values -

• Committed - We are committed to developing successful employees across the organization so members and families can receive high-quality supports.
• Compassionate - We are compassionate about creating open, honest relationships through collaboration, active listening, and showing empathy for others.
• Connected - We are connected to each other through a sense of belonging that enriches the work environment and shapes a positive experience for members and families.

All full-time positions come with generous benefits including $3000 tuition reimbursement per calendar year, and up to $250 of professional development courses! Click here to view the current benefits summary.

Responsibilities

• Acts as an initial point of contact for individuals, families, advocates, and professionals who are reaching out to inquire about accessing Care Management and other supports available through OPWDD.
• Assesses and determines the need for OPWDD eligibility. For those who do not yet have OPWDD eligibility, help support and navigate in obtaining OPWDD eligibility.
• Refer and assist members in identifying/scheduling/obtaining needed evaluations.
• Collects relevant information and assessments to support people in eligibility and enrollment and submits to OPWDD for review.
• Review and complete psychosocial updates for potential members.
• Works with OPWDD on completing the LCED for individuals wishing to enroll in either Health Home Care Management or HCBS Basic Plan Support.
• Works closely with OPWDD Front Door staff to ensure expedient service entry.
• Remains current in changing OPWDD policies and procedures to ensure that CDNY remains responsive in supporting people's entry into support.
• Coordinate interim support services with OPWDD, service providers, and internal CM resources when needed for identified high-risk members.
• Collaborate with CDNY departments to determine individuals' Medicaid status and support needs.
• Works closely with regional leadership to ensure a smooth transition to an appropriate Care Manager once OPWDD approves.
• Remain knowledgeable about community resources.
• Represents CDNY at regional information fairs and events as necessary.
• The remote enrollment position is subject to change depending on organizational needs.

Qualifications

• Bachelor’s Degree and 2+ years of experience working with people with IDD preferred
• Spanish Language proficency preferred
• Proficiency in the use of internet-based applications, Chrome, and Outlook. Must be comfortable navigating computer-based documentation and electronic timekeeping and training.
• Ability to learn all required computer applications.
• Proficiency with health-related computer applications is also required.
• Must also be able to travel and adhere to CDNY’s travel policies.
• Reliable transportation and a valid driver's license may be required depending on location

Care Design NY and Partnership Solutions provide equal employment opportunities to all. We celebrate the qualities that make each of us unique and greatly value how they enrich the work we do. As such, we welcome candidates of color, candidates who identify as gender diverse, neurodiverse candidates, and candidates of all ages with diverse lived experiences and perspectives to apply.

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