MEDICAID UNIT SUPERVISOR

APPLICANTS MUST BE PERMANENT IN THE PRINCIPAL ADMINISTRATIVE ASSOCIATE CIVIL SERVICE TITLE

The Department of Social Services (DSS) is comprised of the administrative units of the New York City Human Resources Administration (HRA) and the Department of Homeless Services (DHS). HRA is dedicated to fighting poverty and income inequality by providing New Yorkers in need with essential benefits such as Food Assistance and Emergency Rental Assistance. DHS is committed to preventing and addressing homelessness in New York City by employing a variety of innovative strategies to help families and individuals successfully exit shelter and return to self-sufficiency as quickly as possible.

The Home Care Services Program (HCSP) is a Medicaid funded program that provides long term care to medically fragile and vulnerable individuals who require assistance with activities of daily living through the Community Alternative Systems Agency (CASA), Managed Long Term Care (MLTC) Program, the Assisted Living Program, Care at Home Program and Homebound Medicaid. The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs.

The Medicaid Eligibility Unit is responsible for the Medicaid eligibility review and processing of initial applications, change actions, and renewals for all Medicaid funded long term care programs. This unit is responsible for the processing of Medicaid eligibility for consumers who receive services through one of the HCSP programs.

Home Care Services Program (HCSP) is recruiting for one (1) Principal Administrative Associate III, to function as a Medicaid Unit Supervisor, who will:

- Oversee the productivity of case processing within the work units to maintain WMS error rates and at mandated levels, identify problems or trends which require corrective action and initiate and/or participate in action plans to maintain or improve productivity.

- Directly supervise staff within HCSP’s Medicaid Eligibility unit, so that the required support is available to Medicaid units, which assist in maintaining/improving the processing of Medicaid cases according to the established mandates in providing services to clients.

- Interpret Medicaid policies and procedures for assigned staff to improve or maintain continuity.

- Clarify Medicaid policy and procedures for Provider Agencies. Serve as the liaison between HCSP offices and Provider Agencies to resolve Medicaid issues which may impact client eligibility.

- Respond to requests from the Community and Vendors for advice on Medicaid initiatives and guidelines.

- Participate in meetings and act as liaison with MAP staff involved in developing Medicaid procedures as a result of new/revised guidelines so that the procedure represents HCSP operational concerns.

- Oversee the review and response to new/revised Medicaid procedures; distribute procedures to HCSP offices.

- Establish a system and process to implement a clearing house for the exchange of case information for Medicaid specialty units which include Tape Match, Disability Review, Institutional Services, Hospital Eligibility, Month to Month Surplus, Quality Control and Resources.

- Maintain liaison relationships with Voluntary and City hospital, WMS and other Community Organizations.

- Initiate and/or participate in the training designed to clarify Medicaid guidelines for staff. Coordinate training for Medicaid Eligibility Staff to ensure that they are proficient in new/revised procedures for WMS and Medicaid eligibility.

- Interpret and train staff in new Medicaid initiatives such as Transfer of Assets, Spousal refusal and Spousal Enrichment to ensure that staff adhere to State mandates.

Hours/Schedule: 9AM-5PM (FLEX)

PRINCIPAL ADMINISTRATIVE ASSOC - 10124