Location : Name Linked Maine - Remote

ID

2024-6076

Job Locations

US-ME-Remote

Category

Operations

Type

Regular Full-Time

At Groups, the Opioid Health Home (OHH) program serves Groups MaineCare members (approximately 85% of all of the agency’s members).There are several reporting requirements and deliverables required by the State for the OHH program. The OHH Program Coordinator (PC) will be responsible for ensuring all deliverables are tracked and reported on in a timely manner. OHH PC will also oversee enrollment and reporting for the Uninsured OHH program (UOHH). Lastly, the OHH PC will collaborate with the OHH Program Manager to ensure all deliverables are met.

• Familiar with all OHH State requirements and timelines
• Assist in maintaining OHH tracking sheet for State reporting and billing
• Maintain calendar with reporting tasks and deadlines and assist with quarterly reports to the State
• Monitor compliance on OHH and assist Program Manager (PM) and Operations Director with meeting deliverables
• Create content, streamline and conduct OHH member outreaches
• Assist with MaineCare applications as needed
• Support Care Team in ensuring OHH additional services are completed
• Track and work with members who have denied authorizations.
• Assist with the Uninsured OHH program and all requirements of participation. This includes coordinating and tracking new applications and approvals, ensuring members complete their MaineCare applications, adding and removing members from the program and the VMS portal, and managing the prescription billing and prescription needs

• Support Case Management Passthrough work. This includes supporting Nurse Care Manager, assisting with billing activities, collecting release of information forms, scheduling and assisting in quarterly team meetings and tracking member engagement
• Maintain timely and accurate documentation in electronic health record
• Participate in ongoing continuing education as required to maintain certification or licensure
• Help deliver training to team members as needed
• Engage in community outreach activities and education, as necessary

• Perform other duties as assigned

• Associate’s degree or higher, preferably in public health, social or human services
• 2 years of experience in a public health, social service or behavioral health setting strongly preferred
• Experience working with electronic medical record systems is preferred
• Experience with Excel or Google Sheets required
• Knowledge and understanding of program coordination, assessments, and evaluations
• Knowledge of member-centered care
• Ability to establish effective working relationships with internal staff as well as with relevant community organizations
• Experience coordinating multiple projects at one time and demonstrated time management skills
• Experience with reporting for grants or other funding models preferred
• Ability to maintain confidentiality
• Excellent written and verbal communication skills and ability to communicate complex information
• Ability to work with diverse population of members and staff
• Ability to use discretion and work independently under general supervision
• Ability to understand and adhere to Professional Code of Conduct
• Must meet pre-employment and maintain all applicable state and job-related guidelines for background screening, fingerprinting, drug test, health screening, DMV, Insurance, CPR/Basic First Aid and license/credential verifications

Physical Requirements & Working Conditions

These physical demands are representative of the physical requirements necessary for an employee to successfully perform the essential functions of the job. Reasonable accommodation can be made to enable people with disabilities; these are made on a case-by-case basis.

While performing the responsibilities of the role, the employee is required to talk and hear. The employee is often required to sit and use his or her hands and fingers. The employee is occasionally required to stand, walk, reach with arms and hands, climb or balance, and to stoop, kneel, crouch or crawl. Vision abilities required by this job include close vision.

Limitations and Disclaimer

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.

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