Job Summary:

The Integrated Care Intake Specialist II is responsible to complete all activities related to incoming alerts/referrals received from the Ohio Department of Medicaid (ODM) in a timely manner. The Integrated Care Intake Specialist II is also responsible to ensure that updates are made in the clinical documentation system as well as program specific tasks. The Integrated Care Intake Specialist II has additional specialized duties related to the programs.

Essential Functions:

• Complete activities necessary to ensure that alerts/referrals are completed in the timeframes established per the contract with Ohio Department of Medicaid
• Complete activities necessary to ensure the updates are completed in the clinical documentation system
• Ensure that tasks related to the Specialized Recovery Services Program (SRSP) Weekly Determination are completed correctly and submitted in a timely manner
• Ensure that SRSP Weekly Determination Results are processed correctly and sent to the appropriate team
• Complete activities necessary related to MyCare Transfers/Disenrollments
• Ensure that tasks are completed when an enrolled individual passes away
• Assist with billing activities as needed
• Cross train team members and assist with new hire training
• Provide basic training to delegate partners
• Develops step by step instructions for activities and tasks completed by the Integrated Care Intake Specialist I and II in collaboration with team.
• Complete activities related to State Hearings to ensure that all required tasks are completed.
• Perform any other job related instructions as requested

Education and Experience:

• High School Diploma or GED is required
• A minimum of two (2) years of experience in a healthcare environment is required
• Managed care experience is preferred

Competencies, Knowledge and Skills:

• Strong Microsoft Excel skills
• Working knowledge of Ohio Department of Medicaid’s systems
• Working knowledge of the Bureau of State Hearings’ system
• Detail oriented
• Time management and prioritization skills
• Effective written and oral communication skills
• Strong customer service orientation
• Demonstrates professionalism
• Displays aptitude for teamwork
• Self-motivated
• Possesses critical thinking and problem solving skills
• Ability to adhere to confidentiality with regard to protected health information

Licensure and Certification:

• None

Working Conditions:

• Work from Home; may be required to sit or stand for extended periods of time

Compensation Range:

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Organization Level Competencies

• Create an Inclusive Environment

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.