Healthcare Advocate
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I.          JOB SUMMARY 

This position is responsible for educating and assisting clients with applying for Medicaid, enrolling into Medicare Savings programs, and selecting a Medicaid Managed Care or Managed Long Term Care plan that best suits their needs.  This position is also responsible for providing advocacy to clients to obtain proper community-based services and supports such as appealing proposed cuts to attendant services, denials of durable medical equipment such as a bariatric hospital bed or a stair lift, and discontinuations from Medicaid. 

II.         DUTIES 

Maintain detailed case notes on casework. 

Provide assistance and guidance to clients applying for Medicaid. 

Obtain medical documentation needed for obtaining proper community based services and supports (e.g attendant services). 

Negotiate with providers of Long Term Services and Supports (be it a Managed Care plan or a local Department of Social Services) to advocate for proper services and supports for consumers. 

Educate clients on different Medicaid Managed Care plans available and provide assistance enrolling or transitioning. 

Inform consumers of their legal rights under Medicaid, particularly in regards to attendant services. 

Collaborate with other consumer advocates to formulate policy proposals and discuss guidelines and regulations governing Medicaid Managed Care s we may better advocate for consumers. 

Communicate with the New York State Department of Health to advocate for policy proposals designed to strengthen consumer rights. 

Work with consumers to submit complaints regarding their Managed Long Term Care plans to the New York State Department of Health. 

Provide representation throughout the fair hearing process. 

Perform other duties as assigned. 

III.        SUPERVISION

This position does not have any regular responsibility for the work of others. 

IV.       TECHNOLOGY/ EQUIPMENT/ TOOLS 

Microsoft Office (Word, Excel, Outlook)                  Basic

EPACES                                                                  Basic

Ability to learn company in-house software             Basic 

V.        PHYSICAL ACTIVITY

The duties are representative of the essential functions of the position. The physical requirements for this position are those typically present in normal office environment conditions. Operational flexibility is required to meet sudden and unpredictable needs. Reliable transportation is necessary as there is local day business travel required of this position.

VI.       WORK ENVIRONMENT

This job operates in a professional office environment with moderate to light noise. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.

VII.      QUALIFICATIONS

A strong commitment to promote and advocate for the full integration of individuals with disabilities. Creativity and comfort in dealing with a wide range of diverse individuals and situations.  

A Bachelor’s degree in a Human Services related degree and two (2) years of experience providing service to persons with disabilities. 

Knowledge of the ACA and NYSs transition to MCOs and its implications for PWD 

Ability to communicate in Spanish or ASL is a plus 

Valid Driver’s License, Reliable means of transportation 

Must have a strong commitment to promote and advocate for the full integration of individuals with disabilities 

Creativity and comfort in dealing with a wide range of diverse individuals and situations

Center for Disability Rights is an EEO employer - M/F/Vets/Disabled
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