Program Coordinator - Community Services

About the role

Coordinate training and implementation of Community Care Service Program (CCSP) at PruittHealth Home First, Inc. Case Management agencies. Develop training courses, training guides, and process workflows for CCPS implementation. Monitor referrals and coordinate communication with Area Agency on Aging (AAA). Manages and strategizes program development for CCSP to grow and meet operational goals and initiatives. Demonstrates knowledge of contractual, legal, and regulatory requirements with Georgia's Medicaid Elderly and Disabled Waiver Program (EDWP). Provides assistance and guidance to the PruittHealth Home First offices to ensure CCSP sites deliver services in accordance with contractual, legal, and regulation requirements.

Job duties

• Submit Programmatic Reports to the Department of Community Health (DCH)
• Generate and review Harmony Advance Reporting (HAR) reports monthly (SOP for Monthly Contacts, PA Information Report, Cost of Care Report, Provider List)
• Maintain trackers monthly (Supervisory, Scheduler, Eligibility Checks)
• Demonstrate knowledge of all DCH Policy Manuals
• Maintain and update PolicyTech documents and forms for CCSP
• Attend meetings (regional, Care Division, Provider Network Meetings, Train the Trainer)
• Present at Corporate Conferences regarding any CCSP updates
• Host monthly CCSP calls with all CCSP staff
• Assist with questions (clients, caregivers, providers, staff)

Billing

• Notify offices of No Bill and Billable Late Lock-In
• Follow up with Medicaid status
• Follow up on Prior Authorization (PA) billing issues
• Set-up MOUs with AAAs to receive MFP payment

Intake

• Follow up with Referrals
• Resolve PA issues

Miscellaneous

• Manage user access in Microsoft Teams – Home First
• Manage user accesses in Harmony – Pruitt CCSP sites
• Upload pertinent documents from DCH's Train the Trainer to Microsoft Teams – Home First
• Coordinate between ADRC and Pruitt Contracting team re: annual MOU contracts for MFP assessments