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Benefits Case Manager
Community Services Development
💰 Salary Not shared
📊 Market US$2,500–US$3,500/mo (US$30,000–US$42,000/yr)
About the Company
Where the world shops refurbished tech. The world is waking up to what fast tech costs. Back Market is where the revolution shops. We make refurbished tech the smart, confident choice by building trust in quality, repair and circularity. New is not always better. Smarter is. As a certified B Corp, our mission is to create a world that does more with what we already have by prolonging the lifespan of electronic devices through circularity and repair. We have grown by double digits year over year and now serve 18 million customers across 17 markets, avoiding more than 2 million tons of CO2 emissions Back Market calculation based on ADEME 2022 methodology. Founded in Paris in 2014 by Thibaud Hug de Larauze, Quentin Le Brouster and Vianney Vaute, Back Market is a leading global marketplace where people can buy professionally refurbished technology or trade in their devices. Are you ready to join us Internet Marketplace Platforms Specialties: refurbished tech, marketplace, sustainability, circularity, Right to Repair, sustainable solutions, refurbished marketplace, circular economy, sustainable alternatives
Requirements
- ● Department and Caseload Management
- ● Manages the assigned participant eligibility caseload which includes attending enrollment, care conference meetings and conducting home visits with participants where eligibility issues need to be addressed.
- ● Manages the caseload information on participants in a well-organized and secure filing system as devised by the department.
- ● Keeps track and monitors the eligibility status of the participant assigned to the caseload and generates regular reports as needed.
- ● Income Benefits
- ● Ensures that the CEI participants' income information assigned to the caseload is known and verified at all times and is well documented in the CEI database.
- ● Ensures that accurate share-of-cost information is gathered, well documented and communicated with the participant on the caseload and the finance staff in an effective and in a timely fashion to enable CEI to collect share-of-cost revenue.
- ● Works with the participants, families and social workers connected to the assigned caseload to ensure that the Board and Care and SNF income level changes are made by the social security administration, that all involved understand the changes and that the benefit levels are accurate on all Board and Care documents.
- ● Communicates income issues to social work, finance, member services and other pertinent staff as needed affiliated with the participant on the caseload to ensure interdepartmental effectiveness.
- ● Insurance Benefits
- ● Ensures that all CEI participants' benefit information on the assigned caseload is known and verified at all times and well documented in the CEI database.
- ● Ensures that CEI participants who are assigned to the caseload are fully enrolled in Medi-Cal and any Medicare benefits they are eligible for prior to enrollment and following enrollment ( ie assist with getting participants who are Medi-Cal only qualify for Medicare and participant missing Medicare Part A qualified for QMB benefit to obtain Part A coverage).
- ● Manages Medi-Cal re-certification to ensure that eligibility is maintained for all participants and facilitate proper communication and documents if retro payment request needs to be processed for month reflecting no payment code.
- ● Verify IHSS enrollment information prior to enrollment and document in CEI database for proper termination after enrollment.
- ● Communicates insurance issues to social worker , finance , member services and other pertinent staff as needed affiliated with the participant on the caseload to sure interdepartmental effectiveness.
- ● Relevant Skills and Experience:
- ● High School diploma required.
- ● Excellent customer service and service recovery skills.
- ● Strong case management skills. Ability to work closely with cross-functional team members including Outreach and Enrollment staff and IDT staff at the PACE centers.
- ● A demonstrated history of success in goal attainment.
Benefits
- ● The Center for Elders' Independence (CEI) provides a Program of All-Inclusive Care for the Elderly (P.A.C.E.) - a comprehensive healthcare model specifically designed for low-income, frail seniors. It combines medical and social services along with vigilant care planning and coordination in order to keep frail seniors safely living at home and in their communities. This unique and highly effective model utilizes an interdisciplinary team approach to care planning to drive high quality, affordable, integrated healthcare services to the elderly.
- ● Position : Under the supervision of Director of Enrollment and Member Services, the Benefits Case Manager ensures that all CEI participants are enrolled in all income and insurance benefits that they are eligible for. Benefits Case Manager will be required to work effectively with participants, participant families, representative payees and relevant government agencies to proactively maintain and address benefit eligibility issues that arise as well as support different prospect/participant benefit related projects within the agency.
- ● The hourly pay range for the Benefits Case Manager position at Center for Elders' Independence is 2 6.25 to 39.38 . Placement within the range is determined based on job-related factors such as relevant experience, skills, abilities, internal equity, and market data, consistent with CEI's annual compensation review and established compensation practices.
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