Senior Social Services Coordinator (ALTSD #10104191)

State of New Mexico; Santa Fe (NM); On-site; USD 52,000 - 72,000; Full time

Job summary

The Senior Medicare Patrol (SMP) Coordinator role is with the New Mexico Aging and Long-Term Services Department (ALTSD) CERD. It focuses on SMP referrals, case management for beneficiaries reporting Medicare fraud, and benefits counseling for Medicare and related programs.

The incumbent will conduct outreach and education presentations publicly, via video, audio, or in person. Travel is required, with emphasis on SMP referrals and counseling across the state.

Qualifications

• Associate degree plus 1 year of social work/coordination experience.
• Three years total education/experience may substitute for the required education.

Responsibilities

• SMP Casework: respond to referrals, manage complex interactions, review Medicare billing reports.
• Provide Benefits counseling to beneficiaries and families, via in person, phone, or email.
• Outreach: develop and implement SMP outreach plans, staff events and promote SMP/SHIP/MIPPA programs.

Skills

Interpersonal skills

Written and verbal communication

MS Office

Education

Associate's Degree in Social Work, Psychology, Guidance and Counseling, Education, Sociology, Criminal Justice, Criminology, Family Studies/Services, Social Sciences, or Human Services

Tools

SMP, SHIP, ADRC data systems

Job description

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For more Job Requirements & Classification Description:

The Consumer and Elder Rights Division (CERD) within the New Mexico Aging and Long-Term Services Department (ALTSD) provides accessible, integrated services to older adults, adults with disabilities, and caregivers to assist them in maintaining their independence, dignity, autonomy, health, safety, and economic well-being, thereby empowering them to live on their own
terms in their own communities as productively as possible. We envision lifelong independence and healthy aging. Our guiding principles are to protect the safety and rights of those we serve; promote personal choice and self-determination; treat all persons with respect, embracing cultural diversity; encourage collaborative partnerships; and provide fiscally responsible
services. CERD oversees the Aging and Disability Resource Center (ADRC), State Health Insurance Assistance Program (SHIP), and Senior Medicare Patrol (SMP).

Interviews are expected to be conducted within two weeks of closing date.

• APPLICATIONS SUBMITTED WITHOUT WORK EXPERIENCE OR A RESUME WILL NOT BE CONSIDERED. IF ATTACHING A RESUME, RESUME MUST INCLUDE DATES OF EMPLOYMENT FOR EACH JOB (MONTH & YEAR) AND DETAILS OF WORK EXPERIENCE/JOB DUTIES
• PLEASE ATTACH YOUR OFFICIALTRANSCRIPTS TO VALIDATE YOUR DEGREE

ALTSD is an equal opportunity employer. If an applicant selected for an interview needs reasonable accommodation to participate in the interview process, please inform the agency contact listed in the job posting.

Why does the job exist?

The Senior Medicare Patrol (SMP) Coordinator will have a primary emphasis on addressing SMP referrals and case management of Complex Interactions with beneficiaries who are reporting specific instances of Medicare fraud, errors, and abuse. The incumbent will provide benefits counseling regarding Medicare, Medicaid, and other social service benefits for Medicare eligible people and people with disabilities as well as their families and caregivers. The incumbent will independently perform SMP, SHIP, ADRC, and ALTSD outreach and education presentations publicly through video, audio and in person. Travel is required.
80% of the time will focus on SMP referrals and case management.
10% of the time will be spent on general SMP Medicare fraud related outreach.
10% of the time will be spent on benefits counseling.

How does it get done?

• SMP Casework
  • Implement the goals of the SMP Program by responding to referrals and inquiries related to the SMP.
  • Manage Complex Interactions with beneficiaries who are reporting specific instances of Medicare fraud, errors, and abuse.
  • Conduct client interviews, complete assessments and review reports of Medicare billing errors, waste, fraud and abuse.
  • Input data and audit SIRS and STARS systems for accuracy.
  • Record monetary savings to Medicare, and/or beneficiary into SMP database.
  • Enter case information, edits, updates, and closure outcomes.
• Benefits counseling
  • Provide unbiased information and direct counsel, through face-to-face and/or by telephone and email, to Medicare beneficiaries as well as their families and caregivers.
  • Conduct related follow-up and research to answer questions, and complete Beneficiary Contact and other reporting forms.
• Outreach
  • Assist with the development and implementation of the SMP outreach plan in coordination with SMP Supervisor and volunteers.
  • Assist with developing and strengthening local community partners, staffing community outreach and health fair events and promote awareness of the SMP, SHIP, and MIPPA programs with special emphasis on the Senior Medicare Patrol program.
  • Conduct a minimum of two outreach activities per month.
  • Assist with the planning, developing, and disseminating of appropriate public information program materials.

Who are the customers?

General Public, including community partners, older adults, people with disabilities, and their families and caregivers.

Ideal Candidate

The ideal candidate has strong interpersonal skills and is emotionally intelligent. Excellent written and verbal communication skills, time management and organization, and attention to detail are essential. Must be able to work effectively with senior citizens, diverse community members statewide, internal and external partners, and colleagues and have strong knowledge of medical billing, local, state, and federal laws relating to seniors, if possible. The ideal candidate also possesses progressively responsible administrative experience and proficiency in MS Office applications mainly.

Associate's Degree in Social Work, Psychology, Guidance and Counseling, Education, Sociology, Criminal Justice, Criminology, Family Studies/Services, Social Sciences, or Human Services and one (1) year of experience as a social work assistant and/or in social or community coordination, working with communities, working on health or social service related matters, social work/case management experience, and/or behavioral health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling three (3) years may substitute for the required education and experience.

Employment Requirements

Must possess and maintain a valid Driver's License. Must possess and maintain a current Defensive Driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification within 90 days of employment.
Pre-employment background investigation is required. Must pass State and Federal Criminal Background Check.

Working Conditions

Work is performed in an office setting: late hours and weekends work may be required. Will be exposed to regular periods of video display terminal and keyboard usage and stressful situations. Travel may be required.

Supplemental Information

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Bargaining Unit Position

This position is not covered by a collective bargaining agreement.