Personal Care Management Integrated Care Admin Assistant

The Personal Care Management (PCM) Intake and Administration department includes the team who is responsible for processing Evaluations for the Personal Care Attendant (PCA) program and Prior Authorizations.  This includes the quality check of evaluations, submission, tracking, extension and receiving of the Prior Authorization from either Mass Health, or the integrated care teams including Senior Care (SCO) and One Care.

The PCM Intake Coordinator is responsible to process referrals involving SCO, Community Case Manager (CCM) and One care (OC) United Health Care (UHC). The PCM Intake and Admin for Integrated Care will receive and verify information for all integrated care consumers and update consumer information in the database as needed during the referral process. This position will perform their job according to Tempus Unlimited operating procedures, Mass Health PCM Contract, PCA Operating Standards and SCO, CCM and OC UHC and contract.

• Stoughton office location
• Full time at 35 hours a week
• Training in person, after training hybrid model
• Experience preferred
  • Working in an office environment
  • Phone etiquette 
  • Data entry
  • Microsoft Office Suite
• Medical office background are transferable skills for this role

Essential Duties

• Check the Community Services (CS) SCO-Intake and CS SCO-Renewal Inbox periodically and retrieve new SCO/ UHC One Care Referrals, PACE, Transfers and CCM referrals.
• Process new referral for the integrated plans in consumer database.
• Notify PCM Administrative Coordinator of any delays in processing of intakes.
• Work with the PCM Administrative Coordinator to notify SCO, UHC One Care, Program of All-Inclusive Care for Elderly (PACE) and CCM on any issues including unable to contact and other instances when termination is required.
• Check and return all received voice and email messages as soon as possible or no later than 72 business hours.
• Ability to enter data into the Zuke database with accurate spelling and free from error with the information entered. 
• Verify information for all transfers from other PCMs
• Assist other department as needed.
• Other duties as assigned.

Competencies

• Must display teamwork and commitment while performing daily duties.
• Must demonstrate initiative and discipline in time management and assigned completion.
• Excellent organizational skills for initiation and maintenance of efficient workflow.
• Regular and reliable attendance and time reporting.
• Excellent telephone manner and organizational skills
• Able to operate a computer keyboard, mouse, and other office type implements to accomplish document imaging duties.
• Ability to work in a high production environment while maintaining close attention to detail and confidentiality.
• Ability to work independently.

Preferred Experience

• Must have experience working in an office environment

Required Education

• High School Diploma or equivalent education

Work Environment

This job operates in a professional office environment.  This role routinely uses standard office equipment such as computers, phones, photocopiers and scanners.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

While performing the duties of this job, the employee is regularly required to talk and/or hear.  The employee is frequently required to sit; stand; walk; use hands and fingers and also must be able to reach with hands and arms.

Travel

No travel is required for this position.

Other Duties

Note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.

Benefits

Tempus Unlimited offers great benefits that foster a happy fulfilling human work experience. We also have an array of growth opportunities for our employees to develop your career and enhance your experience.

• Sing on bonus
• Work/Life Balance - flexible work schedules
• Paid time off - 25 days per year for full time staff
• 14 paid Holidays
• Tempus Wellness - Medical, Dental, Dependent Care Reimbursement, FSA and HSA
• Basic Life, Short Term and Long Term Disability
• On-site gym (Stoughton Location) and wellness initiatives
• Annual Reviews with merit based increases
• Employee Recognition Program
• Financial Wellness - 403(b) Retirement Plan with matching
• Continuing Education, Training and Advancement opportunities

Work Authorization/Security Clearance

All offers of employment made by Tempus Unlimited are contingent upon satisfactory background check results.  Pre-employment background checks will be conducted on all candidates that are offered a position at the agency in compliance with program policy as well as state and federal regulations. From time to time, these checks may be conducted on current employees to ensure compliance with all state and federal regulations and contracts.

EEO Statement

Equal Employment Opportunity is a fundamental principle at Tempus Unlimited, Inc. where employment from recruiting through the end of employment is based upon professional capabilities and qualifications without discrimination because of race, color, religion, sex, age, sexual orientation, veteran status, national origin, disability or any other characteristic as established by law. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.