The Service Coordinator working for Medicaid is a healthcare professional who takes charge of administering and coordinating benefits and service plans for the Medicaid recipients in a medical setting or assisted living. The following list of duties is found on the Medicaid Service Coordinator Resume – interacting with participants to determine their specific requirements, performing detailed assessments, assisting participants in obtaining benefits, advocating on behalf of the client, determining the efficacy of implemented programs, and coordinating all processes needed to get court orders for invasive medical procedures.
The Medicaid Service Coordinator should act as a bridge between the patients and the service provider. The candidate should possess outstanding organizational and communication skills, and have the ability to delve deep into the issues and render viable solutions. Candidates aspiring to work for this role must have a degree with qualifications in human service or social service discipline.
Objective : To obtain a challenging position within a progressive organization where I will have the ability to utilize my education skills, work experience and with opportunities for growth and advancement.
Skills : Knowledge of PC and MAC Operating Systems, Microsoft Word, PowerPoint, Excel, Outlook, amd Internet Navigation.
Description :
Conducts preliminary review of referral, processes appropriate application, documents and enrolls individuals to receive services.
Acts as an advocate for consumers and their family or advocates to develop an Individual Service Plan based on the individual's strengths, preferences and needs, as well as update as needed.
Ensures that services outlined in the Individual Service Plan are integrated with one another and reflective of a person centered planning approach.
Establishes access and linkages to community based or specialty services outlined in Individuals Service Plan.
Ensures at least monthly home visits including quarterly home visits with all individuals.
Reports suspected or unmet health or safety needs in residential settings as well as crisis intervention.
Makes visits to service providers, to ensure effective planning, implementation and/or monitoring of services.
Ensures completion of all assessments, evaluations, reports and related documentation in a timely manner.
Experience
2-5 Years
Level
Junior
Education
Hospitality Management
Medicaid Service Coordinator/Care Coordinator Resume
Objective : Service-focused social worker with a strong commitment to serving the needs of disadvantaged adults and children including severely and persistently mentally ill, individuals with addictions, and the aging population. - Excels in organization, documentation, time management, and communication skills. - Skilled in utilizing and building community supports, crisis intervention, key coalitions and strategic interagency partnerships, and leadership.
Skills : <div>Individual Service Plans, Intellectual Disabilities.</div>
Description :
Assists consumers in meeting immediate needs while promoting long term self advocacy, self direction and informed choice.
Responsible for identification of needed and desired supports and services.
Provides follow up and monitoring to ensure the supports and services are being delivered and are appropriate.
Assists the individual in planning, implementing, and monitoring their individual service environment.
Acts as the agent/broker to procure, arrange, implement, and monitor the services, activities and supports that are identified in a service plan which maximize the consumers potential.
Develops an individualized service plan in conjunction with the consumer, advocate and other relevant individuals which best meets the needs and desires of the consumer.
Promoting self advocacy and empowerment to assist individuals in making informed choices.
Collaborating with inter and intra agency staff while acting s a liaison with other communing agencies for the benefit of the consumers growth, and development.
Experience
0-2 Years
Level
Entry Level
Education
Social Work
Medicaid Service Coordinator (MSC) Resume
Objective : Committed and motivated human and social services professional with exceptional customer service and decision making skills. Strong work ethic, professional demeanor and great initiative. Energetic and reliable and skilled with working with a diverse client base.
Skills : Leadership Experience including supervisory experience gained in US Army Reserve-1981-1988.
Description :
Worked with consumers using a Client-Centered Approach.
Provided comprehensive services to twenty-five adult consumers with Mental Retardation, Learning Disabilities and Developmental Disabilities.
Included but were not limited to case management, psycho-education, and coordination of services.
Developed, implemented, and maintained Individualized Service Plans (ISP).Conducted annual and semi-annual ISP meetings to coordinate services.
Worked with interdisciplinary team members to maintain progress toward and achievement of valued outcomes.
Advocated for each consumer's rights to ensure a safe living and work environment.
Assessed working conditions and environment of all consumers.
Experience
0-2 Years
Level
Entry Level
Education
Master Of Science
Medicaid Service Coordinator I Resume
Headline : Motivated, responsible, creative, and resourceful individual, able to adapt to changing priorities while maintaining a positive attitude and strong work ethic, eager to encourage wellness and healthy lifestyles through educating individuals and communities about behaviors that can prevent diseases and other health problems.
Skills : Microsoft Office, Medisked, Computer Skills.
Description :
Provide caseload with advocacy, linkage, and referral to services needed and/or desired.
Conduct/facilitate annual and semi-annual reviews of individualized service plans, as well as other necessary meetings.
Monitor and follow-up to ensure plans are followed as written.
Write initial plans and update current plans and services as needed.
Collaborate with outside agencies, as well as families/advocates.
Meet with individuals on caseload to stay up-to-date.
Attend trainings, as required, as well as monthly staff meetings.
Experience
5-7 Years
Level
Executive
Education
Criminal Justice
Medicaid Service Coordinator II Resume
Summary : To obtain a position that will utilize my previous attained skills as well as gain knowledge, development and growth and also take on challenging positions that will allow me to contribute to the company.
Skills : <div>Caseload, Waiver, Service Coordination.</div>
Description :
Maintained a caseload of 35-40 consumer files under the office of Persons with Developmental Disabilities rules and regulations.
Advocated for persons with Developmental/Learning Disabilities.
Supported consumer during the process of applying for and maintenance of benefits.
Developed Individual's Service Plan (ISP) which identified goals, supports and services.
Provided Linkage, referrals and advocacy for identified needs.
Coordinated enrollment and maintenance of services.
On-going review, assessment and updating of the ISP.
Assisted in the process or navigating life changes and transitions.
Experience
10+ Years
Level
Senior
Education
Diploma
Medicaid Service Coordinator III Resume
Headline : Articulate driven to succeed with excellent client and staff relationship. A strong ability for crisis de-escalation and team building. Core Qualifications Strong breath of Human Services experience High organizational and problem-solving skills Superb written and oral communication skills Supervisory competency.
Skills : Microsoft Office.
Description :
Develop Individual Service Plans using a person-centered approach.
Monitor client satisfaction and quality of services.
Obtain services that are unique to the client's needs and wants.
Coordinate new services, work close with the families to ensure all services are obtained and maintained.
Completing eligibility packets for waiver service programs, monthly progress notes, yearly state forms to ensure continued eligibility.
Promoting individual choices, assuring appropriate assessments are completed to obtain future services.
Providing educational advocacy for the client and family.
Using Microsoft Word, Excel, Outlook, etc.
Experience
5-7 Years
Level
Executive
Education
Human Services
Sr. Medicaid Service Coordinator Resume
Summary : Clerical and administrative experience ensuring customer satisfaction. Teaching people with developmentally disabled. Literate in computer, Office software and use of the internet.
Skills : Microsoft Office, Medisked, Computer Skills.
Description :
Manage and maintain a caseload of forty clients with developmental disabilities with various medical and behavioral needs.
Advocate on the behalf of developmentally disabled clients to ensure they receive the highest quality of service possible.
Meet with clients on a monthly basis to ensure services meet their needs and provide remediation when necessary.
Organize and maintain accurate record keeping including interviews with clients, families, and service providers.
Coordinate and facilitate meetings as needed to ensure that the client's Individualized Service Plan is current and appropriate services are being rendered.
Work collaboratively with service providers, administrative personnel, and community agencies to ensure implementation and satisfaction with services.
Established and maintain strong relationships with individuals as well as with families of developmental disabilities to assist in obtaining services needed such as clinical/therapeutic services, residential placement, etc.
Trained and advised new service coordinators on agency procedures and problem-solving skills and interventions involved in their caseloads.
Experience
10+ Years
Level
Senior
Education
Masters In Social Work
Jr. Medicaid Service Coordinator Resume
Summary : Conference for Health, Physical Education, Recreation and Dance. The position requires excellent organizational skills, strong communication skills, and a keen ability to work well with people from diverse backgrounds.
Skills : Microsoft Office, Outlook, Word, Powerpoint.
Description :
Independent contractor for voluntary, nonprofit agency providing Medicaid service coordination and support to children and adults with developmental disabilities.
Visit clients in their home assessing needs and individualized goals.
Assist with completion of various social service documents (i.e.
Medicaid recertification, grants, and emergency services).
Collaborate with other service providers coordinating services for the client.
Provide family education and training referral information when requested.
Document client's progress monthly and develop individualized service plan with client.
Experience
10+ Years
Level
Senior
Education
MSW
Medicaid Service Coordinator/Supervisor Resume
Summary : Highly motivated individual with 7+ years of customer service experience. College graduate in search of a position that will allow me to make use of my background and degree to be of service to others.
Skills : Computers: Microsoft Office, SPSS, Proficient in Mac and Windows software. Inventory Management.
Description :
Case management is a big part of being a Service Coordinator.
Going out to individuals home to see how they are doing every month.
Making sure that they are getting the services that they want to receive or to see if they still like the services.
Another part of this job is making sure their Individual Support Plan meetings get held for each individual every six months and year.
There is a lot of paper work that goes with this job.
Being able to work hard under pressure, making sure that you can deal with scenarios that could be thrown at you in seconds.
Being able to communicate and plan meetings with a group of people.
Experience
10+ Years
Level
Senior
Education
Criminal Justice
Medicaid Service Coordinator/Case Manager Resume
Summary : To find a position in a company that will utilize my skills and knowledge, and will challenge me to rise above my current level of ability to allow me to grow within the company.
Skills : Computer Knowledge Customer Service Develop Information Pamphlets Data Entry Event Coordination Lesson Planning Leadership Skills.
Description :
Develops and implements the person's ISP by using person centered planning and coordinating the access and delivery of supports and services chosen in the ISP.
Conducts monthly face-to-face service meetings with the person.
Provide advocacy by protecting and upholding a person's rights, and ensuring that the person's living environment is safe.
Maintain the documentation required as part of the consumer's Service Coordination Record to substantiate a vendor's monthly billing for federal and State audits, and ensure enrollment in Medicaid and the HCBS Waiver is not interrupted.
Assists with obtaining and maintaining benefits, including SSI, SSD, etc.
ensuring Medicaid coverage is not interrupted.
Maintains a caseload as assigned by immediate supervisor.
Submits all required reports and documentation to the DDSO and other funding and/or oversight agencies.
Experience
7-10 Years
Level
Management
Education
BA In Psychology
Medicaid Service Coordinator/Assistant Resume
Summary : A position in the field of Human Service. A position in a client focused organization utilizing my organizational skills, problem solving and interpersonal skills to impact program outcome, team performance and client satisfaction.
Skills : Excel,Microsoft outlook, crisis de-escalation, Mental Health First Aid, Inventory Management.
Description :
Community outreach to identify eligible individual and consumer enrollments.
Developed, implemented, reviewed and maintained ISP's based on interviews and assessment of consumer's strengths and needs, working with both the consumer and their families.
Provided service coordination, which includes information, outreach, linkage, referral, follow-up, monitoring, and advocacy to the developmentally disabled individuals and their families.
Ensured that service plans are implemented and recorded in case notes and files.
Submitted accurate and timely monthly billing and reports to MSC Supervisor.
Maintained case load of 25 consumers with a maximum of 30 consumers, statistics monthly reports as required by program.
Conducted home visits to ensure that consumers needs are met.
Experience
7-10 Years
Level
Management
Education
Social Work
Medicaid Service Coordinator Resume
Objective : To ensure that individuals served have opportunities to make choice, develop and achieve, participate in the community, maintain good health and secure personal future, be treated with respect and dignity and experience relationships with family members, friends, community as specified in the Agency's Mission Statement.
Skills : Sign Language, Advocacy.
Description :
Handle a caseload of 40 clients and ensure all necessary and requested services are provided to the individual.
Develop and implement the person's ISP by using person-centered planning and coordinating the access and delivery of supports and services chosen in the ISP.
Conduct quarterly face-to-face service meetings with the person (unless less frequent service meetings are officially approved by the Commissioner of OPWDD).
Provide advocacy by protecting and upholding a person's rights, and ensuring that the person's living environment is safe.
Maintain the documentation required as part of the consumer's service coordination record to substantiate a vendor's monthly billing for federal and state audits, and ensures enrollment in Medicaid and the HCBS waiver is not interrupted.
Assist with obtaining and maintaining benefits, including SSI, SSD, etc.
Ensure Medicaid coverage is not interrupted.
Maintain a caseload as assigned by immediate supervisor.
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