Description. The Activity Coordinator is responsible for the coordination and planning of the therapeutic and recreational activities across the functional and cognitive continuum for the participants of the program. Works under the direct supervision of the Center Manager or designee but is independent in the application of advanced recreational activities knowledge and skills. Key Responsibilities:. • Conducts an initial assessment and scheduled reassessment of all participants, minimally every 6 months and assessment must be completed prior to scheduled team conference. Communicates partici... view job details
Description. The Case Manager/Social Worker is responsible for the direct social work case management services to PACE participants. Works under the direction of the Center Manager or designee but is independent in the application of advanced social work knowledge and skills.. Key Responsibilities. • Communicates participant changes to the IDT. • Refers participants and families to appropriate community agencies or facilities, acts as. liaison with such organizations and as advocate for participants. • Participates in program and policy development as directed. • Facilitates admissions to and ... view job details
Description. Job Description. · Responsible for screening incoming phone calls; recording and transmitting messages to the appropriate provider or staff member. · Faxing clinic communication as directed.. · Receiving orders from medical records and working with providers to ensure completion. · Acts as liaison between clinic staff, providers and participants and other disciplines.. · Maintains clinic inventory by checking stock; anticipating needs, ordering supplies and verify receipt of placed orders. · Assists Clinic Operations Manager, providers and other clinic staff with support tasks.. ·... view job details
Description. We are seeking a full time Compliance Specialist to join our PACE team!. Apply today with PACE of Southwest Michigan!. We offer a competitive salary and benefit package, that includes medical, dental, 403B, PTO, holidays off (w/pay) and a M-F work schedule.. P.A.C.E. , which stands for "Program for All-Inclusive Care for the Elderly", is a unique option for older adults who wish to remain in their home as they age. Our goal is to provide senior community members with the care, medical treatment and support they need to achieve the highest quality of life. We are actively recruitin... view job details
Description. Job Summary:. Encounter Data Coordinator is responsible for related training, monitoring, and submission of PACE internal and external encounter data to ensure complete and accurate submission to MDHHS and CMS. Responsibilities:. • Responsible for internal and external encounter data recording and reporting. • Serve as primary point of contact for all internal and external encounter data related questions and issues from staff,. vendors, MDHHS, and CMS. • Represent PACE of Southwest Michigan on the state encounter implementation workgroup. • Implement internal encounter data repor... view job details
Description. The Financial Analyst works under the guidance of the Director of Finance to ensure compliance with Medicare and. Medicaid to rules and regulations with regards to health plan management reporting for PACE of Southwest. Michigan . Financial Analyst is also responsible for analyzing and monitoring financial performance at PACE. Key Responsibilities:. Responsible for developing performance measurement tools to assess the financial success of PACE. Assist in creating custom financial reports and analysis as needed. Assist with preparation of the annual budget. Participate in various ... view job details
Description. The Home Care Coordinator aids with personal and health care services for our participants in their home and onsite in our PACE Clinic.. • Ability to assess with critical thinking skills the home care needs during initial, periodic, routine and acute assessments. conducted every 6 months at a minimum. • Participates in the development of a plan of care with IDT (Interdisciplinary Team), participants and family/caregiver. • Monitors participant, family and caregiver ongoing functional/psychological status and appropriateness of care, according to. the plan of care. • Provides routi... view job details
Description. The Medical Claims Specialist is responsible for adjudication and payment of medical claims. Acts as liaison of vendor accounts for billing issues and payment. Responsibilities:. • Adjudicate all electronic claims in the Electronic Medical Records (EMR) system. • Enter and Adjudicate all manual medical claims in the EMR.. • Medical Claims Analysis- Interpret submitted claims using Medicare guidelines for. proper coding and proper payment. May review PPT Records for coding. appropriateness. • Responsible for submitting external claim data to Medicare and the Michigan. Department of... view job details
Description. The Social Worker Supervisor is responsible for direct social work case management and works as a leader for the Social Work team. Works under the direction of the Center Manager or designee but is independent in the application of advanced social work knowledge and skills. Leadership. • Supervises and oversees clinical and administrative functioning of Social Work department, ensuring adherence to quality and PACE policies. • Oversees pertinent staff for all Social Work issues operationally. • Manages participant pay amount process per policy. • Orient and train new social work s... view job details
Description. Under the guidance of the Medical Director, the Therapy Supervisor is responsible for developing and supervising the therapeutic programs with the goal of meeting the individualized therapy needs of participants served. Responsible for supervising the therapy team.. Key Responsibilities:. Leadership. • Supervises and oversees clinical and administrative functioning of Therapy department, ensuring adherence to quality and PACE policies. • Provides input and recommendations to the Medical Director, related to new employee hiring, caseload allocations, roles and responsibilities and ... view job details