Position Summary:

The Entitlements Coordinator is the first line of defense for the Community Services department in maintaining eligibility. Entitlements Coordinator files for ICF bed-reservations for lengthy hospital admissions and is responsible for interacting with the Fiscal Department on a regular basis around eligibility, admission, discharge, and other non-billable interruptions of service.

Essential Functions:

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  Educates family members on Medicaid, Social Security, food stamp and 3rd party insurance eligibility.
• Coordinates screening and intake processes of residential applicants.
• Coordinates service eligibility for the people we support, including admission, discharge, and other significant non-billable interruptions of service (i.e., extended hospitalizations, nursing home admissions).
• Visits government organizations to submit applications and completes new Medicaid, Social Security, and food stamp, applications and recertification.
• Assists parents with completing and processing guardianship applications.
• Assists with Medicare Enrollment.
• Serves as liaison between OPWDD, parents and private agencies.
• Enrolls Residential and Waiver individuals in OPWDD Choices System.
• Works with ACS to ensure continuation of benefits.
• Process fair hearings and ensures that all benefits are active.
• Advocates for the people we support and ensures due process.
• Works in conjunction with agency fiscal department to ensure that benefits are active.
• Ensures that program documentation follows mandates and agency protocols.
• Other related tasks and duties as assigned.

Other Functions

• Demonstrates respect for all people
• Demonstrates professional demeanor, punctuality, adherence to attendance policy, reliability, flexibility
• Professionally interacts with other staff members and with others in the community
• Demonstrates enthusiasm for learning the knowledge and skills required to perform the job
• Readily seeks and accepts feedback to improve performance
• Applies knowledge and skills gained on the job and maintain required certifications
• Participates in the work of the organization in a positive way by using problem solving skills
• Demonstrates respect for the safety of others
• Performs additional responsibilities as assigned by Senior Staff
• May be assigned other tasks and duties reasonably related to job responsibilities
• Adheres to all rules outlined in the policy and procedure manual

Educational: BS in Human Services or related degree with strong experience with similar populations required.

SKILLS AND COMPETENCIES

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  Excellent communication, time management, and organizational skills.
• Demonstrated ability to support families and individuals to transition to residential services.
• Ability to communicate effectively with all stakeholders to develop strong working relationships.
• Demonstrated competency in written, verbal and computational skills to present and document records in accordance with program standards.
• Proficiency with basic computer usage and Microsoft Office products.
• Demonstrates respect for all people.
• Demonstrates professional demeanor, attention to punctuality and attendance policies, reliability, flexibility and pleasantness.
• Professionally interacts with all stakeholders.
• Seeks and readily accepts feedback to improve performance.
• Applies knowledge and skills gained on the job and maintains required certifications.
• Participates in the work of the organization in a positive way by using problem solving skills.
• Upholds regulatory and compliance requirements

Employee Signature: ___________________________ Date: ____________________

The position description is a guide to the critical duties and essential functions of the job, not an all-inclusive list of responsibilities, qualifications, physical demands and work environment conditions. Position descriptions are reviewed and revised to meet the changing needs of the agency at the sole discretion of management.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions unless this causes undue hardship to the company.

Performance is evaluated each year based on the core competencies and the NADSP code of ethics.