Program Coordinator - Community Services

Job Description\:

• Coordinate training and implementation of Community Care Service Program (CCSP) at PruittHealth Home First, Inc. Case Management agencies

• Develop training courses, training guides, and process workflows for CCPS implementation

• Monitor referrals and coordinate communication with Area Agency on Aging (AAA)

• Manages and strategizes program development for CCSP to grow and meet operational goals and initiatives

• Demonstrates knowledge of contractual, legal, and regulatory requirements with Georgia’s Medicaid Elderly and Disabled Waiver Program (EDWP)

• Provides assistance and guidance to the PruittHealth Home First offices to ensure CCSP sites deliver services in accordance with contractual, legal, and regulation requirements

Job Duties\:

• Administrative

o Submit Programmatic Reports to the Department of Community Health (DCH)

o Generate and review Harmony Advance Reporting (HAR) reports monthly (SOP for Monthly Contacts, PA Information Report, Cost of Care Report, Provider List)

o Maintain trackers monthly (Supervisory, Scheduler, Eligibility Checks)

o Demonstrate knowledge of all DCH Policy Manuals

o Maintain and update PolicyTech documents and forms for CCSP

o Attend meetings (regional, Care Division, Provider Network Meetings, Train the Trainer)

o Present at Corporate Conferences regarding any CCSP updates

o Host monthly CCSP calls with all CCSP staff

o Assist with questions (clients, caregivers, providers, staff)

• Billing

o Notify offices of No Bill and Billable Late Lock-In

o Follow up with Medicaid status

o Follow up on Prior Authorization (PA) billing issues

o Set-up MOUs with AAAs to receive MFP payment

• Intake

o Follow up with Referrals

o Resolve PA issues

• Miscellaneous

o Manage user access in Microsoft Teams – Home First

o Manage user accesses in Harmony – Pruitt CCSP sites

o Upload pertinent documents from DCH’s Train the Trainer to Microsoft Teams – Home First

o Coordinate between ADRC and Pruitt Contracting team re\: annual MOU contracts for MFP assessments