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7 weeks 1 day ago

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Job Description

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Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! This position is responsible for acting as an advocate within the non-emergency medical transportation system for patients and case managers by providing in-service training to facilities on how to use NEMT services and to promote relationships. In addition will partner with nursing homes, dialysis clinics, and other medical providers that have numerous clients with scheduled trips to maximize scheduling coordination and information sharing. This role... * Advocates within the non-emergency medical transportation system for patients and case-managers. * Advocates on behalf of the organization's goals and initiatives within the community. * Provides in-service training to facilities on how to use NEMT services and to promote relationships. * Ensures facility outreach and training are conducted throughout assigned area of responsibility. * Coordinates all community-based outreach, event planning and education. * Develops and implements outreach strategies. * Develops on going relationship with facilities through face-to-face meetings, phone calls and group presentations. * Analyzes subscription service requests (standing orders), providing education and outreach to avoid or resolve problems and increase quality. * Analyzes patient attendance information for prior month from facilities. * Analyzes data and develops cost management strategies. * Participate in other projects or duties as assigned. * Business travel of up to 80% required. * Oversees all facility coordination and quality assurance activities in partnership with the Director of Operations to include staff management. * Works to provide stakeholder engagement. * Identifies and contracts with Sole Source TPs; responsible for the successful rate negotiation and end to end sole source contracting function. * Leads facility networking, tracking and reporting outreach efforts. * Collects and analyzes feedback from the community and stakeholders. * Provides training and development of the TripCare portal. * Provides support and guidance to more junior team members We are interested in speaking with candidates with the following... * Bachelor's Degree required. * Five (5) plus years member service, transportation service, UR Manager in a health plan or social worker experience. * Medical transportation management experience preferred. * Facility based social service programs, including facility discharge planning experience preferred. * Clinical, case management and discharge experience preferred. * Or equivalent combination of education and/or experience. * In-depth knowledge of health care facilities, medical groups, clinical case-management, and discharge processes. * Familiarity with facility based social service programs, including facility discharge planning. * Strong verbal, written and interpersonal communication skills. * Ability to communicate effectively with clients and providers and make public presentations. * High-level of technical competence to include proficiency with Microsoft Office Suite; advanced Excel skills a plus. * Excellent organizational and problem-solving skills, ability to develop and implement action plans to address issues. * Proactive approach to relationship building. * Solutions-oriented and creative innovative thinker. * Ability to work independently and as a team member. * Strategic thinker with ability to anticipate program, transportation provider and company needs. * Flexibility and ability to manage many projects and priorities simultaneously. * Knowledge of clinical UR and QA, Medicaid guidelines and covered services. * Some knowledge of Medicaid and Medicare programs. * Excellent leadership abilities. Salary: $60,800.00 - $82,100.00 annual Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following: * Medical, Dental, and Vision insurance * Employer Paid Basic Life Insurance and AD&D * Voluntary Life Insurance (Employee/Spouse/Child) * Health Care and Dependent Care Flexible Spending Accounts * Pre-Tax and Post --Tax Commuter and Parking Benefits * 401(k) Retirement Savings Plan with Company Match * Paid Time Off * Paid Parental Leave * Short-Term and Long-Term Disability * Tuition Reimbursement * Employee Discounts (retail, hotel, food, restaurants, car rental and much more!) Modivcare is an Equal Opportunity Employer. * EEO is The Law - click here for more information * Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled * We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at hr.recruiting@modivcare.com

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