Foster Care Liaison
Company: MetroPlus Health Plan
Location: Newark
Posted on: January 13, 2021
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Job Description:
About NYC Health + HospitalsMetroPlus Health Plan provides the
highest quality healthcare services to residents of Bronx,
Brooklyn, Manhattan, Queens and Staten Island through a
comprehensive list of products, including, but not limited to, New
York State Medicaid Managed Care, Medicare, Child Health Plus,
Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
As a wholly-owned subsidiary of NYC Health + Hospitals, the largest
public health system in the United States, MetroPlus' network
includes over 27,000 primary care providers, specialists and
participating clinics. For more than 30 years, MetroPlus has been
committed to building strong relationships with its members and
providers to enable New Yorkers to live their healthiest life. Job
DescriptionPosition Overview The Foster Care Liaison (FCL) is
responsible for high touch coordination between MetroPlus, Beacon
Health Options, OCFS, LDSS/VFCA. The FCL is a key position in the
Children's Special Services Unit. The FCL ensures the timely
enrollment and disenrollment of foster children to MetroPlus and
high touch coordination for all medically fragile HCBS population.
The FCL works with the Health Home Liaison to ensure that members
receive proper health home coordination services, timely CANS-NY
assessments, and appropriate HCBS services. The incumbent is in
direct contact with care coordinators, health home care managers
and service providers. The FCL works with the Children's Special
Services' clinical team and Beacon, MetroPlus Children Services
clinical team to ensure that foster children who are MetroPlus
members receive timely access and appropriate level of clinical
care. Minimum Qualifications* A degree in social work or related
discipline. * An equivalent combination of education, training and
experience, knowledge and skills sufficient to indicate ability to
perform satisfactorily.* Must have at least 5 years of experience
working with foster children. * Must have thorough knowledge of
OCFS' regulations, procedures and standards.* Demonstrate knowledge
of the different players and agencies in the foster care field. *
Expereince working in managed health care, preferred Licensure
and/or Certification Required* LMSW/LCSWResponsibilities* Serves as
MetroPlus' point of contact to OCFS, LDSS/VFCA. * Works with the
Children's Special Services and Beacon's clinical staff to ensure
the provision of clinical services, Health Home coordination and
HCBS services to foster children who are MetroPlus members. * Works
with LDSS/VFCA coordinators to promote and coordinate access to
care.* Monitors appropriate care to foster and/or medically fragile
children. * The FCL works with the Plan's Customer Service, LDSS
and/or VFCA to ensure the seamless and timely enrollment and
disenrollment of foster children. * The FCL works with the Plan's
Health Home Liaison, MetroPlus' case/um managers, Beacon's case
managers to ensure that members receive the appropriate clinical,
health home and HCBS services they need. * The FCL works with
LDSS/VFCA, MetroPlus and Beacon's clinical teams to ensure
continuation of care for members dis-enrolling from the plan and/or
leaving foster care. * Assists the Children's Special Services
clinical team to comply with UM requirements for the medically
fragile population set forth by the "office of Health Insurance
Programs Principles for Medically Fragile Children". * Helps to
generate reports of trends in grievances, appeals and denials. *
Ensures the monitoring of care coordination, CANS-NY assessments
and HCBS services provided by Health Homes and HCBS providers.*
Performs other duties as assigned by Medical Director, Director of
Children's Special Services and the Behavorial Health Department
Management
Keywords: MetroPlus Health Plan, Newark , Foster Care Liaison, Other , Newark, New Jersey
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