HRSN Coordinator

Job Description

Job Description

The HRSN Coordinator provides support to HRSN Team. Screens, navigates, and processes community members request to eligible 1115 waiver services. Ensuring accurate information is collected and entered into Unite Us and any necessary databases utilized for the delivery of 1115 services, regarding eligibility and authorization requirements for timely facilitation of service. Through detailed understanding of program requirements and compassionate interaction with community members and their care teams, this position will serve as a link between access to health-related social need (HRSN) services through the 1115 waiver, community members and their care teams.

Serve as the primary point of contact for our internal teams, network providers, MCOs, Medicaid Members, and other external stakeholders for all enrollment, eligibility, and authorization for HRSN and enhanced HRSN 1115 waiver services and activities.

Ensure accurate enrollment and eligibility records through proactive verification and reconciliation of enrollment and eligibility file data, including identifying and resolving discrepancies.

Serve as the primary liaison between internal program leadership, and the Social Cre Network (SCN) to ensure eligibility discrepancies are updated.

Maintain accurate records in accordance with New York state regulations and agency protocols.

Maintain accurate and up-to-date documentation of enrollment, eligibility, and prior authorization information needed in advance of HRSN service provision.

Perform other duties as assigned. This job description is not designed to cover or contain all of the required tasks, activities and / or duties that are required in this position.

Qualifications :

• Bachelor’s Degree in Human Services, Public Health or related field
• Applicable human service experience preferred.
• Experience and knowledge of the target populations and services systems preferred.
• Unrestricted driver’s license and independent, reliable means of transportation.
• Ability to work flexible hours as this position may require evening and weekend hours.

Knowledge, Skills and Abilities Required :

Employment Classification : Non-exempt; Full-time 37.5 hours per week

PHYSICAL DEMANDS : The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Equipment Used : Office equipment (such as computer, cellphone, fax, copy machine, shredder); motor vehicles.