State Adherence Specialist I

Added
20 minutes ago
Type
Full time
Salary
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๐Ÿ“‹ Description

  • Own the administrative compliance monitoring of assigned member and caregiver cases throughout the
  • Validate SFC authorization and member and caregiver eligibility, including required background and
  • Review and maintain enrollment and ongoing compliance documentation, monitor time-sensitive
  • Verify that current emergency and backup-care plans are maintained and coordinated with the member
  • Audit member, caregiver, and incident records to confirm required documentation, escalation
  • Monitor administrative compliance with HCBS requirements, member rights, HIPAA, organizational

๐ŸŽฏ Requirements

  • Demonstrates FreedomCare's Core Values by consistently doing the right thing, maintaining a
  • High integrity and commitment to ethical decision-making.
  • Exceptional attention to detail and organizational skills.
  • Ability to interpret and consistently apply policies, procedures, program requirements, and
  • Ability to manage competing priorities and collaborate across Operations, Compliance, the RN
  • Comfortable learning new regulations, technology platforms, and operational processes.

๐ŸŽ Benefits

  • Medical, dental, and vision insurance
  • Life insurance
  • Short-term and long-term disability insurance
  • 401(k) with company match
  • Continuing education and professional development opportunities
  • Opportunities for career growth
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