layiq

/la·yiq/adjective

worthy; deserving; fitting; suitable.

A role, opportunity, or path that merits attention, time, and pursuit.

Remote Lead Disability Admin at UMass Chan Medical School | LAYIQ

ESSENTIAL FUNCTIONS: Manage unit work flow, assuring the proper numbers of Disability Assistants are assigned to each task on a daily basis.
Train new and existing Disability Assistants in work functions and job duties.
Monitor customer service phone queues for adequate coverage and provide call escalation response for front line staff.
Monitor unit key performance indicators.
Act as unit Disability Liaison for agency partner inquiries and issues.
Track priority case requests and ensure prompt completion of work on such cases.
Initial review of all disability supplements for accuracy, completeness, and alerting SPMP of priority cases and of important clinical information contained in cases.
Make complex decisions regarding privacy matters associated with the client’s case, including determination of who DES may exchange information with regarding the client’s case, what information may be mailed, and what is required, by HIPAA, to allow conversations to take place. These decisions are conveyed to SPMP through detailed case notes and individual consultation.
Determine if requests for information are legally complete, communicate with agencies about cases that do not meet HIPAA requirements for protected healthcare information and consult with SPMP about decisions regarding whether to return to cases to the agencies or clients for further development.
Telephone contact with clinical treating sources to assure timely receipt of clinical information at the request and direction of SPMP.
Review information in external databases such as the Massachusetts Medicaid Information System and MassHealth MA21databases in order to identify cases that SPMP could complete quickly.
Coordinate transportation of clients to consultative examinations and provide feedback to SPMP on unusual circumstances that would impact the review process.
Make decisions for rescheduling of clients’ clinical evaluations, based upon agency guidelines and provides input and feedback to SPMP. Explain complex state and federal regulations to clients, agencies and medical providers, answer disability process questions as they arise.
Perform other duties as required.

ESSENTIAL FUNCTIONS: Manage unit work flow, assuring the proper numbers of Disability Assistants are assigned to each task on a daily basis.
Train new and existing Disability Assistants in work functions and job duties.
Monitor customer service phone queues for adequate coverage and provide call escalation response for front line staff.
Monitor unit key performance indicators.
Act as unit Disability Liaison for agency partner inquiries and issues.
Track priority case requests and ensure prompt completion of work on such cases.
Initial review of all disability supplements for accuracy, completeness, and alerting SPMP of priority cases and of important clinical information contained in cases.
Make complex decisions regarding privacy matters associated with the client’s case, including determination of who DES may exchange information with regarding the client’s case, what information may be mailed, and what is required, by HIPAA, to allow conversations to take place. These decisions are conveyed to SPMP through detailed case notes and individual consultation.
Determine if requests for information are legally complete, communicate with agencies about cases that do not meet HIPAA requirements for protected healthcare information and consult with SPMP about decisions regarding whether to return to cases to the agencies or clients for further development.
Telephone contact with clinical treating sources to assure timely receipt of clinical information at the request and direction of SPMP.
Review information in external databases such as the Massachusetts Medicaid Information System and MassHealth MA21databases in order to identify cases that SPMP could complete quickly.
Coordinate transportation of clients to consultative examinations and provide feedback to SPMP on unusual circumstances that would impact the review process.
Make decisions for rescheduling of clients’ clinical evaluations, based upon agency guidelines and provides input and feedback to SPMP. Explain complex state and federal regulations to clients, agencies and medical providers, answer disability process questions as they arise.
Perform other duties as required.

Remote Lead Disability Admin

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