EPSDT Coordinator
Posted on: 16 Feb 2021
Charlotte, NC
Job Description
Position Purpose:
Plan, organize, and coordinate all aspects of the EPSDT (Early Preventative Screening Diagnostic Testing) program. Ensure compliance of EPSDT with all state and federal requirements and NCQA standards.
* Conduct outreach to encourage enrollees to access preventative care and assist with making appointments/arrangements as necessary
* Monitor provider compliance with EPSDT program
* Collaborate with and communicate to providers the importance of all aspects of the EPSDT program, including blood testing, immunization schedules, and periodicity schedule compliance
* Maintains appropriate records, files, documentation, etc.
* Develop newsletters, articles, and web postings centered on EPSDT elements directed at members and providers
* Assist in development, implementation and coordination of improvement plans to obtain/surpass the performance goals set by the Health Plans
* Coordinate with other Health Plan departments and strategize improvement plan interventions and appropriate outreach activities.
* Facilitate EPSDT related reviews and follow up that are initiated by the state
* Attend EPSDT related DOH meetings as appropriate
Education/Experience:
Associates degree in related area or equivalent experience. 1+ years of community relations or public health/service experience, preferably in a managed care or pediatric environment.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.title:EPSDT Coordinator
WellCare
Tampa, FL
WellCare Health Plans, Inc. provides government-sponsored managed care services. The company operates in three segments: Medicaid Health Plans, Medicare Health Plans, and Medicare Prescription Drug Plans (PDPs). The Medicaid Health Plans segment offers plans for beneficiaries of temporary assistance for needy families, supplemental security income, and aged blind and disabled residents; and other state-based programs, such as children's health insurance programs and long-term services and supports programs for qualifying families who are not eligible for Medicaid.
The Medicare Health Plans segment provides Medicare, a federal program that provides eligible persons aged 65 and over, as well as some disabled persons with a range of hospital, medical, and prescription drug benefits; Medicare Advantage, a Medicare’s managed care alternative to the original Medicare program, which offers individuals standard Medicare benefits directly through Centers for Medicare & Medicaid Services; and coordinated care plans that are administered through health maintenance organizations and require members to seek health care services and select a primary care physician from a network of health care providers.
The Medicare PDPs segment provides Medicare part D PDP plans to Medicare-eligible beneficiaries. Its PDP plans offer national in-network prescription drug coverage, including a preferred pharmacy network. As of December 31, 2018, the company served approximately 5.5 million members in the United States. WellCare Health Plans, Inc. was founded in 1985 and is headquartered in Tampa, Florida.
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IndustryHealthcare
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No. of Employees12, 000
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Website
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Jobs Posted917
