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PCS Compliance Monitor - Coordinator 1
University of New Orleans
Posted 12/03/25
2000 Lakeshore Drive, New Orleans, LA 70148
Job Description
Job Summary
Job Description
- Assists the Department with conducting survey calls for all Chisholm class members who receive Early Periodic Screening Diagnostic Treatment Personal Care Services (EPSDT PCS).
- Contacts providers to ensure that workers are ready to start on the first day of the certification period.
- Ensures that a worker is providing services in the home, if the Prior Authorization is a renewal.
- Documents if there are no workers in the home and offers support.
- Offers assistance if the responsible party reports that the recipient is not receiving all authorized hours.
- Closes referrals if the families refuse assistance.
- Contacts the family to discuss the barriers and issues with the receipt of services.
- Locates a willing and able Personal Care Services provider within 10 days.
- Contacts the provider if there is no approved Prior Authorization or all the hours aren’t being covered for a current Prior Authorization. Documents all of this information in the Chisholm Services Monitoring System.
- Emails the provider if there are unsuccessful attempts to reach them by phone or fax.
- Relays the Support Coordinator the Prior Authorization number, certification period, units approved and the date the notice was mailed.
- Contacts the family and verifies the hours that are being received and documents this information in the Daily Log and the Chisholm Services Monitoring System.
- Makes contact every 14 days or 2 weeks for 3 months once services begin; after the initial 3 months, calls the responsible party on a monthly basis until the PA has expired.
- Documents all survey calls in the Chisholm Services Monitoring System. Sends our reminders to the family and the provider, one month prior to the end date of the PA, notifying them that the PA is ending and advising all parties regarding the necessary documents that are needed for the renewal of services.
- Provides back-up coverage of the toll free Prior Authorization Liaison (PAL) line for complaints regarding the delivery of Medicaid services.
- Provides back-up coverage for the internal LDH PAL, receiving, logging, and assigning incoming PAL referrals.
- Attends meetings and assists the Program Manager as necessary.
- Develops monthly reports of required phone call activities.
- Organizes and files related paperwork.
- Other tasks as directed.
QUALIFICATIONS REQUIRED:
- Bachelor's degree or 6 years of professional work experience in lieu of degree.
- Excellent analytical skills, effective organizational and time management skills.
- Great attention to detail and follow up, and verbal/written communications skills.
- Able to set, follow and meet scheduled deadlines.
DESIRED:
- Advanced degree
- Minimum 1 year of professional experience working with Early Periodic Screening Diagnostic Treatment Personal Care Services (EPSDT PCS), legal/paralegal, or home health background/experience.
- Minimum 1 year of professional experience in healthcare field and/or dealing with federal/state health care programs.
- Minimum 1 year of professional experience with compliance and/or project management activity.
- Minimum 1 year of professional experience working with Medicaid program support.
About University of New Orleans
Outside GNO RegionCompany ProfileA Commitment to New Orleans and Beyond
Since its founding, UNO has been committed to diversity and inclusion. In 1958, the University of New Orleans opened its doors as the first fully integrated public university in the South. For nearly 60 years, we have not strayed from that vision. The University has educated students from all 64 Louisiana parishes, all 50 states, and more than 130 countries, bringing together a variety of talented and motivated students so that they may learn, interact and pursue their career goals.
The University of New Orleans is a major business driver in metro New Orleans, generating a total economic impact of $470.5 million for metropolitan New Orleans in the 2014-15 fiscal year. As a global community asset, we offer a wide array of relevant, undergraduate and graduate academic programs and world-class research opportunities. We proudly contribute to the industry, culture and economy of the New Orleans region and beyond.
Nationally Ranked
Our students come here for a number of reasons, but on the top of that list is the high quality education we provide. We're proud to be named one of the nation's best colleges by The Princeton Review, Forbes, U.S. News & World Report and one of the top 1,000 universities in the world by the Center for World University Rankings. We are also classified by the Carnegie Foundation as a Doctoral University with Higher Research Activity, one of only two in the state of Louisiana. The University's rankings are a testament to the students we attract and the quality of our faculty.
Website
uno.edu/Social Media
