Position Summary
The ALW Program Coordinator manages and coordinates services for participants enrolled in the Assisted Living Waiver program. This position works closely with participants, families, healthcare providers, assisted-living facilities, care coordinators, and community agencies to ensure timely enrollment, proper documentation, continuity of care, and compliance with program requirements.
Key Responsibilities
- Coordinate participant referrals, intake, enrollment, assessments, and placement.
- Verify program eligibility and collect all required clinical and administrative documents.
- Maintain accurate participant records, service plans, authorizations, and supporting documentation.
- Monitor application, enrollment, reassessment, and renewal deadlines.
- Coordinate with participants, families, healthcare providers, facilities, and program partners.
- Follow up on missing physician orders, assessments, signatures, and supporting records.
- Assist participants and families in understanding ALW services, requirements, and available resources.
- Track hospitalizations, changes in condition, transfers, discharges, and other significant events.
- Help ensure care plans and authorized services reflect participants’ current needs.
- Schedule assessments, care conferences, follow-up calls, and facility visits as required.
- Document all communications and case activities promptly and accurately.
- Monitor service delivery and escalate health, safety, placement, or compliance concerns.
- Prepare cases for internal QA reviews, audits, and regulatory inspections.
- Maintain confidentiality and comply with HIPAA and applicable program regulations.
- Generate caseload, enrollment, pending-document, and compliance reports.
- Support daily program operations and complete other related duties as assigned.
Qualifications
- Bachelor’s degree in healthcare administration, social work, nursing, public health, or a related field preferred.
- Relevant experience in assisted living, home and community-based services, case management, healthcare coordination, or waiver programs.
- Familiarity with ALW requirements, care planning, eligibility documentation, and regulatory compliance preferred.
- Experience working with older adults and individuals with disabilities.
- Strong documentation, organization, follow-up, and time-management skills.
- Excellent verbal and written communication skills.
- Ability to manage multiple cases and deadlines with minimal supervision.
- Proficiency with electronic health records, case-management systems, and Microsoft Office or Google Workspace.
- Knowledge of HIPAA and patient-confidentiality requirements.
- Bilingual ability may be preferred depending on the participant population.
- Spanish and English proficiency
Key Competencies
- Care and program coordination
- Case documentation and compliance
- Participant-centered communication
- Attention to detail
- Deadline and caseload management
- Problem-solving and escalation
- Collaboration with facilities and providers
- Professionalism, compassion, and confidentiality
Benefits:
- Promotion to permanent employee
Experience:
- customer service in healthcare: 2 years (Required)
- documentation management: 2 years (Required)
Language:
- English (Required)
- Spanish (Required)
Job Type: Full-time
Pay: From $11,900.00 per month
Work Location: Remote
