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Community Relations Representative

Trinion Quality Care Services, Inc. Anchorage ,AK
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Primary Responsibilities: Facilitating and coordinating services to meet the needs of our Private Pay clients. This includes but is not limited to securing new clients and maintaining those relationships, working with insurance companies for payment authorization, and recruitment, training and retainment of caregivers.

Position is: Hourly, Full-Time

Reports to: Program Director

Supervises: N/A

Salary Grade: $21-$28 DOE and Education

Department: Service Delivery

 

Private Pay Client Case Manager Accountability:

  1. Providing oversight of Private Pay care plans, intakes, recruitment, retainment, and maintenance.
  2. Verify insurance authorizations and renewals.
  3. Conducting service inquiries, intakes, renewals, and ensuring accurate and complete documents.
  4. Checking prior authorizations for accuracy and building recurring schedules.
  5. Support and train Service Admin IIs for scheduling to meet required Trinion care plan for Private Pay clients.
  6. Maintaining and meeting all required reporting standards for all client records as required to demonstrate and document compliance with all regulatory, health and safety requirements, and internal policies.
  7. Creating accurate and timely notes documenting any caregiver or client concerns as necessary to maintain a complete client service record.
  8. Conducting timesheet reviews: reviewing time sheets from field staff for accuracy and taking appropriate action to correct any deficiencies. Document corrective notices to field staff regarding scheduling issues and concerns.
  9. Implementing quality improvement activities, which may include reeducation of client and/or caregivers to ensure compliance with Trinion, State, and Federal regulations, standards, and/or best practices.
  10. Perform Quality Assurance home checks as scheduled visits or as requested due to a concern triggering an internal QA investigation.
  11. Responding to Adult Protective Services and Office of Children's Services inquiries about a client.
  12. Maintain Private Pay on call messaging phone for off hours.
  13. Attending association meetings, webinars, and training provided by Trinion and other entities as needed, approved and appropriate to essential job functions and professional development.
  14. Ensure HIPAA compliance in all aspects of Service Delivery.
  15. Other duties as assigned.

Backup for Client Case Manager Responsibilities:

  1. Following up with weekly reports from Program Director.
  2. Conducting Intakes and 6-month visits for Medicaid Clients.

 

Backup for Service Admin IIs Responsibilities:

  1. Verbal coaching to Direct Care Providers regarding scheduling issues and concerns as back up to Service Admin IIs.
  2. Informing Human Resources of corrective actions as needed, providing complete documentation.
  3. Maintaining the scheduling message phone for off hours and rotating schedule as back up to Service Admin IIs.
  4. Submission of Critical Incident Reports.

Private Pay Client Case Manager Authority:

  1. Authority to negotiate Private Pay rates within company guidelines that meet clients' needs.
  2. Coordinate Private Pay insurance authorizations with Trinion and outside entities.
  3. Respond to urgent issues regarding Private Pay schedules.
  4. Prioritize scheduling of service for clients based on Insurance authorizations or Trinion Care Plans.
  5. Makes recommendations on pay evaluations and disciplinary actions for Direct Care Providers.

Position Specific Standards:

  • Must have the ability to professionally communicate effectively verbally and in writing to employees. Clients, and other stakeholders with varying levels of communication skills.
  • Must possess the skills needed for creative thinking and problem solving.
  • Ability to work with various organizations within the industry of in-home personal care, Medicaid, Insurance, and Private Payers.
  • The ability to coordinate multiple tasks efficiently while managing various and continuous interruptions.

General Standards:

  • All work will be performed according to company policies and standards as well as in the vision and spirit of the company's vision, mission and values.
  • All client materials and information will be held as strictly confidential outside the company. The information included in company documents and manuals is proprietary.
  • All telephone calls, both internal and external, will be returned within one business day and within two hours whenever possible.
  • Employees will provide staff assistance as requested, with a spirit of helpfulness. This means each employee may be asked from time to time to cover in other areas of accountability and/or departments as a matter of exception, not routine. This may include answering telephones, running appropriate business errands or filing as needed.
  • Employees are encouraged to recommend ideas for the vision of the company, innovations and improvements within their department and position that are consistent with the company's strategic objectives. Innovation is encouraged and will be an ongoing process.
  • Employees must be able to work effectively in a fast-paced environment with minimal direction and supervision while prioritizing conflicting priorities.
  • Knowledge of standard office equipment and systems (i.e. email, voicemail, fax) for all staff is preferred.

Minimum Education Requirements:

  • High School Diploma or GED
  • Preferred Bachelor's degree or above

Training and/or Experience:

  • Must have 4 years of full-time or equivalent part-time experience working in customer service.
  • Preferred minimum 2 years' experience in the medical industry including long term care, insurance, or similar industry.
  • Preferred minimum of 1 years' experience with sales.

Work Conditions: Follows office work week 8 hrs/day and 40 hrs/week. Must be able to lift at least 25 lbs.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this role.

Company Description
Trinion is an established company with a clear vision of where we are headed as we continue to grow our business. Our mission is to protect the dignity and freedom of the most vulnerable members of our community by elevating service standards and modeling the very highest skills in the non-medical home health care industry.

Celebrating 15 years of successful business, we are a woman-owned, Alaskan company with a client load of nearly 150 and growing.

Trinion Quality Care Services, Inc. is dedicated to provide quality care and personalized services for the seniors and adult disabled, as well as those who experience intellectual and developmental delays. Services include non-medical personal care assistance, household chore services, and respite for the primary caregiver. Duties range from hands-on assistance for daily living needs to companionship, transportation and short-term recovery care at home. Our Habilitation Services include Individual Day Habilitation, In-home Supports, and Supported Living.

Trinion respects individual choice and earns trust through reliable, compassionate care. With clients from Homer to Houston (AK) our primary client base is in the municipality of Anchorage and the Matanuska-Susitna Borough. We are authorized by the State of Alaska to provide services to the following Medicaid Program recipients; OA, APD, ALI, CCMC, and CFC Waiver clients; and Consumer Directed PCA. A long-standing member of The Home Care Association of America Trinion also provides services to self-paying clients as well as long-term care policy holders.

Trinion Quality Care Services, Inc.

Why Work Here?

Positive company culture, great benefits and excellent reputation!

Trinion is an established company with a clear vision of where we are headed as we continue to grow our business. Our mission is to protect the dignity and freedom of the most vulnerable members of our community by elevating service standards and modeling the very highest skills in the non-medical home health care industry. Celebrating 15 years of successful business, we are a woman-owned, Alaskan company with a client load of nearly 150 and growing. Trinion Quality Care Services, Inc. is dedicated to provide quality care and personalized services for the seniors and adult disabled, as well as those who experience intellectual and developmental delays. Services include non-medical personal care assistance, household chore services, and respite for the primary caregiver. Duties range from hands-on assistance for daily living needs to companionship, transportation and short-term recovery care at home. Our Habilitation Services include Individual Day Habilitation, In-home Supports, and Supported Living. Trinion respects individual choice and earns trust through reliable, compassionate care. With clients from Homer to Houston (AK) our primary client base is in the municipality of Anchorage and the Matanuska-Susitna Borough. We are authorized by the State of Alaska to provide services to the following Medicaid Program recipients; OA, APD, ALI, CCMC, and CFC Waiver clients; and Consumer Directed PCA. A long-standing member of The Home Care Association of America Trinion also provides services to self-paying clients as well as long-term care policy holders.

Address

3700 Woodland Drive
Anchorage, AK
USA

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