• Demonstrated ability to handle multiple tasks to completion.
• Demonstrated ability to build effective internal and external relationships.
• Demonstrated ability to understand policies and operationalize them into effective practices.
• Ability to operationalize policy and sees obstacles as an opportunity to dig deeper to find the error and drive the solution.
• Be well-versed in the unique and complex needs of the foster care population and be knowledgeable of the policies and systems that guide their care.

• Establish and sustain relationships with all MMCOs with which Graham has contracts.
• Work in collaboration with the 29i Health Facility Team: Care Coordination nursing and clinical staff, OLHRS providers, MH 31 providers, Health Homes, CFTSS/HCBS providers, billing staff, etc.
• Act as the primary contact person for the MMCP to assist with MMCP enrollment, disenrollment and transitions, immediate issuance of the welcome packet, securing identification showing effective enrollment date and continuous replacement of the insurance identification card as applicable.
• Assist with foster care placement changes including access to health care and facilitating a single case agreement when a child is placed outside of the MMCP’s service area or provider network.
• Upon a child’s placement and throughout the placement, help maintain eligibility for Medicaid or other public health insurance.
• Regularly review and verify child’s status in ePaces by establishing a process to routinely verify Medicaid status and maintain regular communication about coverage with the Care Coordination program, parents and foster parents, case planning, other relevant program and billing staff regarding Medicaid eligibility and any changes in that status.
• Work with IT and the program to create a system to track and verify health insurance eligibility and status regularly. Upon discharge, work with program staff and the child’s family to ensure the continuity of medical coverage.
• Ascertain and verify that each child is assigned a PCP and along with CC team determine if PCP needs to be changed in the best interests of the child. Inform and coordinate with the MMCP when a child/youth’s primary care provider needs to be changed.
• Ensure appropriate notifications to MMCOs for the following: changes in placement, billing concerns, consent and confidentiality issues and court orders.
• Develop and implement a system of communication and notification with MMCP’s that includes: Mechanisms for sending and receiving information, including new enrollments or dis-enrollments from MMCP’s, Foster Care intake and discharge status, changes in placement or address, changes in health status or provider, etc.
• Responsible for coordinating with the Medicaid Managed Care Plan’s Foster Care Liaison.
• Refers to children for needed services and assists in provider selection.
• Interacts with clinical and billing staff to understand and successfully resolve issues.
• Coordinates with health care providers, including school and community-based services.
• Meets the highest standards for ethical and professional conduct at all times and towards all.

• Excellent written and oral communication skills
• Strong interpersonal skills and building relationships
• Experience, expertise, and knowledge of: The child welfare system, Foster care health requirements, Unique and complex needs of the foster care population, Policies and procedures, 29i Health Facility policies and procedures, MMC policies and procedures

• Bachelor’s Degree Preferred. AA/AS degree in healthcare, business administration, social work, psychology, nursing, public health, or a related field will be considered.
• Years minimum experience in a youth/family-centered medical, behavioral, or mental health/psychosocial treatment environment.

In full partnership with families & communities, Graham Windham strives to make a life-altering difference to children, youth and families affected by abuse, neglect and delinquency by providing each child we serve with a strong foundation for life: a safe, loving, permanent family and the opportunity and preparation to thrive in school and in the world. With over 400 full-time, part-time and On-call employees serving children and families in multiple programs throughout Westchester County, Manhattan, the Bronx, Brooklyn and Harlem, Graham Windham provides an exciting & enriching work experience.Graham has pioneered programs for New York City’s children, families and communities for over 200 years.Today, Graham is one of New York City’s leading social services organizations, providing educational and social services to over 4,000 children, young people, and parents in the Bronx, Brooklyn, and Harlem.GRAHAM ‘s IMPACT: 2019 HIGHLIGHT-Graham served 4,128 children, young people, and parents across New York City.-99% of families in our prevention program, who were at risk of having children placed in foster care, remained intact six months after receiving family support services.*95 kids in foster care reunited with their families within one year and 25 were adopted.*Over 90% of children in foster care who were reunified with their families avoided re-entering foster care in the year after reunification.*92% of young people in the Graham SLAM education and career support program graduated from high school by age 21 (compared with 22% of young people across the New York City foster care system).*We helped to lead close to 100 stakeholders in successfully advocating for New York City to invest $10 million in an approach similar to Graham SLAM for young people across NYC through the Fair Futures campaign.