Jobs at Libertana

Manage caseloads for HCBA Open Case Management clients, ensure documentation, Medi-Cal eligibility, progress notes, and care plans. Coordinate with RNs, providers, families, and community resources, conduct assessments, implement Plans of Treatment, report abuse/neglect, attend trainings, and complete required documentation and schedules. Remote role with occasional local travel.

Coordinate care for Assisted Living Waiver Program clients: perform monthly Medi‑Cal eligibility checks and visits, monitor medication compliance, liaise with facility staff, update records in Devero, obtain signatures on ISPs, ensure HIPAA/Title 22 compliance, maintain credentials, and perform regional driving as needed.

Coordinate care for Assisted Living Waiver Program clients: conduct monthly visits, check Medi-Cal eligibility, document assessments in Devero, liaise with facility staff, monitor medication compliance, report incidents, and maintain credentials and timekeeping. Significant driving across several counties may be required.

Resolve Medi-Cal eligibility barriers by verifying eligibility in state systems and EMRs, coordinating redeterminations with counties, assisting members, conducting field visits, tracking trends, and collaborating with Member Services, Revenue Cycle, Clinical Teams and Compliance to ensure timely access and reimbursement.

Identify, resolve, and prevent Medi-Cal eligibility issues by verifying eligibility in state systems and EMRs, coordinating redeterminations with county offices, engaging members, conducting field visits, maintaining audit-ready documentation, tracking trends, and collaborating with internal teams to ensure member access and reimbursement.

Support the Financial Management Services program by processing referrals and authorizations, communicating with vendors, clients, family and case managers, maintaining and reconciling patient account activity, preparing tracking reports, and collaborating with accounting and regional center teams. Provide excellent customer service and accurate data entry in a fast-paced environment.

Provide clinical care and coordinate home-based services for enrolled clients, conduct assessments/reassessments, develop and implement Plans of Treatment, monitor service delivery, document care, report incidents, and collaborate with social workers and providers to ensure compliance and quality.

Coordinate transitions for skilled nursing facility residents into community settings: liaise with SNF staff and state agencies, pre-screen residents, prepare and submit care plans and TARs, arrange RN assessments, DME and waivers, maintain documentation, ensure HIPAA compliance, and assist residents during first-year community reintegration.

Lead design, implementation, and modernization of information systems (including EHR/EMR and billing platforms). Align systems with organizational strategy, drive process standardization and automation (including AI-enabled tools), manage vendors and teams, ensure data quality and reporting, support change management, and maintain HIPAA/HITECH compliance to improve operational efficiency and patient care.

Investigate and resolve Medi-Cal eligibility barriers, verify eligibility using state systems and EMRs, coordinate redeterminations, liaise with county offices and members, track trends and documentation, perform occasional in-person county visits, and collaborate with internal teams to ensure member access and reimbursement.

Coordinate care for Assisted Living Waiver Program (ALWP) clients: verify Medi‑Cal eligibility, perform monthly visits and assessments, document visits and ISP/Re‑assessments in Devero, communicate with facility staff about SIRs/medication compliance, and manage client tracking and reporting. Position requires driving across specified counties and adherence to HIPAA and mandated reporting.

Design, deliver, and maintain onboarding, compliance, leadership, and role-specific training. Facilitate in-person, virtual, and hybrid sessions; create learning materials; track completion and compliance in HRIS/LMS; analyze participation and feedback; partner with leaders to identify needs and improve programs.

Support the revenue cycle by preparing and submitting clean claims, following up on denials, managing authorizations and appeals, posting payments and adjustments, reconciling remittances, monitoring AR aging, identifying denial trends, and responding to billing inquiries to maintain cash flow.