Jobs at Libertana

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.

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 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.

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.

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.

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.

Coordinate care for Assisted Living Waiver Program clients: verify Medi‑Cal eligibility, perform monthly visits and assessments, document visits in Devero, liaise with facility staff on incidents and medication compliance, track client status, ensure regulatory compliance (HIPAA, Title 22), attend trainings, and perform required driving across assigned counties.

Lead ALF Case Manager performs monthly face-to-face and weekly follow-ups with ALWP/CCT clients in RCFEs, identifies and coordinates needed services, conducts QA reviews, manages client databases, develops PR strategies, assists program leadership, recruits and supervises staff, ensures compliance with Title 22, HIPAA, and mandated reporting, documents client contacts, and drives regionally across specified California counties.

Coordinate transition options for skilled nursing facility (SNF) residents into the community. Liaise with SNF case managers and state agencies, pre-screen residents, prepare Initial and Final Care Plans, submit TARs, coordinate housing, DME, waivers, and follow-up case management. Maintain documentation, HIPAA compliance, credentials, timekeeping, and attend required trainings. Travel/driving to service area may be required (up to 25%).

Coordinate transitions for skilled nursing facility residents into the community by liaising with SNF staff and state agencies, completing care plans and TARs, arranging housing, DME, waivers, follow-up, documentation, trainings, and timekeeping while ensuring HIPAA and mandated reporting compliance.