Care Advocate, as part of the Independent Consumer Advocacy Network (ICAN), the
New York State Ombudsprogram for Managed Long Term Care, will assist seniors
and people with disabilities as they transition into and navigate Medicaid
Managed Long-Term Care (MLTC). The Advocate will work with consumers to
resolve issues with their MLTC plans.
Reports to: Director
Duties and Responsibilities:
direct in person consumer assistance, advocacy, and education for MLTC
participants/caregivers by explaining enrollment and disenrollment,
benefits, coverage and access rules and procedures, member rights and
responsibilities, and appeals. Information will also be provided through
distribution of written material.
a live legal helpline during assigned shifts.
participants/caregivers with raising and resolving quality of care and
quality of life issues. Train other community-based organization advocates
on these and other issues, and prepare do it yourself template materials
for participants/caregivers to use.
participants/caregivers with accessing records from the Managed Long-term
the grievance and appeal process and assist participants/caregivers in
resolving problems and issues using skilled negotiation techniques and
providing assistance in filing grievances and appeals when informal
problem resolution proves unsuccessful.
consumer outreach and education presentations at other community-based
organizations and to participants/caregivers and advocates. Assist with
developing and maintaining an outreach and education campaign.
with all legal requirements established by NY State Department of Health
for obtaining consent, ensuring access to records, coordinating contacts
with plans, coordinating referrals, and for ensuring confidentiality, and
protect against inappropriate disclosures of identifying information.
all significant client data and service provision details are current and
accurate, and that they are documented in a timely manner into CIDNY’s and
the contracted provider’s databases.
established quality assurance procedures. Conduct quality assurance
reviews of cases, using case notes and information reports in the database.
Agency’s in-service training and unit meetings as well as any other
agency-related activities. Conduct trainings regarding client education,
navigational and appeal services, consumer rights and responsibilities.
systemic trends or practices that affect people with disabilities and
seniors and work closely with other stakeholders to design a systematic
in preparation of reports concerning the program.
responsibilities as identified by Supervisor.
Education and/or experience required:
have earned a JD and be admitted to the practice of law in NY or pending
experience providing assistance to people with health insurance and health
care access issues.
work with the disability community or personal experience with disability
Skills, Licenses, and/or competencies
of health care coverage information, eligibility rules, and resources;
of social service delivery systems and government/benefits resources
including laws and polices related to Medicare and Medicaid;
advocacy, interpersonal, organizational, and communication skills required;
must have time management skills to maintain individual/community
outreaches, caseload, documentation and administrative requirements;
addition, the ability to work well independently as well as part of a
be computer literate of basic Microsoft Programs; knowledge of Salesforce
with the Americans with Disabilities Act preferred.
and comfortable with persons from different cultural and socio-economic
to speak a language other than English strongly preferred.
Salary: $62,000 + Excellent Benefits Package
to all laws, statutes, and regulations concerning equal employment
opportunities and affirmative action. We strongly encourage women, minorities,
individuals with disabilities and veterans to apply to all of our job openings.
We are an equal opportunity employer and all qualified applicants will receive
consideration for employment without regard to race, color, religion, gender,
national origin, disability status, genetic information and testing, family and
medical leave, sexual orientation and gender identity or expression, protected
veteran status, or any other characteristic protected by law. We prohibit
retaliation against individuals who bring forth any complaint, orally or in
writing, to the employer or the government, or against any individuals who
assist or participate in the investigation of any complaint or otherwise oppose
How to Apply:
send a thoughtful cover letter and resume to Paige Munson, Director of
Services. Please use the job title as the email header.