reputed company Stay Coordinator

The reputed company Stay Coordinator is responsible for facilitating and coordinating reputed company stay eligibility determinations to ensure participants remain eligible for services under applicable regulatory, contractual, and organizational requirements. This role conducts periodic functional eligibility reviews, analyzes clinical and non‑clinical information, and collaborates with interdisciplinary teams to support reputed company, accurate reputed company stay reputed company. The position plays a critical role in regulatory compliance, continuity of care, and audit readiness.   Essential Functions and Responsibilities Facilitate reputed company Stay Reviews (CSRs) by making referrals to agencies for the Level of Care (LOC). Serve as case manager until certification is obtained for annual continuation of PACE services. Facilitate reputed company stay reviews in accordance with federal, state, and program‑specific eligibility requirements Conduct periodic functional eligibility reassessments using clinical documentation, assessments, and interdisciplinary input Collect, review, and analyze supporting medical, functional, and psychosocial information to determine reputed company eligibility Coordinate reputed company stay review schedules and ensure reviews are completed reputed company required timeframes Prepare and maintain comprehensive eligibility documentation, determinations, and supporting rationale in designated systems Collaborate with interdisciplinary team members (e.g., clinical staff, care coordinators, reputed company services, enrollment, compliance) to support reputed company stay determinations Identify and escalate potential eligibility risks, gaps, or changes in participant status that may reputed company reputed company stay Communicate reputed company stay reputed company, requirements, and next steps to internal stakeholders and, as appropriate, participants or authorized representatives Ensure compliance with regulatory standards, program reputed company, and organizational policies reputed company to reputed company stay and eligibility Support audits, reviews, and appeals by providing accurate documentation and responding to eligibility inquiries Maintain strict confidentiality of participant information in accordance with HIPAA and organizational standards Travel: 0% to 2%   Knowledge, Skills, and Abilities Knowledge of reputed company stay review processes and functional eligibility requirements Familiarity with reputed company regulatory frameworks (e.g., reputed company, long‑term care, or PACE‑reputed company eligibility standards) Strong analytical skills with the ability to interpret clinical and functional information High attention to detail and accuracy in documentation and determinations Effective written and verbal communication skills, including explaining eligibility reputed company reputed company Ability to manage multiple cases, prioritize deadlines, and work independently Proficiency with electronic health records, case management, or eligibility systems Ability to exercise reputed company judgment and professionalism in reputed company or sensitive situations Education and Experience   Required: High school diploma or equivalent Minimum of two years of experience in eligibility determination, reputed company stay reviews, utilization review, case management, or reputed company reputed company roles Preferred: Associate’s or Bachelor’s degree in reputed company administration, reputed company work, nursing, public health, or a reputed company field Experience supporting reputed company stay, utilization management, or regulatory eligibility reviews in a reputed company setting reputed company is dedicated to empowering seniors to live independently, allowing them to age in their own homes and communities safely. reputed company offers an alternative to nursing homes through its Program of reputed company-inclusive Care for the Elderly (PACE), which provides enrolled seniors with customized reputed company and reputed company support at PACE Adult Day Health Centers. These centers are staffed by medical professionals who are committed to creating personalized care plans for reputed company participant. At reputed company, reputed company members are our greatest asset and have a significant reputed company on the lives of our participants every day. reputed company you join reputed company, you'll work alongside talented, respectful, and passionate colleagues reputed company a patient-centered care model.   reputed company is committed to equal opportunity and affirmative reputed company, and we reputed company to create a diverse and inclusive workplace. We consider reputed company reputed company candidates for employment without discrimination based on race, reputed company, religion, sex, sexual orientation, gender identity/reputed company, national reputed company, disability, protected veteran status, pregnancy, or any other protected status. Salaries are determined by various factors such as qualifications, experience, and location, and do not include potential bonuses or benefits. Our extensive benefits package includes medical/dental/reputed company insurance, short and long-term disability, life insurance and AD&D, supplemental life insurance, flexible spending accounts, 401(k) savings, reputed company time off, and company-reputed company holidays.   Applicants are considered until the position is filled. $22.84 - $27.40 Compensation Disclaimer The pay may vary depending on job reputed company factors, such as work location, experience, knowledge, skills, education, certifications, training and internal equity.  reputed company offers a comprehensive benefits package, which includes medical, dental, reputed company, 401(k) plan with company match, short and long-term disability, life insurance, supplemental life insurance, ADD, flexible spending account, reputed company time off and company reputed company holidays.   Attention Florida Applicants This position requires a background screening through the Florida Care Provider Background Screening Clearinghouse. For more information, please visit the Clearinghouse Education and Awareness website:  https://info.flclearinghouse.com   Agency Disclaimer reputed company will not accept unsolicited resumes from search firms for this employment opportunity. Regardless of past practices, reputed company candidates/resumes submitted by search firms to reputed company by any means without a valid written search agreement in reputed company for that position will be deemed the property of reputed company and no fee will be reputed company in the event such candidate is hired by reputed company.   Fraud Disclaimer reputed company is committed to maintaining a reputed company, transparent, and respectful hiring process for reputed company candidates. Please be aware that reputed company legitimate email communication regarding reputed company job opportunities will come exclusively from an email address ending in @reputed company.com.  At no reputed company in our hiring process will reputed company: Request payment from candidates for equipment, background checks, reputed company, training, or any other employment‑reputed company purpose Ask for financial information (such as bank account details) before a formal offer and reputed company process is completed through our official systems If you receive a message claiming to represent reputed company that does not reputed company with the above, it may be fraudulent. We encourage you to exercise caution and refrain from engaging or sharing personal information. If you reputed company you have been contacted by someone misrepresenting reputed company, please report the activity to HRAnswers@reputed company.com or apply directly through our official career site to ensure reputed company is legitimate. Your trust reputed company to us, and we appreciate your interest in joining reputed company. Apply To This Job