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Enrollment Case Manager (Travel - Pennsylvania)

Stryker Corporation, San Jose, CA, United States


Maximus is currently hiring for Enrollment Case Managers to support the Pennsylvania Independent Enrollment Broker (PA IEB) program. This role services homes across Pennsylvania and requires daily travel with a personal vehicle throughout your assigned county.

The Enrollment Case Manager is responsible for being in the community supporting applicants as they complete documents as well as providing education & connecting applicants to resources related to the Pennsylvania Waiver program. In addition, they support in other capacities to meet the contractual obligations of the PA IEB program. We are seeking dedicated and detail-oriented individuals to join our team in supporting individuals applying for waiver programs. This role involves conducting in-home intake assessments, processing applications, and facilitating eligibility determinations to ensure timely enrollment and access to services.

Why Maximus?

Competitive Compensation - Quarterly bonuses based on performance included

Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance

Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching

Paid Time Off Package - Enjoy PTO, Holidays, and sick leave, along with Short and Long Term Disability coverage

Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP)

Recognition Platform - Acknowledge and appreciate outstanding employee contributions

Tuition Reimbursement - Invest in your ongoing education and development

Employee Perks and Discounts - Additional benefits and discounts exclusively for employees

Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs

Professional Development Opportunities - Participate in training programs, workshops, and conferences

Essential Duties and Responsibilities

Travels throughout assigned counties, working primarily in applicants' places of residence

Conducts intake visits for program applicants and acts as a facilitator for the eligibility determination process, providing assistance from the time individuals are identified as potential participants in specified program to the time they are enrolled as participants or are terminated from the intake process

Presents and discusses the concept of the programs, and advises applicants of their rights and responsibilities

Assists applicants with selecting options that best meet their needs, ensuring consumer control is maintained throughout the application process

Assists with developing relationships with community-based organizations, advocates and stakeholders to gather feedback on improving the application process and removing barriers to enrolling in waiver programs

Fosters and maintains relationships with parties serving our mutual consumers, including physicians, County Assistance Offices, providers, nursing homes and rehabilitation facilities

Attends regularly scheduled meetings and reports on schedule availability at regular intervals

Assists with application submission, including data entry of the Compass Application

Facilitates the efficiency of the application process, ensuring any stalled cases receive extra attention and support

Perform other duties as assigned

Conduct 3-4 in-person intake visits daily in applicants’ homes

Process applications through COMPASS and coordinate with eligibility teams to ensure timely and accurate determinations

Provide comprehensive case management support from initial referral through program enrollment or case closure

Maintain accurate records and track applicant data using Microsoft Excel

Utilize Microsoft Word for documentation and Microsoft Teams for internal communication and collaboration

Minimum Requirements

High school diploma or GED required and 4+ years of relevant professional experience required, or equivalent combination of education and experience

Residency in Pennsylvania

Ability to handle high level of client home visits

Ability to work in various home environments and in a fast-paced setting

Comfortable adapting to frequently changing processes due to contractual requirements

Reliable, independent transportation required for daily home visits

Strong problem-solving skills, with the ability to work independently while knowing when to elevate issues to a supervisor

Ability to pivot between tasks and projects while maintaining focus and meeting deadlines

Strong time management skills and flexibility to meet evolving program needs

Must be willing and able to work 8:30 AM – 5:00 PM, Monday through Friday

Proficiency in Microsoft Excel, Word, and Teams

Strong organizational and documentation skills

Must have reliable, independent transportation

Preferred Skills and Qualifications

Bachelor's Degree in social services or related field highly preferred

Strong communication skills

Government systems experience

Experience in case management, social services, or a related field highly preferred

Familiarity with COMPASS or similar eligibility systems

Home Office Requirements

Internet speed of 20mbps or higher required (you can test this by going to www.speedtest.net)

Connectivity to the internet via either Wi‑Fi or Category 5 or 6 ethernet patch cable to the home router

Must currently and permanently reside in the Continental US

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