Title: Program Associate, Catastrophic Illness in Children Relief Fund (CICRF)
Organization: The Massachusetts Department of Public Health
Brief Summary of Position:
The Program Associate for the Catastrophic Illness in Children Relief Fund (CICRF) assists the CICRF Director and works with other CICRF staff in administering the Fund.
Duties and Responsibilities:
- Reviews and processes applications, including phone and written communication with families who have children with a range of medical conditions and are experiencing financial hardship
- Ensures all necessary medical and financial documentation has been provided, which may include contacting medical providers and others on behalf of families.
- Determines eligibility and, if eligible, identifies expenses eligible for reimbursement in accordance with Fund policies
- Prepares cases for Commission review and presents them to the Commission at monthly meetings
- Provides staff assistance at Commission meetings
- Performs administrative activities
- Assists with policy development and development/refinement of procedures. Conducts outreach to families, providers and other referral sources. Develops reports, and other related duties as needed
- Responds to inquiries from families regarding the Fund; provides families with information about the Fund, eligibility criteria, eligible expenses and application processes.
- Assists families, via phone and written correspondence, in identifying eligible expenses for potential CICRF reimbursement, completing the CICRF application, and providing required documentation.
- Prepares paperwork for payments
- Assists families in identifying alternative payment sources and/or other public and private resources and supports.
- Refers families to other resources as appropriate.
- Reviews and process applications and payments to families.
- Determines eligibility and, if eligible, identifies expenses eligible for reimbursement, in accordance with CICRF policies.
- Identifies documentation needed to complete applications, in accordance with CICRF policies.
- Ensures that all necessary medical and financial documentation has been provided, which may include contacting medical providers, insurers, other agencies, and others on behalf of families.
- Conducts appropriate research when warranted.
- Determines amount of reimbursement to eligible families and prepares paperwork for payments and tracks fiscal transactions.
- Enters application and payment information into Access database.
- Communicates with families via phone and written correspondence.
- Prepares “cases” for Commission review and present them to the Commission at monthly Commission meetings, including researching various medical services and products, as needed, and providing any necessary follow-up information to the Commission.
- Collaborates with other DPH program staff to identify resources and supports for families (e.g. financial, social, other).
- Provides outreach activities aimed at increasing awareness about the Fund.
- Provides education to DPH program staff on CICRF, to ensure that eligible families are referred.
- Provides outreach/training to families and providers through participating in meetings, doing presentations at family and provider meetings and/or conferences, staffing informational tables, and developing written materials.
- Communicates with hospital and community social workers, and other referral sources, regarding CICRF policies and procedures.
- Assists in identifying additional outreach methods and target audiences, in order to increase awareness about the Fund and increase appropriate referrals.
- Assists with policy development and development/refinement of procedures.
- Identifies areas in which policies and procedures need to be developed/refined and offers recommendations.
- Analyzes data and performs other research activities to determine impact of potential changes in policy.
- Provides staff assistance at Commission meetings and at subcommittee meetings as requested.
- Assists in preparing for Commission and subcommittee meetings, including working with the Director and other staff to develop and disseminate necessary materials and resources, provide follow-up on issues, assure that minutes are taken, and related duties.
- Assists in preparation of reports as needed.
- Bachelors or Masters degree in Public Health, Social Work, Nursing, Health Care, or Public Administration
- Excellent written and verbal communication skills
- Strong math skills
- Strong problem-solving skills
- Strong interpersonal skills, including ability to establish rapport and deal tactfully with others
- Strong computer skills, using Microsoft Office applications (including Microsoft Word, Excel and Access)
- Strong organizational skills
- Ability to maintain accurate records
- Ability to prioritize and manage multiple tasks
- Understanding of, and experience with, issues faced by families of children with special health care needs and disabilities
- Experience providing direct support to families in crisis, particularly those faced with particularly stressful financial and medical situations
- Experience in a position with a customer service focus
- Knowledge of health care delivery and payment systems, including public and private sources of reimbursement
- Experience in medicine, nursing, or rehabilitation sciences is a plus
- Bilingual Spanish/English preferred
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