Posting Details The Consumer and Elder Rights Division (CERD) within the New Mexico Aging and Long-Term Services Department (ALTSD) provides accessible, integrated services to older adults, adults with disabilities, and caregivers to assist them in maintaining their independence, dignity, autonomy, health, safety, and economic well-being, thereby empowering them to live on their own terms in their own communities as productively as possible. We envision lifelong independence and healthy aging. Our guiding principles are to protect the safety and rights of those we serve; promote personal choice and self-determination; treat all persons with respect, embracing cultural diversity; encourage collaborative partnerships; and provide fiscally responsible services. CERD oversees the Aging and Disability Resource Center (ADRC), State Health Insurance Assistance Program (SHIP), and Senior Medicare Patrol (SMP). Interviews are expected to be conducted within two weeks of closing date.

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is an equal opportunity employer. If an applicant selected for an interview needs reasonable accommodation to participate in the interview process, please inform the agency contact listed in the job posting. Why does the job exist? This position is responsible for opening of Medicare billing errors, waste, and fraud. Twenty percent of the incumbent's time will be responsible for case management, reporting relative to each case, and community outreach activities. Twenty percent of time will be spent on general Medicare Fraud related outreach, and sixty percent of the incumbent's time will plan and organize recruitment activities of volunteers statewide. The position will be responsible for recruitment, training and development of the Consumer and Elder Rights Division (CERD) volunteers. The incumbent will train and engage the CERD volunteers with community programs, outreach events and/or benefit counseling with the assistance of the State Health Insurance Assistance Program (SHIP) regional coordinators. The role relies on collaborative work and regular communication, including with the ALTSD Volunteer Coordinator, other Division partners who work closely with volunteers, and other partners. How does it get done? Conduct client interviews, complete assessments, and review reports of Medicare billing error, waste, fraud and abuse. Incumbent will be required to be subject specialist, advocate and follow-up on activities on behalf of beneficiaries who report Medicare billing errors and other issues. Incumbent will enter and record all activities into the ACL database. Ensure every case assigned has a signed, dated, client release form. Investigate SMP cases and coordinate with providers and contractors for resolution. Enter into ACL reporting system client case information, outreach/educational events, edits, updates, and closure outcomes. Record monetary savings into reporting system for assigned cases. Provide individual client counseling regarding Medicare, Medicaid, health and long-term care insurance, public benefits and appropriate community programs and services. Incumbent will review eligibility determinations for social service programs and conduct an assessment which will address and identify the various needs of the clients. The incumbent will provide assistance in complex cases by providing information, working with SHIP staff and other ADRC staff to ensure the client has access to all available benefits programs. Develop and implement community outreach and education activities and disseminate materials directed to the public centered on how to prevent, detect, and report health care fraud. Recruit, screen and interview volunteers. Incumbent will organize recruitment of volunteers by coordinating with local community partners to expand volunteer base. Incumbent will follow the SMP Volunteer Risk and Program Management manual. Conduct initial training and development program and ongoing training to produce knowledgeable volunteers who will provide benefit counseling, community presentations on behalf of the ADRC programs. Engage volunteers by assigning to SHIP Coordinator with duties and overseeing interactions, and monitoring between volunteer and SHIP Coordinator. Incumbent will also provide information updates and continuing education on changes to public benefits. Enter volunteer names, volunteer hours and activities into appropriate databases. Work collaboratively and communicate regularly with the ALTSD Volunteer Coordinator, other Division partners who work closely with volunteers, and other partners. Who are the customers? Elderly and disabled population, caregivers, general public. Ideal Candidate Elderly and disabled population, caregivers, general public. Minimum Qualification Associate's Degree in Social Work, Psychology, Guidance and Counseling, Education, Sociology, Criminal Justice, Criminology, Family Studies/Services, Social Sciences, or Human Services and one (1) year of experience as a social work assistant and/or in social or community coordination, working with communities, working on health or social service related matters, social work/case management experience, and/or behavioral health care. Any combination of education from an accredited college or university in a related field and/or direct experience in this occupation totaling three (3) years may substitute for the required education and experience. Employment Requirements Must possess and maintain a valid Driver's License. Must possess and maintain a current Defensive Driving Course Certificate from the State of New Mexico or must pass and receive Defensive Driving Course Certification within 90 days of employment. Pre-employment background investigation is required. Must pass State and Federal Criminal Background Check. Working Conditions Work is performed in an office setting with exposure to Visual/Video Display Terminal (VDT) and extensive personal computer and phone usage. Lifting up to twenty-five (25) pounds. Extensive travel to regional offices. Supplemental Information Do you know what Total Compensation is? Click here

Agency Contact Information:

Kelley Dickerson (505) 570-7849 Email For information on Statutory Requirements for this position, click the Classification Description link on the job advertisement. Bargaining Unit Position This position is not covered by a collective bargaining agreement.