• CAU Long Term Care Eligibility Specialist

    Louisiana Department of State Civil Service (Baton Rouge, LA)


    CAU Long Term Care Eligibility Specialist

     

    Print (https://www.governmentjobs.com/careers/louisiana/jobs/newprint/5166765)

     

    

     

    CAU Long Term Care Eligibility Specialist

     

    Salary

     

    Depends on Qualifications

     

    Location

     

    Baton Rouge, LA

     

    Job Type

     

    Unclassified

     

    Job Number

    R-001819

    Department

     

    University of New Orleans

     

    Opening Date

     

    12/10/2025

     

    + Description

    + Benefits

     

    Job Duties and Other Information

     

    + Timely complete appeal actions to re-open and/or close cases in accordance with appeal status. Take precautions to not re-notice appellants when taking these actions.

    + Process CAU reversals which will include clearing issues and discrepancies in LaMEDS to assist with the processing of applications and renewals.

    + Review data systems to determine what action needs to be performed. Maintain controls to ensure reversals are completed within required deadlines.

    + Document eligibility research electronically in the required Medicaid system applications.

    + Prepare eligibility decision notices by inputting required data into the corresponding Medicaid application systems, as necessary.

    + Maintain knowledge of Medicaid policies and procedures and ensure that any new changes, updates or clearances are applied accordingly.

    + Maintain knowledge and usage of all verification systems the agency has access to.

    + Interpret and apply complex federal, state, and agency policy. Employ rudimentary knowledge and terminology of legal, medical and business areas, including real estate and insurance.

    + Trend and analyze appeals data both regionally and statewide. Develop and produce reporting based on appeals data to influence training needs and decision making.

    + Attend and participate in required meetings and trainings.

    + Attend LTC hearings when needed.

    + Complete LTC appeal packets needed.

    + Other tasks as directed.

    QUALIFICATIONS

    REQUIRED:

    + Bachelor’s degree or 6 years of professional experience in lieu of degree.

    + Minimum two years of professional experience determining Medicaid eligibility.

    + Minimum one year of professional experience determining Long Term Care and Waiver eligibility.

    + Minimum one year of professional experience utilizing the LaMEDS system.

    + Excellent analytical skills, effective organizational and time management skills.

    + Great attention to detail and follow up.

    + Excellent verbal and written communication skills.

    DESIRED:

    + Advanced degree.

    + Minimum three years of professional experience in determining Medicaid eligibility.

    + Minimum two years of professional experience in determining Long Term Care and Waiver Medicaid eligibility

    + Minimum two years of professional experience working with Medicaid appeals process.

    + Minimum two years of professional experience utilizing the LaMEDS system.

     

    Benefits for unclassified employees are determined by the individual hiring authority.

     

    Employer

     

    State of Louisiana

     

    Address

     

    For agency contact information, please refer to

     

    the supplemental information above.

     

    Louisiana State Civil Service, Louisiana, 70802

     

    Phone

     

    (866) 783-5462

     

    Website

     

    http://agency.governmentjobs.com/louisiana/default.cfm

     

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