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$25/hr–$27/hr
Full-time
Posted 8d ago
Apply by Oct 27
~40 hrs/week
Responsibilities
The Resident Support Specialist manages the lifecycle of government benefits for residents and conducts on-site audits to ensure regulatory compliance. They coordinate with the Quality Assurance and Accounting departments to resolve benefit delays and maintain accurate resident records.
Requirements
Candidates must have at least two years of experience with Social Security, SSI/SSP, and Medi-Cal benefits, preferably in a senior living or healthcare setting. A valid driver's license, background clearance, and First Aid/CPR certification are required.
Full job description
JOB DESCRIPTION TITLE: Resident Support Specialist DEPARTMENT: Quality Assurance REPORTS TO: Quality Assurance Manager SCHEDULE: Monday–Friday, 8:30 AM–5:00 PM · travels between communities
JOB SUMMARY
The Resident Benefits Compliance Specialist protects residents’ government benefits and the company’s revenue integrity. The role manages the full Social Security, SSI/SSP, and Medi-Cal lifecycle for residents of our licensed board-and-care (RCFE) communities, and conducts on-site audits of employee and resident files to ensure regulatory compliance. The position partners with the Quality Assurance and Accounting departments to resolve benefit delays before they compromise resident benefits or company collections.
A. DUTIES AND RESPONSIBILITIES
Resident Benefits — Social Security, SSI/SSP & Medi-Cal
Assist residents and families in establishing and maintaining SSA, SSI/SSP, and Medi-Cal benefits before, during, and throughout residency.
Notify the Social Security Administration when a resident moves into a licensed non-medical board-and-care facility, and ensure the resident’s aid code and SSI/SSP payment are changed to the correct Non-Medical Board and Care living-arrangement rate.
Verify each resident has no Medi-Cal Share of Cost (SOC) issue; where a SOC exists, address it immediately — spend-down, redetermination, or documentation — so benefits are not reduced or compromised.
Confirm Medi-Cal eligibility is active and current for every resident; track redetermination dates and prevent any lapse in coverage.
Assist with appointing Glen Park as representative payee where appropriate, and maintain accurate payee records.
Maintain a resident-by-resident benefits log capturing aid code, SOC status, Medi-Cal active date, and dollar value recovered or protected.
On-Site File & Compliance Auditing
Conduct on-site audits of employee personnel files and resident files across all communities to confirm every mandated document is present, current, and compliant under Title 22, Title 17, Regional Center, Department of Labor, and Glen Park policy.
Flag each deficiency with a corrective action and resolve-by deadline; report status to the QA Manager, Executive Directors, and President.
Ensure facility records are audit-ready in anticipation of unannounced third-party and licensing inspections, and assist with audit-preparation activities as directed.
Cross-Department Coordination & Reporting
Work with the QA Department and Accounting Department to identify and report delayed or non-payment of Social Security/SSI and Medi-Cal benefits, and drive resolution to protect collections.
Attend monthly QA meetings with upper management and present benefits-recovery and compliance status.
Review all documents for conformity with HIPAA and maintain strict confidentiality of resident and personnel records.
Remain current on Title 22, Title 17, and regulatory changes affecting benefits and quality.
Perform other related duties upon request.
B. MINIMUM QUALIFICATIONS
Two (2) or more years of experience working with Social Security, SSI/SSP, and Medi-Cal benefits — eligibility, aid codes, and Share of Cost — preferably in senior living, RCFE/board-and-care, skilled nursing, or the healthcare/insurance industry.
Working knowledge of California Title 22 RCFE personnel and resident record requirements.
Strong file-audit, analytical, and organizational skills with close attention to detail and accuracy.
Background clearance through FBI and DOJ.
Current First Aid and CPR certification.
Valid California driver’s license and good driving record; able to travel between communities for on-site audits.
Proficiency with Microsoft Office and Google Workspace; comfortable with CRM and EMR/EMAR systems.
C. PREFERRED
Familiarity with the representative-payee process, MEDS/BIC look-ups, and county Medi-Cal redetermination.
Bilingual (English/Spanish) a plus.
D. KEY DELIVERABLES & CADENCE
Weekly: Weekly resident benefits status report (aid code, Share of Cost, Medi-Cal active) and on-site file-audit findings with deadlines.
Monthly: Benefits-recovery dollar report to QA and Accounting; attend the monthly QA meeting with upper management.
PHYSICAL REQUIREMENTS
Prolonged periods sitting at a desk and working on a computer.
Must be able to lift up to 15 pounds at times; able to travel between community sites.
Other Duties: This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee. Duties, responsibilities, and activities may change at any time with or without notice.
Related keywords
Social SecuritySSI/SSPMedi-CalComplianceAuditingTitle 22Title 17RCFEBoard-and-careHealthcareInsuranceRepresentative payeeHIPAAQuality AssuranceAccountingRecord keeping
Glen Park Senior Living, we proudly uphold a legacy of unwavering dedication to service, guided by Mr. Tillman Pink Jr., a distinguished Senior Medical Specialist of the U.S. Army. Mr. Pink's remarkable journey includes completing Reserve Duty at USC Medical Center, earning an AA Degree from Los Angeles City College, a BS Degree from California State University, Los Angeles, an MBA degree from the University of Southern California, and two years of law school at Cleveland State University.
Established in 1990, Glen Park Senior Living thrives on the principles of superior care, excellence, and respect for life. Our commitment to exceptional care is profoundly personal. Mr. Pink's experiences in caring for his family instilled in us a deep empathy for those needing extraordinary support, fueling our compassionate approach to caregiving.
Glen Park Senior Living is not merely a business; it is a family mission. Alongside Mr. Pink, his wife, Mrs. Miriam Pink, contributes 40 years of healthcare industry expertise, ensuring unparalleled service. Their daughter, COO Marina Pink, represents the next generation dedicated to stability in the ever-changing healthcare landscape.
The Pink family's commitment to community service led to the establishment of the Glen Park Foundation, designed to inspire the children of our staff members, helping them transform their dreams into reality. This initiative reflects our dedication to the community and the people we serve daily.
Our services encompass Assisted Living, Memory Care, Respite Care, Day Care, and Hospice Care.
Glen Park Senior Living operates seven state-of-the-art facilities in the following cities:
Glendale, CA: 1220 Mariposa St., 1250 Boynton Street
Monrovia, CA: 110 N. Mountain Ave.
Long Beach, CA: 1046 E. 4th St.
Valley Village, CA: 5527 Laurel Canyon Blvd.
Ojai, CA: 225 N. Lomita Ave.
Glendora, CA: 452 Sellers St.
It’s a history of service that you can rely on because what matters to you matters at Glen Park.
Offices: 1220 Mariposa St., Glendale, California 91205, US
Health CareElder CareAssisted LivingHome Health Care
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