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Case Manager
2 months ago
Position Summary:
- The Case Manager oversees client care, works with a multi-disciplinary team, and interacts with external stakeholders such as referral sources, care providers, and insurance companies. Responsibilities include ensuring accuracy in utilization review, care management, discharge planning, and maintaining relationships with external agencies. The Case Manager supports therapists by gathering and sharing information with families and coordinates information flow between internal and external team members. This role requires attention to detail, strong time management, interpersonal skills, and self-motivation. Additionally, the Case Manager coordinates parental involvement and connects clients to community resources.
Education:
- A Bachelor’s degree in a human service field (I.e., social work, education, sociology, psychology, counseling, applied behavioral sciences) or criminal justice preferred.
Experience:
- A minimum of two years’ experience working in case management, utilization review, wellness coordination with at least one of those years of experience working with economically disadvantaged, vulnerable or at-risk youth and/or adults.
Preferred Experience/Skills:
- Requires Intermediate skills in Microsoft Office Suite, including Word, Excel, and Outlook email. Strong interpersonal skills including oral and written communication.
Certification/Licensure:
- At least 21 years old
- Valid Drivers License
- Valid Auto Insurance
Job Duties/Responsibilities:
- Engage in respectful and inclusive teamwork with all KVC departments and employees regardless of age, gender identity, sexual orientation, race, religion or ethnic background.
- Work effectively with a wide range of constituencies, including but not limited to a multi-disciplinary internal team, external stakeholders, referral sources, other care providers, and insurance companies in a diverse community.
- Ensure and monitor correct data is in electronic health records with authorizations/child specific contracts (single case agreements, etc.)
- Assisting in mapping out contractual relationships, maintaining good relationships with these contracts and external agencies
- Communicates with external Mental Health Liaisons or other agencies informing them of youth’s placement, progress and discharge
- Communicates with parents/guardians to gather facts and set up meetings/visitations and contacts families upon discharge within 24 business hours of the discharge
- Gathers data and compiles information completely and accurately and enter data into the data management systems
- Conducts Utilization Review functions; reports to insurance companies; files appropriate forms and writes appeals for signature
- Gathers and summarizes information for intake assessments and discharge summary reports
- Maintains strictest confidentiality about child/youth/family information
- Assists in maintaining compliance with state, federal and The Joint Commission guidelines
- Will assist with completion of paperwork for admissions and assist in other duties
- Will assist with individual assignments such as audits of meaningful use data
- Attends staff conferences and in-service training as required or needed
- Provide reviews of documentation to enhance quality of records and ensure compliance with standards of care
- Support special initiatives through quality assurance roles to enhance services for consumers
Join us:
- We’re an equal opportunity employer committed to diversity and inclusion. We welcome applications from individuals of all backgrounds and experiences.
