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Case Manager

1 month ago

Charleston, West Virginia, United States BrightSpring Health Services Full time
Job Title: Case Manager

At BrightSpring Health Services, we are seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in ensuring the highest level of care for our clients.

Key Responsibilities:
  • Receive and respond to incoming calls from referral sources and potential clients, gathering information to identify their needs and consulting with the Director of Clinical Management to determine our ability to meet them.
  • Complete all viable referrals by setting up and carrying out pre-screening assessments, completing pre-screening reports, and preparing case proposals and other related pre-admission paperwork.
  • Oversee, direct, and supervise field staff assigned to assist with the pre-screening process.
  • Access national, state, and company account information, including account names and terms of contracts or other past payer agreements, as appropriate.
  • Consult with third-party representatives regarding client benefit coverage, client financial responsibility, company service authorization, and specific reimbursement procedures.
  • Contact referral sources to advise them of case acceptance and provide information on the clinical team responsible for the client's case.
  • Develop and maintain a working knowledge of all services and resources provided by the company and services available within the community.
  • Maintain relationships with standard referral sources and payer case managers, contacting identified referral sources and seeking referrals as appropriate.
  • Monitor and track referral sources' satisfaction levels, track and report on conversion ratios, and provide summary reports to management at requested intervals.
  • Implement and maintain operational processes to ensure compliance with company policies, requirements, and regulatory mandates.
  • Adhere to and participate in the company's mandatory HIPAA privacy program and Business Ethics and Compliance programs.
  • Participate in quarterly growth planning meetings and activities, including discussions around staffing and recruitment needs.
  • Participate in special projects and perform other duties as assigned.
Qualifications:
  • Bachelor's degree in a human services field or nursing field.
  • Valid driver's license.
  • Two years of experience with case management or a related discipline.
  • Ability to communicate both verbally and in writing.
About Our Line of Business:

StepStone Family and Youth Services provides a full spectrum of support to children in need of alternative, safer, and more positive living environments with residential and family services. We connect children and youth who need homes with foster families, as well as foster care training, respite care, and support services.

For young adults transitioning from foster care to independent living, we provide personalized guidance and training on basic life skills, including money management, life skills, and education.

For more information, visit www.stepstoneyouth.com.

Salary Range: USD $17.50 / Hour

We take pride in creating a best-in-class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information from you via text or email.

Click here for additional FAQ information.

Job Locations: US-WV-CHARLESTON

ID: 2024-151021

Line of Business: StepStone Family & Youth Services

Position Type: Full-Time

Pay Min: USD $17.50/Hr.

Pay Max: USD $17.50/Hr.