Case Manager

4 days ago

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

Join our team at StepStone Family & Youth Services as a Case Manager, where you will play a vital role in ensuring the well-being and quality care of our clients. As a Case Manager, you will be responsible for receiving and responding to incoming calls from referral sources and potential clients, identifying their needs, and consulting with the Director of Clinical Management to determine our ability to meet those needs.

Key Responsibilities:

  • Receives and responds to incoming calls from referral sources and potential clients, exchanging information to identify their needs and consulting with the Director of Clinical Management to determine our ability to meet those needs.
  • Completes 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.
  • Oversees, directs, and supervises field staff assigned to assist with the pre-screening process.
  • Accesses national, state, and company account information, including account names and terms of contracts or other past payer agreements, as appropriate.
  • Consults with third-party representatives regarding client benefit coverage, client financial responsibility, company service authorization, and specific reimbursement procedures.
  • Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for the client's case.
  • Develops and maintains a working knowledge of all services and resources provided by the company and services available within the community.
  • Assists in identifying alternative community service sources when company solutions are not appropriate or available.
  • Maintains relationships with standard referral sources and payer case managers.
  • Contacts identified referral sources and seeks referrals as appropriate, recording the outcome of calls and keeping the SAR informed.
  • Monitors and tracks referral sources' satisfaction levels, tracks and reports on conversion ratios, and provides summary reports to management at requested intervals.
  • Implements and maintains operational processes to ensure compliance with company policies, requirements, and regulatory mandates.
  • Adheres to and participates in the company's mandatory HIPAA privacy program and Business Ethics and Compliance programs.
  • Participates in quarterly growth planning meetings and activities, including discussions around staffing and recruitment needs.
  • Participates in special projects and performs other duties as assigned.

Qualifications:

  • Bachelor's degree in a human services field or nursing field.
  • Valid driver's license.
  • Two years of experience in 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.

Salary Range: USD $17.50/Hour

Alert: We are aware of a scam whereby imposters are posing as employees from our company. Beware of anyone requesting financial or personal information. 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.

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