Case Manager

4 days ago


Louisville, Kentucky, United States BrightSpring Health Services Full time
Job Summary

We are seeking a skilled Case Manager to join our team at ResCare Community Living. As a Case Manager, you will play a critical role in ensuring the quality care and support of our clients. If you are passionate about making a difference in the lives of others, we encourage you to apply.

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.
Requirements
  • 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

ResCare Community Living has four decades of experience in the disability services field, providing support to individuals who need assistance with daily living due to an intellectual, developmental, or cognitive disability. Our community living services are provided in 27 states with several thousand programs and a comprehensive range of high-quality services.

Salary Range

USD $40,000.00 / Year


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