Foster Care Case Manager

3 days ago


Clarksville, Tennessee, United States BrightSpring Health Services Full time
Job Summary

As a Foster Care Case Manager with StepStone Family & Youth Services, you will play a vital role in ensuring the well-being and safety of children and youth in need of alternative living arrangements. This is a full-time position that requires strong communication and organizational skills, as well as the ability to work collaboratively with various stakeholders.

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 the company's ability to meet them.

• 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. Presents the company's services, interprets potential reimbursement options, and negotiates reimbursement levels with third-party payers.

• 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. Records the outcome of calls and keeps 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, with up-line management, 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.

Requirements

• Bachelor's degree in a human services field or nursing field.

• Valid driver's license.

• Must have two years of experience with case management or a related discipline.

• Must be able to communicate both verbally and in writing.

About Our Line of Business

StepStone Family and Youth Services provides a comprehensive range of support services to children in need of alternative living arrangements. Our services include foster care, residential and family services, and support services for young adults transitioning from foster care to independent living.

Salary Range

USD $41,600.00 - $45,760.00 per year

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