About this opportunity
BrightSpring Health Services lists this Case Manager opportunity in florence, Kentucky. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Experience Required
n2 - 20 years
nMinimum Education Required
nBachelor's Degree
nCompensation
n$7.25 / hourly
nHours Per Week
n40
nNumber Of Positions
n1
nWork Schedule and Shift Requirements
nFirst (Day)
nJob Description
nRequisition:
nCase Manager
nJob Locations
nUS-KY-FLORENCE
nID Line of Business StepStone Family & Youth Services Position Type Full-Time
nOur Company
nStepStone Family & Youth Services
nOverview
nOur operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!
nResponsibilities
nReceives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them.
nCompletes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork (i.e., obtains authorization for payment, coordinates availability of an appropriate treatment team).
nOversees, directs and supervises field staff assigned in assisting with pre-screening process.
nAccesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate.
nConsults with third party representatives regarding client benefit coverage, client financial responsibility, company service authorization and specific reimbursement procedures. Presents company's services, interprets potential reimbursement options and negotiates reimbursement levels with third party payer.
nContacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for client's case.
nDevelops/maintains a working knowledge of all services/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.
nMaintains relationships with standard referral sources and payer case managers. Contacts identified referral sources and seeks referrals as appropriate. Records outcome of calls and keeps the SAR informed.
nMonitors/tracks referral sources' satisfaction levels, tracks/reports on conversion ratios and provides summary reports to management at requested intervals.
nImplements/maintains, with the up line management, operational processes to ensure compliance with Company policies, requirements and regulatory mandates.
nAdheres to and participates in Company's mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs.
nParticipates in quarterly growth planning meetings/activities including discussions around staffing and recruitment needs.
nParticipates in special projects and performs other duties as assigned.
nQualifications
nBachelor's degree in a human services field or nursing field.
nValid driver's license.
nMust have two years of experience with case management or related discipline
nMust be able to communicate both verbally and in writing.
nAbout our Line of Business
nStepStone Family and Youth Services, an affiliate of BrightSpring Health Services, provides the full spectrum of support to c hildren in need of alternative, safer, and more positive living environments with residential and family services. StepStone connects c hildren 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, StepStone provides personalized guidance and training on basic life skills, including money management and education. For more information, please visit Follow us on Facebook and LinkedIn.
nRes-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, r ace, color, national origin, r eligion, disability, age, veteran status, gender identity or s exual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities.
nJob Type
nFull time
nBenefits Offered
nNot specified
nVeteran Preference
nNo
nPlace of Work
nOn-site
nRequisition ID
n
Worksite address
florence, KY, 41022, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.