Case Manager

Our Company

StepStone Family & Youth Services

Overview

Our 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!

Responsibilities

• Receives / 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 Companys ability to meet them.
• Completes 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).
• Oversees directs and supervises field staff assigned in assisting with pre-screening process.
• Accesses national / state / company account information including the 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 companys services interprets potential reimbursement options and negotiates reimbursement levels with third party payer.
• Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for clients case.
• Develops / 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.
• Maintains 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.
• Monitors / tracks referral sources satisfaction levels tracks / reports on conversion ratios and provides summary reports to management at requested intervals.
• Implements / maintains with the up line management operational processes to ensure compliance with Company policies requirements and regulatory mandates.
• Adheres to and participates in Companys mandatory HIPAA privacy program / practices and Business Ethics and Compliance programs.
• Participates in quarterly growth planning meetings / activities including discussions around staffing and recruitment needs.
• Participates in special projects and performs other duties as assigned.

Qualifications

About our Line of Business

StepStone Family and Youth Services an affiliate of BrightSpring Health Services provides the full spectrum of support to children in need of alternative safer and more positive living environments with residential and family services. StepStone connects 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 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.

Salary Range

USD $19.23 / Hour

Required Experience :

Manager

Key Skills

Project Portfolio Management,Motivational Interviewing,HIPAA,Computer Skills,Intake Experience,Lean Six Sigma,Conflict Management,Case Management,Team Management,Program Development,Social Work,Addiction Counseling

Employment Type : Full-Time

Experience : years

Vacancy : 1