case manager - Woodbury, United States - ResCare Community Living

ResCare Community Living Woodbury, United States

1 week ago

Description

Our Company

ResCare Community Living

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 Company's 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 company's 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 client's 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 Company's 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

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 related discipline
Must be able 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, including: Community Living, Adult Host Homes for adults regardless of disability, Behavioral/Mental Health Support, In-home Pharmacy Solutions, Telecare and Remote Support, Supported Employment and Training Programs, and Day programs. For more information, please visit Follow us on Facebook and LinkedIn.

Additional Job Information

We are looking for someone with the following qualifications according to the MN Merit System requirements:

A graduate from an accredited four-year college with a major in social work, psychology, sociology, or a closely related field, or
A graduate from an accredited four-year college with a major in any field and one-year experience as a social worker in a public or private social service agency, and

Preferred requirements:

One-year experience working as a case manager or service coordination
Excellent written and oral communication skills

This person will be responsible for 45-50 cases of CADI and BI waiver clients along with other adminsitrative duties related to this position, including developing CSSPs, providing service coordinatation, drafting USAs for service authorizations, and billing.

Prefer Somali as first or second language

Salary Range

USD $23.00 / Hour

case manager

1 week ago

BrightSpring Health Services Woodbury, United States Regular, Full time

· CASE MANAGER - HENNEPIN COUNTY · Job Locations · US-MN-WOODBURY | US-MN-SAINT PAUL | US-MN-MINNEAPOLIS · ID · Line of Business · ResCare Community Living · Position Type · Full-Time · Pay Min · USD $23.00/Hr. · Pay Max · USD $23.00/Hr. · Our Company · ResCare Community Living ...
case management paraprofessional

1 week ago

Springpath Mental Health Services Woodbury, United States

Requisition: CASE MANAGEMENT PARAPROFESSIONAL Job Locations US-MN-WOODBURY ID Line of Business ResCare Community Living Position Type Full-Time Pay Min USD $17.00/Hr. Pay Max USD $17.00/Hr. Our Company ResCare Community Living Overview Are you the super-star multitasker type, str ...
case management administrative assistant

5 days ago

BrightSpring Health Services Woodbury, United States

· CASE MANAGEMENT ADMINISTRATIVE ASSISTANT · Job Locations · US-MN-WOODBURY · ID · Line of Business · ResCare Community Living · Position Type · Full-Time · Pay Min · USD $17.00/Hr. · Pay Max · USD $17.00/Hr. · Our Company · ResCare Community Living · Overview · Are you the sup ...
case management administrative assistant

1 week ago

ResCare Community Living Woodbury, United States

Our Company · ResCare Community Living · Overview · Are you the super-star multitasker type, strong in administration skills? Our Administrative and Clerical positions support the business from multiple locations and via various functions across the nation. Read below for info ...
case management administrative assistant

1 week ago

BrightSpring Health Services Woodbury, United States Full time

Overview · Are you the super-star multitasker type, strong in administration skills? Our Administrative and Clerical positions support the business from multiple locations and via various functions across the nation. Read below for information on this opportunity and · ...
case management administrative assistant

1 week ago

BrightSpring Health Services Woodbury, United States Regular, Full time

· CASE MANAGEMENT ADMINISTRATIVE ASSISTANT · Job Locations · US-MN-WOODBURY · ID · Line of Business · ResCare Community Living · Position Type · Full-Time · Pay Min · USD $17.00/Hr. · Pay Max · USD $17.00/Hr. · Our Company · ResCare Community Living · Overview · Are you the supe ...
registered nurse case manager

1 day ago

BrightSpring Health Services Woodbury, United States Regular, Full time

· REGISTERED NURSE CASE MANAGER - HOSPICE · Job Locations · US-MN-WOODBURY · ID · Line of Business · Hospice of the Midwest · Position Type · Full-Time · Our Company · Hospice of the Midwest · Overview · Our Hospice Registered Nurse (RN) Case Managers are the heart of our organi ...
RN Case Manager for Medication Aided Treatment

1 week ago

Iowa Primary Care Association Sioux City, United States

Job Description · Job DescriptionThe Iowa Primary Care Association is actively recruiting a MAT (Medication Aided Treatment) RN Case Manager for a community health center, also called a federally qualified health center (FQHC), in Sioux City, Iowa. · If you are seeking a rewardin ...
RN - Registered Nurse Case Manager Full Time

1 week ago

Resource 1 Homecare Staffing, LLC. Sioux City, IA, United States Full time

We are seeking a talented Hospice Registered Nurse (RN) Case Manager for *40 hours per week*. · *The Hospice Registered Nurse (RN) Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education and experience. Th ...
RN - Registered Nurse Case Manager Full Time

2 weeks ago

St. Croix Hospice Sioux City, IA, United States Full time

The Registered Nurse Case Manager plans, organizes and directs hospice care and is experienced in nursing, with emphasis on community health education/experience. The professional nurse builds from the resources of the community to plan and direct services to meet the needs of in ...
Legal Assistant

1 week ago

Kaufman Dolowich LLP Woodbury, United States

Overview: · - Prepares, edits and proofreads a variety of documents (correspondence, agreements and pleadings). · - Manages and assists complex document production (including Bates Stamping). · - Drafts simple pleadings and correspondence. · - Prepares court filings (make copies ...
Home Health Aide

1 week ago

Jefferson Health at Home by BAYADA Woodbury, United States

**$500 Sign On Bonus**: · **When you know HOME is the future of Healthcare** · Jefferson Health at Home by BAYADA was founded on the principle that healthcare gets better when people get better care at home - the place where they feel best. · We are currently recruiting for a com ...
Clerk (F) Order Processing

2 weeks ago

Redwood Ventures Sergeant Bluff, IA, United States Freelance

**Are you looking for a new job?** · We are currently seeking a Clerk (m/f/d) for order processing in fleet management for our client in the telecommunications industry at our location in Michendorf. · **Our offer to you**: · - Good work-life balance with flexible working hours · ...
Quality Risk Improvement Coordinator

1 day ago

Hartford HealthCare Careers Woodbury, United States Permanent, Full time

Description · Job Schedule: Full Time · Standard Hours: 40 · Job Shift: Shift 1 · Shift Details: · Work where every moment matters. · Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters ...
Program Manager

2 days ago

BorgWarner Dixon, United States

The Program Manager is a highly visible and strategically-oriented position. The Program Manager is responsible for organizing, coordinating and executing an extensive program management regiment aimed at maximizing the business potential for BorgWarner. Much focus is placed on d ...
Registered Nurse

1 week ago

UnityPoint Health Sioux City, IA, United States Full time

Overview:*$10K Sign on bonus (external candidates)* · * · Home Health Registered Nurse* · *Case Management* · *Sioux City, HomeCare* · *Monday- Friday, 8a-5p + every 4th weekend + some on call* · *Full-Time Benefits, 40 Hours/ Week* · Responsibilities: · Join an amazing team at ...
rn health coach

1 week ago

Siouxland Community Health Center Sioux City, IA, United States

Siouxland Community Health Center has an opening for: RN Health Coach1 - Full-time Successful candidate must have solid experience & advanced knowledge of: Minimum of RN license, BSN preferred. Current BLS and Mandatory Reporter certifications. Clinical office and case management ...
Registered Nurse Rn

1 week ago

Welbehealth Central, United States

Join WelbeHealth: Transforming Senior Healthcare with PACE · Are you a compassionate and qualified Registered Nurse seeking fulfillment and balance? Join WelbeHealth, a leading Program of All-Inclusive Care for the Elderly (PACE) organization prioritizing exceptional care and car ...
Travel Echo Technologist

1 week ago

Genie Healthcare Sioux City, IA, United States

Genie Healthcare is seeking a travel Echo Technologist for a travel job in Sioux City, Iowa. · Job Description & Requirements · Specialty: Echo Technologist · Discipline: Allied Health Professional · Start Date: 05/27/2024 · Duration: 13 weeks · 40 hours per week · Shift: 8 hours ...
MercyOne Siouxland Home Care RN

1 week ago

Trinity Health Sioux City, United States Full time

**Employment Type:** · Full time · **Shift:** · **Description:** · **$10,000 sign on bonus - Day 1 benefits** · Home Care RN Position Purpose: · Provides primary nursing care to home based care patients as ordered by the physician, and in accordance to the organization's policies ...

Other case manager jobs