- 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.
- 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.
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case manager - Enid, United States - All Ways Caring HomeCare
Description
CASE MANAGER
Job Locations
US-OK-ENID
Requisition ID
Line of Business:
All Ways Caring HomeCare
Pay Min
USD $22.00/Hr.
Pay Max
USD $24.00/Hr.
Our Company
All Ways Caring HomeCare
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
External Job Description
- 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.
Qualifications
About our Line of Business
All Ways Caring HomeCare delivers quality, compassionate and highly individualized care and support that helps people in need of assistance stay at home - all while maximizing their dignity, privacy and independence. Whether recovering from illness, injury or surgery, living with a chronic disability or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, geriatric care management, Alzheimer's/dementia care, respite care and other programs. For more information, please visit Follow us on Facebook and LinkedIn.
Salary Range
USD $ $24.00 / Hour
