Case Management Support - Integrated Health

Heartland for Children; Bartow (FL); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Tuition assistance

Domestic partner coverage

Retirement benefits

Generous paid time off

Job summary

A youth services organization in Florida is seeking a Case Management Support professional to assist the Integrated Health Team in coordinating behavioral and mental health services for children. The role involves managing administrative tasks, facilitating Medicaid inquiries, and maintaining good relationships with clients and stakeholders. Applicants should have a high school diploma and relevant data entry experience. This position offers an excellent benefits package including tuition assistance and generous paid time off.

Qualifications

• Three years data entry experience in a mental health or related field preferred.
• Minimum two years data entry experience.
• Minimum two years data entry experience.

Responsibilities

• Assist the Integrated Health Team in coordinating services for children.
• Establish and maintain positive working relationships with customers.
• Upload staffing notes and medical records into data systems.
• Ensure there is no lapse in coverage from AHCA notices for children with open cases.
• Notify REVMAX Specialists with insurance reinstatements for youth.
• Review medical bills, research coverage and forward to designee.
• Complete primary care physician changes to ensure appropriate medical care.
• Use data systems (FSFN, FLMMIS, DOH Immunization Portal, PRO, JJIS) to review information, pull reports and enter updates.
• Coordinate distribution of member ID cards, handbooks or notifications to case managers.
• Maintain relationships with insurance representatives and provide documents for change requests.
• Complete Medicaid managed plan changes via portal or customer service for caregivers and case management.
• Upload multidisciplinary team notes, suitability assessments and medical records into data systems.
• Provide case manager assignments to Lakeland Regional Health and Peace River Baker Act facilities.
• Guide parents and caregivers navigating Medicaid Plan Portals to create profiles.
• Monitor calls and route to appropriate HFC team, CMO or CBC.
• Assist IH team by searching for medical providers.
• Perform special projects as assigned.

Skills

Data entry

Relationship management

Coordination of services

Communication

Education

High school diploma or GED

Tools

FSFN

FLMMIS

DOH Immunization Portal

PRO

JJIS

Job description

Case Management Support - Integrated Health

Applying for:

Job Summary:

This is a professional administrative support position responsible for assisting the Integrated Health Team in the coordination of behavioral and mental health/substance abuse services for children through the Medicaid Managed Care Plan.

Essential Functions:

Establish and maintain positive working relationships with HFC customers

Perform routine administrative functions, drafting correspondence, scheduling appointments, organizing and maintaining electronic files

Assist case managers, foster parents, caregivers and medical offices with Medicaid inquiries for access to Medicaid services

Responsible for ensuring there is no lapse in coverage from notices provided by Agency for Health Care Administration for children with open child welfare cases

Notify HFC REVMAX Specialists with insurance reinstatements for youth

Review medical bills, research coverage and forward to appropriate designee

Complete necessary primary care physician changes to ensure children receive appropriate medical care

Utilize data systems (FSFN, FLMMIS, DOH Immunization Portal, PRO, JJIS) to review information, pull reports and enter updates when applicable

Communicate with medical offices to coordinate timely appointments, as necessary

Coordinate distribution of all member ID cards, handbook or other notifications to case managers

Maintain relationships with insurance company representatives and provided necessary documents for change requestsand provide assigned case manager information to Care Management teams

Complete medicaid managed plan changes via the medicaid member portal or customer service line for caregivers and case management

Upload Multi-Disciplinary Team staffing notes, Suitability Assessment recommendations and medical records into data systems (FSFN and internal data systems)

Provides case manager assignment to Lakeland Regional Health and Peace River Baker Act facilities

Provide parents, caregivers and case managers with guidance and support when navigating Medicaid Plan Portals for creating profiles

Monitors phone calls and forwards to correct HFC team, CMO or CBC

Assists IH team by searching for medical providers

Perform special projects as assigned

Required Qualifications:

High school diploma or GED required.Three years data entry experience in a mental health or related field preferred. Minimum two years data entry experience.

Excellent benefits package with tuition assistance, domestic partner coverage, retirement andgenerous paid time off.

Additional Information:

Drug free workplace. Drug testing required. EOE/M/F/D/V.