Case Manager

Shine Bright Care; Fairbanks (AK); On-site; USD 42,000 - 56,000; Full time

Job summary

Shine Bright Care in Fairbanks, Alaska is seeking a Case Management professional to handle administrative duties, maintain consumer files, and ensure compliance with state and federal regulations. The role emphasizes serving clients with compassion and professionalism.

You will act as primary contact for consumers and guardians, assist with assessments, intake processing, and coordinating schedules, while protecting confidentiality and data accuracy in a fast-paced environment.

Qualifications

• Must have a high school diploma or GED with 2 years’ experience in the healthcare field.
• Strong interpersonal and customer service skills.
• Knowledge of HIPAA regulations and confidentiality.
• Proficient with Microsoft Office applications and typing 65 wpm.
• Ability to work independently and in a team, with attention to detail.

Responsibilities

• Primary contact for Consumers/Legal Representatives/Guardians and family members.
• Prepare documentation and attend initial and annual assessments.
• Process new consumer intake documentation.
• Handle verification of diagnosis requests with providers.
• Process consumer supplies and products as needed.
• Fax documentation to the State of Alaska and maintain files.
• Assist in scheduling home visits and coordinate care teams.
• Ensure compliance with program policies and state/federal regulations.
• Maintain confidential records and organize data efficiently.
• Support Office Manager and Executive Director as needed.

Skills

Interpersonal skills

HIPAA knowledge

MS Word

MS Excel

Typing 65 wpm

Written and oral communication

Confidentiality

Organizational skills

Following instructions

Teamwork

Education

High school diploma or GED

Tools

MS Word

MS Excel

Outlook

PowerPoint

Job description

Looking to hire someone with Case Management experience in the field, with a heart and attitude to serve others, please join our team if that's you!

BASIC FUNCTION

Performs a variety of administrative functions. Process and maintain consumer files and data base, ensure consumers files follow State and Federal Regulations

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Primary contact for Consumers/Legal Representatives/Guardians and family members
• Prepare documentation and attend Consumers initial and annual assessments
• Process New Consumer intake documentation
• Request Verification of Diagnosis (VOD) Qualifying Diagnoses Certification (QDC)from consumers doctor(s)
• Request/Process Consumer supplies per request to venders (Geneva Woods ext.)
• Request/Process Consumer products such as Life Line Services
• Fax completed documentation to the State of Alaska to process information
• Complete Consumers sample timesheet (PCA/Waiver) for signature
• Prepare Personal Care Assistant Tool (PCAT) signature page/fax to the State of Alaska
• Assist Consumer with hiring/firing Personal Care Assistant(s)/Caregivers
• Participate in consumers Fair Hearings
• Write and process expedited assessments and amendments
• Process incoming and outgoing transfers
• Schedule and attend Home Visits with Consumers two times per year for PCA or quarterly for waiver clients
• Facilitate Consumer meetings ensuring that all necessary program information, training and agency policy/procedures as reviewed as needed.
• Ensure program compliance, safety procedures contracts, and State and Federal regulations.
• Handle confidential and sensitive information with poise, tact, and diplomacy
• Complete Critical Incident Reports/fax to the State of Alaska within 24 hours
• Organize and prioritize large volume of information and assignments, including paper and electronic filing through network server
• Work independently and within a team on special and ongoing projects when necessary
• Projects a positive image of organization and conduct oneself professionally at all times, when dealing with internal and external colleagues, consistent with the values and culture of the organization.
• Perform all other duties as assigned
• Assist Office Manager, Executive Director and Care Coordinator Administrator and CEO as needed

KNOWLEDGE, SKILLS AND ABILITIES;

• Strong interpersonal skills and customer service
• Must have knowledge of the HIPAA laws of 1996 to maintain and safeguard confidential medical and personal records
• Knowledge of various Microsoft software applications, such as MS Word, Ms Excel. Must type 65 wpm
• Multi-line phone, copiers and fax machines
• Effective written and oral communication skills
• Ability to consistently be at work and on time
• Ability to maintain a confidential working relationship
• Excellent personal organizational skills
• Ability to follow oral and written instructions
• Ability to communicate effectively and maintain a positive attitude

QUALIFICATIONS:

• Must have a high school diploma or GED with 2 years’ experience in the Healthcare Field
• Must be at least eighteen years of age and have a valid Alaska Driver’s License
• Must be able to pass a Criminal Background Check
• Must have a high level of interpersonal skills to handle sensitive and confidential situations. Position continually requires demonstrative poise, tack, and diplomacy
• Must be able to interact and communicate with individuals at all levels of the organization.
• Must have knowledge of a variety of computer software applications, word processing, spreadsheets, database and presentation software (Microsoft Outlook, Word, PowerPoint and Excel)
• Requires continual attention to detail and composing, typing, and proofing materials, establishing priorities and meet deadlines. Must be able to work in a fast-paced environment with demonstrated ability to juggle multiple competing tasks and demands

WORK ENVIRONMENT:

• Ability to work in an office setting
• Position may require extended hours including evenings and weekends, travel to client’s residency.