Case Manager

CareStar, Inc; Ohio; Remote; USD 45,000 - 65,000; Full time

Job summary

A leading company in Ohio, CareStar, Inc., is seeking a Case Manager to conduct eligibility evaluations and develop care plans for individuals in the Specialized Recovery Services. This role supports significant community health initiatives, offering remote work opportunities and a comprehensive benefits package.

Benefits

Remote working opportunities

Competitive salary based on experience

Comprehensive benefits package

401(k) with company matching

Paid vacations and 10 holidays per year

Employee Stock Ownership Plan (ESOP)

Qualifications

• Bachelor's Degree in related field required.
• 12 months experience in home and community based services within the last 5 years.
• Experience with individuals with severe mental illness preferred.

Responsibilities

• Conduct eligibility evaluations for individuals.
• Develop and monitor person-centered care plans.
• Coordinate and authorize services for specialized recovery.

Skills

Knowledge of Medicaid

Behavioral health system knowledge

Community resources knowledge

Assessment skills

Care plan development

Education

Bachelor's Degree in social work, counseling, psychology

Licensed Social Worker (LSW)

Registered Nurse (RN)

Job description

Case Manager – Auglaize and surrounding counties.

Ready to join a growing company whose work profoundly impacts people’s lives in their community, who offers an excellent learning environment, opportunities to advance and the ability to work alongside talented business leaders/professionals? CareStar, Inc. is currently seeking a Case Manager in the Specialized Recovery Services (SRS) and Ohio Home Care (OHC) Programs to conduct eligibility evaluations for individuals applying for specific programs and creates a person-centered service plan. He/She will assist the participant with access to and coordination of services to enable the individual to receive a range of appropriate services in a planned, coordinated, efficient and effective manner; promotes and supports the participant’s preferences, values, and the right to self-determination.

THE POSITION

CareStar is looking for motivated individuals who/to:

• Maintains knowledge of Medicaid, of the behavioral health system and of community resources.
• Conducts face-to-face eligibility evaluations, including but not limited to, administration of the Adult Needs and Strengths Assessments; verification that the individual resides in a program approved environment; and verification of the individual's qualifying behavioral health diagnosis; other eligibility criteria as described in program specific guidelines ensuring that such evaluations are completed in accordance with legal, program, contract and/or CareStar requirements.
• Develops, monitors, and updates individual's person-centered care plans to ensure the individual's needs, preferences, health, and welfare.
• Coordinates and authorizes all specialized recovery services program services.
• Assists individuals with connections to needed resources, including Medicaid services, medical, social, educational, and other resources, regardless of funding source.
• Approves funds for utilization of available services, while meeting all qualifications and standards as specified by the program; develops annual cost budgets.
• Functions as the team leader in the development and implementation of the consumer’s care plan, including the authorization of the amount, scope and duration of services.
• Adheres to the CareStar Rule in performance of job responsibilities.
• Understands and complies with CareStar Policies and Procedures.
• Maintains confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense.
• Follows the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.

QUALIFICATIONS AND EDUCATION REQUIREMENTS

• Minimum Bachelor's Degree in social work, counseling, psychology, or a related field; Licensed Social Worker (LSW) and Registered Nurse (RN) preferred.
• 12 months experience in home and community based services within the past 5 years.
• Minimum of one-year post degree experience working with individuals with diagnosed chronic conditions and/or minimum of three years’ post degree experience working with individuals with severe and persistent mental illness.
• Knowledge of issues affecting people with severe and persistent mental illness and community-based interventions/resources for those individuals.

THE LOCATION

This position is open in Auglaize County and is responsible for covering the surrounding counties.

THE COMPANY

CareStar was founded in 1988 in Cincinnati, Ohio with the mission to Improve Communities by Improving Lives. We continue to be an industry leader in the field of Long-Term Care Case Management, Assessment, Population Health Management and Innovative Software Development Solutions.

WHY YOU SHOULD APPLY

• Remote working opportunities.
• Competitive salary based upon experience, education and knowledge.
• Comprehensive benefits package with medical, dental, vision, and life-insurance.
• 401(k) with a generous Safe Harbor company matching contribution.
• Paid vacations and 10 holidays per year.
• Shared ownership benefit through the CareStar Employee Stock Ownership Plan (ESOP).

Come be part of a team that values and challenges you! If these responsibilities, qualifications and benefits catch your interest, apply today at CareStar’s Career page at www.carestar.com/careers.