Foster Care Case Manager: Elevate Children's Lives

BrightSpring Health Services; Salt Lick (KY); On-site; USD 40,000 - 60,000; Full time

Job summary

StepStone Family & Youth Services in Salt Lick, KY, is seeking a Full-Time Referral and Case Management Coordinator to support clients and referral sources. You will receive calls from referral sources, assess client needs with the Clinical Management Director, and determine the company's ability to meet them.

You will complete referrals, coordinate pre-screening, prepare reports, and assist with pre-admission paperwork, including payment authorizations and treatment team coordination.

Qualifications

• Bachelor's degree in a human services field or nursing.
• Valid driver's license.
• Two years of experience with case management or related discipline.
• Must be able to communicate both verbally and in writing.

Responsibilities

• Receives/responds to incoming calls from referral sources/potential clients 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.

Skills

Case management

Written communication

Verbal communication

Driver's license

Education

Bachelor's degree in human services or nursing

Job description

StepStone Family & Youth Services in Salt Lick, KY, is seeking a Full-Time Referral and Case Management Coordinator to support clients and referral sources. You will receive calls from referral sources, assess client needs with the Clinical Management Director, and determine the company's ability to meet them.

You will complete referrals, coordinate pre-screening, prepare reports, and assist with pre-admission paperwork, including payment authorizations and treatment team coordination.