Home Modification Specialist

CareStar, Inc.; Cincinnati (OH); Hybrid; USD 52,000 - 66,000; Full time

Benefits offered by this job

Remote flexibility

Competitive salary based on experience

Comprehensive benefits: Medical,Dental

401(k) with company match

Paid time off + 10 holidays

ESOP – become a part-owner

Supportive, mission-driven culture

Job summary

CareStar, Inc. in Ohio is hiring a Home Modification Specialist to support the Ohio Home Care program. The role involves reviewing requests for home modifications, assisting with adaptive devices, and ensuring program criteria are met.

You will coordinate with case managers, initiate bids, present bids to the review committee, and maintain accurate records. This position emphasizes patient-centered care, compliance with policies, and confidentiality.

Qualifications

• Bachelor’s degree in Social Work, Counseling, Psychology, Nursing, or a related field.
• Licensed Social Worker (LSW), Licensed Independent Social Worker (LISW), Licensed Practical Nurse (LPN) or Registered Nurse (RN).
• Minimum of two years’ healthcare experience, home health or home medical equipment experience preferred; knowledge of adaptive equipment/durable medical equipment.
• Experience working with individuals with chronic conditions or severe mental illness.
• Strong knowledge of Medicaid, behavioral health systems, and local community resources.
• Demonstrates strong critical thinking and problem solving skills and flexibility in relationship to job requirements.
• Computer skills sufficient to enter and process consumer information, report preparation, and use CareStar’s website and email, and familiarity with suite of Microsoft Office programs.

Responsibilities

• Reviews requests for home modifications to assess for completeness and to determine if criteria for approval are met.
• Communicates with case managers as needed regarding the request.
• Completes denials for requests not meeting criteria for coverage.
• Initiates bid process for requests meeting criteria for coverage.
• Presents competing bids to CareStar home modification/adaptive assistive device review committee.
• Notifies providers of outcome of CareStar home modification adaptive assistive device review committee.
• Completes paperwork to initiate payment to providers upon satisfactory completion of jobs.
• Communicates with other team members as needed.
• Identifies problematic cases and works with other Home Modification Specialists and Clinical Managers towards a resolution.
• Maintains appropriate recordkeeping regarding home modification and adaptive/assistive devices, including making timely entries into the agency's electronic database.
• Prepares Appeal Summaries and participates in consumer appeal hearings as a State agency representative.
• Adhere to the CareStar Rule in performance of job responsibilities.
• Understand and comply with CareStar Policies and Procedures.
• Maintain 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.

Skills

LSW / LISW / RN

Healthcare exp

Medicaid knowledge

Critical thinking

MS Office

Recordkeeping

Education

Bachelor’s degree in Social Work, Counseling, Psychology, Nursing, or a related field

Tools

Microsoft Office

EHR systems

Job description

Home Modification Specialist

Company: CareStar, Inc.
Location: Ohio
Job Type: Full Time
Industry: Healthcare / Social Services / Home Modifications

About the Opportunity at CareStar

Founded in 1988 in Cincinnati, Ohio, CareStar, Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve individuals across Ohio through compassionate, high-quality care coordination. We are currently seeking a Home Modification Specialist to join our Ohio Home Care program. This is a meaningful opportunity for professionals who are passionate about helping others live healthier, more independent lives. As a Home Modification Specialist, you will receive, review and process all requests for home modifications. The Home Modification Specialist will also assist with processing requests for adaptive/assistive devices and durable medical equipment. You will review requests to assess if program criteria are met.

Key Responsibilities

• Reviews requests for home modifications to assess for completeness and to determine if criteria for approval are met.

• Communicates with case managers as needed regarding the request.

• Completes denials for requests not meeting criteria for coverage.

• Initiates bid process for requests meeting criteria for coverage.

• Presents competing bids to CareStar home modification/adaptive assistive device review committee.

• Notifies providers of outcome of CareStar home modification adaptive assistive device review committee.

• Completes paperwork to initiate payment to providers upon satisfactory completion of jobs.

• Communicates with other team members as needed.

• Identifies problematic cases and works with other Home Modification Specialists and Clinical Managers towards a resolution.

• Maintains appropriate recordkeeping regarding home modification and adaptive/assistive devices, including making timely entries into the agency's electronic database.

• Prepares Appeal Summaries and participates in consumer appeal hearings as a State agency representative.

• Adhere to the CareStar Rule in performance of job responsibilities.

• Understand and comply with CareStar Policies and Procedures.

• Maintain 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.

• Follow the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.

Minimum Qualifications

• Bachelor’s degree in Social Work, Counseling, Psychology, Nursing, or a related field

• Required: Licensed Social Worker (LSW), Licensed Independent Social Worker (LISW), Licensed Practical Nurse (LPN) or Registered Nurse (RN)

• Minimum of two years’ healthcare experience, home health or home medical equipment experience preferred; knowledge of adaptive equipment/durable medical equipment.

• Experience working with individuals with chronic conditions or severe and persistent mental illness

• Strong knowledge of Medicaid, behavioral health systems, and local community resources

• Demonstrates strong critical thinking and problem solving skills and flexibility in relationship to job requirements.

• Computer skills sufficient to enter and process consumer information, report preparation, and use CareStar’s website and email, and familiarity with suite of Microsoft Office programs.

Why Join CareStar?

• Remote flexibility with meaningful community engagement

• Competitive salary based on experience and education

• Comprehensive benefits: Medical, dental, vision, life insurance

• 401(k) with a generous company match

• Paid time off + 10 paid holidays

• Employee Stock Ownership Plan (ESOP) – become a part-owner in the company

• Supportive, mission-driven culture focused on improving lives