Case Manager
Case Manager
Posted on :
06-09-2025
Employer Active
1 Vacancy
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Job Description
Our Company
ResCare Community Living
Overview
Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life we encourage you to apply today!
Responsibilities
- Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients needs and consults with Director of Clinical Management to determine the Companys 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 companys 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 clients 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 Companys 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.
Qualifications
- Bachelors degree in a human services field or nursing field.
- Valid drivers license.
- Must have two years of experience with case management or related discipline
- Must be able to communicate both verbally and in writing.
About our Line of Business
ResCare Community Living an affiliate of BrightSpring Health Services has five decades of experience in the disability services field providing support to individuals who need assistance with daily living due to an intellectual developmental or cognitive disability. We provide a comprehensive range of high-quality services including: community living adult host homes for adults regardless of disability behavioral/mental health support in-home pharmacy solutions telecare and remote support supported employment and training programs and day programs. For more information please visit . Follow us on Facebook and LinkedIn.
Salary Range
USD $20.00 - $24.00 / Hour
Required Experience:
Manager
Employment Type
Full-Time
Key Skills
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