Case Management Supervisor

Our Company

All Ways Caring HomeCare

Overview

Assists eligible recipients to gain access to needed medical, behavioral, health, social, educational and other services. Establish processes to coordinate a range of services for instruction and assistance for persons served and their families. Supervises Case Managers.

External Job Description

• Responsible for the overall operation of Case Management services including: staff, budget, compliance with State/Federal Regulations or standards of service, and general quality of service to person(s) served in these programs.
• Oversees staff training, orientation and maintains records. Reviews and provides feedback on all staff documentation, including time and attendance, requests for time off, etc. Ensure staff training requirements are met and fulfill all requirements as they relate to policy and procedure, state regulations, contract requirements and ResCare staff training protocols. Serves as a positive role model and supports development of staff. Conducts staff counseling and corrective action including work improvement plans and follow-up.
• Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs 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.
  
  

Qualifications

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

Certificates, Licenses, Registrations

• Active/Valid Nursing license from the state in which you are performing services
• Valid driver’s license from state of residence with a satisfactory driving record as defined by Company vehicle policy and/or liability insurance carrier (as applicable per program requirements)
  
  

About Our Line Of Business

All Ways Caring HomeCare delivers quality, compassionate and highly individualized care and support that helps people in need of assistance stay at home – all while maximizing their dignity, privacy and independence. Whether recovering from illness, injury or surgery, living with a chronic disability or dealing with the natural process of aging, services are tailored to meet the individual needs of people of all ages, physical conditions and cognitive abilities. All Ways Caring HomeCare services include personal care and homemaking programs, professional nursing, geriatric care management, Alzheimer’s/dementia care, respite care and other programs. For more information, please visit www.AllWaysCaring.com . Follow us on Facebook and LinkedIn.

Travel Requirements

Additional Job Information

• Minimal travel may be required
  
  

Work Environment and Physical Demands

Individual must have the ability to stand and work or have mobility through mechanical assistance.

• Must be able to lift and carry items weighing up to 20 pounds.
• Must be able to communicate both verbally and in writing.
• Primarily sedentary which requires stooping, bending, hearing, and vision in order to operate phone, computer and facsimile.
  
  

Salary Range

USD $60,000.00 - $63,500.00 / Year