Case Manager

JOB REQUIREMENTS: JOB SUMMARY Case Managers coordinate the day-to-day
implementation of contractual requirements within the states Medicaid
guidelines. Duties include training, enrolling, reporting, auditing, and
complying with contract deliverables as well as ensuring company best
practices are followed and upheld. The Case Manager works with members
on plan/budget development, submission, and revision. JOB DUTIES Apply a
person-centered approach to keep the client at the center of all program
functions Coordinate the day-to-day implementation of contractual
requirements within the states Medicaid guidelines Create care plans
based on the clients needs, train clients on services provided, audit
services, and report findings to the contracted entity Assist clients
with plan/budget development, submissions, and revisions Provide
continuous excellent service to clients, employees, and 3rd party
organizations including MCOs Promote cohesiveness in the office
environment Support day-to-day operations and client advocacy
Collaborate with stakeholders regarding the delivery of services
Comfortable with public speaking Communicate effectively Comply with
applicable legal requirements, standards, policies, and procedures
Conduct advanced reporting and oversight activities Demonstrate
dependability Demonstrate effective problem-solving and decision-making
skills Exhibit computer efficiency Handle complex service programs and
special projects Lead, supervise, and complete special projects
including, but not limited to developing and implementing care plans
Maintain necessary skills and knowledge to coordinate workflow Market
services to referral sources Participate in professional development and
training activities Prioritize and multitask effectively Provide
excellent customer service to internal and external clients Represent
the company at stakeholder meetings, health fairs, and provider fairs
Supervise deliverables and ensure timely completion of projects Enroll
clients and employees in services, including the development of the
service/support plan and budget Orient and educate clients on current
program roles and responsibilities Train and assist clients in timecard
submission Assist clients with eligibility requirements, as required by
the program rules Travel to and from Client homes or other destinations
to meet with Clients Conduct necessary client assessments and contacts
Maintain timely and proper documentation in Customer Relationship
Management (CRM) database Compile information for internal or external
auditors Bilingual preferred in various locations Other duties as
assigned QUALIFICATIONS Bachelors degree in the field of Social Work,
Psychology, Counseling, Rehabilitation, Nursing, Sociology, or Related
Field preferred 6 years experience serving individuals with
disabilities preferred Must have reliable transportation. If the
employee will be driving, a valid drivers license and auto insurance
is required Client assessments and home visits are required Combination
of education and experience Ability to work flexible and/or extended
hours, if needed, to meet the job requirements If remote, the employee
must have sufficient internet access and speed to perform the functions
of the job Advocate for clients or patients to resolve crises. Oversee
Medicaid- and Medicare-related paperwork and recordkeeping in hospitals.
OTHER EXPERIENCE AND QUALIFICATIONS: Bachelors degree in
the field of Social Work, Psychology, Counseling, Rehabilitation,
Nursing, Sociology, or Related Field preferred 6 years experience
serving individuals with disabilities preferred Must have reliable
transportation. If the employee will be driving, a valid drivers
license and auto insurance is required Client assessments and home
visits are required Combination of education and experience Ability to
work flexible and/or extended hours, if needed, to meet the job
require ents If remote, the employee must have sufficient internet
access and speed to perform the functions of the job
APPLICATION INSTRUCTIONS: Apply Online:
https://cdcn.avature.net/careers/JobDetail/Case-Manager/2597