Care Manager

Job Summary: Evaluates the clients referred to the agency; assists with insurance coverage, plans, and coordinates care for non-medical services. Responsible for managing all aspects of agency marketing, establishing and maintaining positive relationships with customers and referral sources, and responding to customer requests and concerns.

Hours: Monday-Friday 8:30 AM to 4:30 PM
General Duties:

• Evaluates clients referred for non-medical, non-skilled private duty services.
• Assists with identifying and verifying insurance coverage for non-medical or respite care.
• Obtains and documents prior authorization for private duty services from insurance providers as needed.
• Collaborates with facility social workers, discharge planners, and case managers to facilitate safe, early discharge for non-medical assistance.
• Consults with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated, non-medical service delivery plan.
• Interviews the client and caregiver and discusses current needs and psycho-social factors that are relevant to the plan of care.
• Completes referral information that includes intake data, essential background information, mobility aspects, and the proposed elements of the service delivery plan.
• Maintains liaison relationship with hospitals, nursing homes, assisted living facilities, and insurance personnel providing education on services, coverage issues and related areas.
• Participates is establishing the service delivery plan, client care conferences, and in-services.
• Attends meetings and participates on committees as required.

Qualifications:  Has two-year associate degree at a minimum, four-year degree preferred in social work, nursing, or health-related field. Two years' experience in a health care setting preferred.  Is self-directed with the ability to work with little supervision. Has excellent observation skills. Is flexible and cooperative in fulfilling role obligation. Has good oral and communication skills. Has good organizational skills

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