Senior case manager job description

The Financial Case Manager - Senior is responsible for reviewing uninsured and under-insured patient accounts by following the insurance verification process.

Community/Acute - The FCM - Senior will assist under-insured patients by screening for secondary coverage options, applying for financial assistance and other government based programs. This person assists patients with setting up interest free payment plans and work closely with Patient Financial Services to help resolve coordination of benefits (COB) issues.

Long Term Care - The FCM - Senior will assist residents in applying for and recertifying in Medicaid coverage. This entails interviewing and screening resident and family for financial history, investigating and obtaining financial documentation needed from but not limited to banking institutions, financial markets including life insurance agencies, pension programs, and investment firms. This person will work closely with system and outside attorney agencies as well as the Department of Social Services.

All communication must be conducted in a manner that will result in positive patient relations and prompt reimbursement for services rendered. The FCM may also help in internal continuous improvement initiatives around financial performance. This individual works collaboratively with multiple departments of our organization.
MINIMUM REQUIREMENTS:
Associates Degree in related field with four years of experience preferred or an equivalent combination of work experience in financial counseling, long term care setting, healthcare billing or customer/patient service is required.Three or more years of Medicaid enrollment experience required.

RESPONSIBILITIES:
Assesses the healthcare coverage needs of uninsured and under-insured patients.Verifies insurance coverage to identify uninsured patients who may be eligible for insurance enrollment, and provides the FCM II accurate information for patient interview when needed.Assists under-insured patients with applying for secondary coverage, in acute setting financial assistance applications and other programs in which they be eligible.Complete all financial and secondary insurance applications with high quality work, gathers all necessary documentation and submit them to the proper agency / staff for processing.

EDUCATION:

LICENSES / CERTIFICATIONS:

PHYSICAL REQUIREMENTS:
S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Any physical requirements reported by a prospective employee and/or employee's physician or delegate will be considered for accommodations.

Rochester Regional Health is an Equal Opportunity/Affirmative Action Employer.Minority/Female/Disability/Veterans by a prospective employee and/or employee's Physician or delegate will be considered for accommodations.

The Case Manager Supervisor/Senior Case Manager will provide day to day supervision to the case management team within a 200+ bed women’s homeless shelter. He/ She will need to work collaboratively with other on-site departments to facilitate effective methods of problem solving and the alignment of strategies. Proof of COVID-19 vaccine required.

DUTIES & RESPONSIBILITIES:

• Manages intake and develops a comprehensive assessment for all new participants.
• Develops systems to guarantee the quality and efficiency of casework services.
• Ensures that staff appropriately identifies the needs of the clients, provide appropriate referrals and ensures case manager follow up with resources to promote the program participant’s successful achievement of the service plan goals.
• Ensures assessments, service plans and interactions with the clients are appropriately documented.
• Reviews all required case management documentation and any data collection tool in use.
• Responsible for the supervision of service staff.
• Ensures clear, concise and professional interventions consistent with the Agency’s policies and procedures and evidence based practices.
• Responsible for building collaboration with community service providers.
• Maintains all required documentation/reports and submits all in a timely manner.
• Provides crisis intervention and stabilization as needed .
• Identifies program needs and makes recommendations.
• Performs related tasks as assigned.

EXPERIENCE, EDUCATION AND SPECIAL REQUIREMENTS:

Must have LMSW with 3 years of relevant experience and supervisory experience. Fluency in Spanish is highly desirable. Ability to work some evenings and occasional weekends as needed. Excellent and demonstrated writing ability. Strong assessment, direct practice, counseling, supervision, community outreach, group leadership and program development experience preferred. Advanced knowledge of MS Word, Excel and database management skills. Must have own car and valid NYS driver’s license required

AGENCY PROFILE & EMPLOYEE EXPECTATIONS:

Westhab is a prominent community development organization, providing housing and supportive services for more than 10,000 of the most vulnerable members of our community each year. We are staffed by an extraordinary group of hard working professionals that are fully committed to our mission - Building Communities. Changing Lives. Working at Westhab is not easy. Our expectations for all staff are high. We believe that the people and the communities that we have the privilege to serve deserve our very best every day. We are a results-driven organization that focuses on empowerment and impact. If you want to apply for this opportunity, it should only be because you feel ready for the challenges and expectations that come with joining this kind of team. (EOE)

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um SNfEFCTU

FamiliesFirst Network of Lakeview (FFN) represents a partnership with the Department of Children and Families (DCF) to provide an array of foster care and related services in coordination with network partners. The network includes DCF, Lakeview Center (as the lead agency), judiciary, sub-contracted service providers, foster parents, the Circuit 1 Community Alliance, agency stakeholders, and the community working together to implement the legislative mandate for community-based care. Services include: case management for out-of-home and in-home placements; foster home recruitment, training, recommendation for licensure, and support; adoption support; an independent living program; dependency court resource facilitation; sub-contract management; and other services related to abused and neglected children and their families.

The senior CWCM's primary duty is the performance of work requiring advanced knowledge in the field of social work or human behavioral studies, and to use such advanced knowledge and prior work experience to consistently exercise discretion and independent judgement in providing the most appropriate services and support to families (1) in the Dependency Court system who have been identified by the court as needing professional services to prevent future abuse and/or neglect of children, and (2) who voluntarily request similar, but non-judicial in-home services. Responsible for taking actions appropriate to ensure that every child has a permanent home that provides physical and emotional safety.
Requirements

Bachelor's degree or a Master's degree from an accredited college or university in Social Work or a related field of study. Related areas of study include: Human Services, Criminology, Juvenile Justice, Psychology, Sociology, Counseling, Special Education, Education, Human Development, Child

Development, Family Development, Marriage and Family Therapy, and Nursing. OR

Bachelor's degree or a Master's degree from an accredited college or university and one (1) year working with at risk families in a protective services role.

Must be Certified as Child Welfare Case Manager for minimum of two years and maintain active certification.

Strong written and verbal communication skills.

Proficient with word processing and spreadsheet software.

Must be able to pass organization screening requirements, including state or federal background screenings as appropriate.

Must possess a valid driver's license from the state in which you reside, a good driving record and be insurable under the corporate policy.

Perform mentor duties

Assume supervisory duties in absence of supervisor

To Apply
Interested applicants please visit (url removed) and complete the on-line application. If you require additional assistance, please call Human Resources at (phone number removed).

Please review this link for further information on this position: (url removed)(phone number removed).

LCI is putting our employee health and safety first by following guidance from local health departments and the Centers for Disease Control and Prevention (CDC) recommendations on preventing the spread of COVID-19.

Lakeview Center is an Equal Opportunity / Affirmative Action employer. Minorities, Females, Protected Veterans and Individuals with Disabilities are encouraged to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. Drug Free/Nicotine Free Workplace Employer, DRUG TESTING/NICOTINE TESTING REQUIRED