Case Manager

Help At Home West Alton , IL 62923

Posted 2 months ago

Help at Home is hiring a Case Manager! We offer weekly pay starting from $15-$17 an hour, along with a generous cash incentive program - up to $10,000 in bonuses and incentives!

Help at Home, LLC is the nation's leading provider of high-quality care and support solutions. Our goal is to enable the highest level of personal independence and meaningful lives for our clients. Help at Home is committed to delivering a gold standard in care through our attentive and well-trained staff who support our clients comfortably and safely within their homes and communities.

We are currently seeking an experienced Case Manager to oversee and ensure the successful implementation of all provided services for our clients within their assigned areas. The Case Manager will be responsible for ensuring that client care plans meet client needs and that caregivers provide an exemplary level of care that meets the vision, mission and values of our organization.

Benefits

Help at Home strives to be an employer of choice in your community and our employees are the foundation of our work. Eligible staff can enroll in a wide variety of benefit programs, along with lucrative bonuses in certain areas. We offer an incentive program that allows our supervisors to make up to $10,000 in bonuses, which equates to an additional $4.75/hr average.

We offer a variety of in-depth training opportunities to provide our staff with the tools to be successful. Help at Home also offers strong career path possibilities for those employees who are committed to growing within the organization.

Responsibilities

  • Participate in recruiting, hiring and training new staff.

  • Conduct performance evaluations that are timely and constructive.

  • Handle the discipline and termination of employees, as needed and in accordance with company policy.

  • Manage client care by addressing client concerns, adhering to client confidentiality, and identifying/reporting abnormalities with client conditions to appropriate channels.

  • Schedule and staff field staff to care for clients.

  • Evaluate and monitor the quality of services delivered to clients and ensure compliance with all applicable regulatory requirements.

  • Collect and analyze client satisfaction data in order to implement improvements that positively impact the continuum of care for clients.

  • Enforce all regulations established by external agencies and company policies/procedures to ensure compliance within all areas.

  • Partner with regional leadership and internal support functions to provide a more effective and efficient work environment for all staff.

Qualifications/Educational Requirements

  • Bachelor's degree in healthcare or a related field preferred

  • At least 2 years of supervisory experience preferred

  • Valid driver's license, along with access to an insured and reliable vehicle

  • Availability to be On-Call for caseload-related crises

  • Knowledge of health administration regulations and standards, health information management, Medicaid Waivers and home health service lines

  • Professional oral and written communication skills

  • Strong analytical and problem-solving skills to assess situations and make accurate observations in the workplace

  • Ability to plan and oversee department operations and develop and implement comprehensive programs and services to improve utilization and the quality of services

  • Ability to collaborate with staff and managers to facilitate improvement and change

  • Organizational and analytical skills, along with the ability to oversee and organize the work of others

  • Ability to gather and evaluate quantitative and qualitative data, identify and monitor trends, variances and performance outcomes, and initiate effective corrective actions, as needed

Candidates must comply with state background screening requirements. Compensation, benefits, time off, and bonuses vary by state and location, so please ask for complete details at your interview.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Telephonic Nurse Case Manager

Amtrust Financial Services, Inc.

Posted 1 week ago

VIEW JOBS 11/20/2022 12:00:00 AM 2023-02-18T00:00 <p>Overview</p><p>AmTrust Financial Services, a fast growing commercial insurance company, has a need for a Telephonic Medical Case Manager, RN.</p><p>PRIMARY PURPOSE: To provide comprehensive quality telephonic case management to proactively drive a medically appropriate return to work through engagement with the injured employee, provider and employer. Our nurses will be empathetic informative medical resources for our injured employees and they will partner with our adjusters to develop a personalized holistic approach for each claim. These responsibilities may include utilization review, pharmacy oversight and care coordination.</p><p>Responsibilities</p><ul><li><p>Uses clinical/nursing skills to determine whether all aspects of a patient's care, at every level, are medically necessary and appropriately delivered.</p></li><li><p>Perform Utilization Review activities prospectively, concurrently or retrospectively in accordance with the appropriate jurisdictional guidelines.</p></li><li><p>Sends letters as needed to prescribing physician(s) and refers to physician advisor as necessary</p></li><li><p>Responsible for accurate comprehensive documentation of case management activities in case management system.</p></li><li><p>Uses clinical/nursing skills to help coordinate the individual's treatment program while maximizing quality and cost-effectiveness of care including direction of care to preferred provider networks where applicable.</p></li><li><p>Addresses need for job description and appropriately discusses with employer, injured employee and/or provider. Works with employers on modifications to job duties based on medical limitations and the employee's functional assessment.</p></li><li><p>Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.</p></li><li><p>Communicates effectively with claims adjuster, client, vendor, supervisor and other parties as needed to coordinate appropriate medical care and return to work.</p></li><li><p>Performs clinical assessment via information in medical/pharmacy reports and case files; assesses client's situation to include psychosocial needs, cultural implications and support systems in place</p></li><li><p>Objectively and critically assesses all information related to the current treatment plan to identify barriers, clarify or determine realistic goals and objectives, and seek potential alternatives.</p></li><li><p>Partners with the adjuster to develop medical resolution strategies to achieve maximal medical improvement or the appropriate outcome</p></li><li><p>Evaluate and update treatment and return to work plans within established protocols throughout the life of the claim.</p></li><li><p>Engage specialty resources as needed to achieve optimal resolution (behavioral health program, physician advisor, peer reviews, medical director).</p></li><li><p>Partner with adjuster to provide input on medical treatment and recovery time to assist in evaluating appropriate claim reserves</p></li><li><p>Maintains client's privacy and confidentiality; promotes client safety and advocacy; and adheres to ethical, legal, accreditation and regulatory standards.</p></li><li><p>May assist in training/orientation of new staff as requested</p></li><li><p>Other duties may be assigned.</p></li><li><p>Supports the organization's quality program(s).</p></li></ul><p>Qualifications</p><p>Education &amp; Licensing</p><p>Active unrestricted RN license in a state or territory of the United States required. Bachelor's degree in nursing (BSN) from accredited college or university or equivalent work experience preferred. Certification in case management, pharmacy, rehabilitation nursing or a related specialty is highly preferred. Acquisition and maintenance of Insurance License(s) may be required to comply with state requirements. Preferred for license(s) to be obtained within three - six months of starting the job. Written and verbal fluency in Spanish and English preferred</p><p>Experience</p><p>Five (5) years of related experience or equivalent combination of education and experience required to include two (2) years of direct clinical care OR two (2) years of case management/utilization management required.</p><p>Skills &amp; Knowledge: Knowledge of workers' compensation laws and regulations</p><p>Knowledge of case management practice</p><p>Knowledge of the nature and extent of injuries, periods of disability, and treatment needed</p><p>Knowledge of URAC standards, ODG, Utilization review, state workers compensation guidelines</p><p>Knowledge of pharmaceuticals to treat pain, pain management process, drug rehabilitation Knowledge of behavioral health Excellent oral and written communication, including presentation skills PC literate, including Microsoft Office products Leadership/management/motivational skills Analytic and interpretive skills Strong organizational skills Excellent interpersonal and negotiation skills Ability to work in a team environment Ability to meet or exceed Performance Competencies WORK ENVIRONMENT</p><p>When applicable and appropriate, consideration will be given to reasonable accommodations. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboarding Auditory/Visual: Hearing, vision and talking</p><br> Amtrust Financial Services, Inc. TBD IL

Case Manager

Help At Home