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Case Manager in Remote, Kentucky at COLUMBUS MEDICAL SERVICES LLC

NewSalary: $30.00/hrJob Function: Medical
COLUMBUS MEDICAL SERVICES LLC
Remote, Kentucky, United States
Posted on
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Job Description

Travel/Work Environment

This is a remote position serving clients in Kentucky. Candidates must reside in Kentucky, preferably within or near the assigned service area, to effectively support the needs of the communities they serve.

Summary of position

The Case Manager is responsible for coordinating the person-centered Plans of Care and Service Plans for participants on-boarded by the Clinical Intake Specialist. Facilitating the selection of service providers, the Case Manager will broker services and set up authorizations based on the frequency, scope and duration of the Service Plan. The Case Manager is responsible for monitoring and confirming service delivery through monthly telephonic or in-person contact with participants and caregivers/legal guardians.

Essential Functions

  • Develop, coordinate, and implement comprehensive Plans of Care and Service Plans.
  • Collaborate with healthcare providers, participants, and families to meet all medical, social, and personal needs.
  • Monitor and confirm the delivery of services as outlined in the Plan of Care.
  • Conduct monthly telephonic visits with participants or more frequently as required.
  • Assess participants' needs, progress, and satisfaction, updating Plans of Care as necessary.
  • Provide support and guidance to participants and families, addressing concerns.
  • Educate participants and families about available resources and services.
  • Maintain accurate documentation of interactions, service delivery, and care plan updates.
  • Refer participants to relevant specialists for further coordination of benefits or transitions.
  • Conduct ongoing care management activities, including required outreaches and condition-based updates.
  • Screen for changes in health or conditions, ensuring care plans remain relevant.
  • Triage and escalate cases requiring clinical expertise, reporting potential Critical Incidents.
  • Assist with coordination and participate in interdisciplinary (IDT) meetings, discharge planning, and transitions.
  • Prepare and submit reports as required by regulatory agencies and organizational policies.
  • Ensure compliance with regulations, policies, and best practices in all care management activities.

Position Requirements

  1. An associate degree or higher in behavioral or social sciences, or a related field, OR at least 1 year of experience in health or human services support, including interviewing individuals and assessing their personal, health, employment, social, or financial needs according to program requirements.
  1. A minimum of 2 years of experience in case management, including assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet individual human service needs.
  1. A minimum of 2 years of experience making recommendations as part of a client’s service plan, such as clinical treatment, counseling, or determining eligibility for health or human services/benefits.
  1. Experience and skills in conducting person-centered assessments and developing service plans.

Skills, Knowledge & Abilities

  • Proficient in Microsoft Word, Excel, and PowerPoint.
  • Knowledgeable in planning principles and report preparation.
  • Skilled in interpreting policies and procedures.
  • Skilled in analyzing situations, evaluating information, and recommending courses of action.
  • Ability to establish and maintain effective working relationships with colleagues and external agencies and supportive relationships with individuals and families, demonstrating competency in supporting them.
  • Ability to evaluate issues and explain rules and regulations clearly.
  • Capable of writing detailed reports and correspondence.
  • Effective in presenting information and responding to questions from groups of managers and associates.
  • Competent in defining problems, collecting data, establishing facts, and drawing valid conclusions.
  • Ability to use automated information system to enter, update, modify, delete, retrieve, and report on data.
  • High level of initiative, self-direction, and accountability for actions.

The job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

AAP/EEO Statement

The Columbus Organization provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, The Columbus Organization complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

The Columbus Organization expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of The Columbus Organization’s employees to perform their job duties may result in discipline up to and including discharge.

Employee signature below constitutes employee's understanding of the requirements, essential functions, and duties of the position.

Job Location

Remote, Kentucky, United States

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