LEAD CASE MANAGER
Company: BrightSpring Health Services
Posted on: June 17, 2022
Equus Workforce SolutionsOur operational team members focus on
efficiently meeting the needs of our clients across various lines
of business. If your passion is to ensure quality care to help our
clients live their best life we encourage you to apply today!
- Receives/responds to incoming calls from referral
sources/potential clients and exchanges information to identify the
clients' needs and consults with Director of Clinical Management to
determine the Company's ability to meet them.
- Completes all viable referrals by setting up and carrying out
pre-screening assessments, completion of pre-screening reports, and
preparation of case proposals and other related pre-admission
paperwork (i.e., obtains authorization for payment, coordinates
availability of an appropriate treatment team).
- Oversees, directs and supervises field staff assigned in
assisting with pre-screening process.
- Accesses national/state/company account information, including
the account names and terms of contracts or other past payer
agreements, as appropriate.
- Consults with third party representatives regarding client
benefit coverage, client financial responsibility, company service
authorization and specific reimbursement procedures. Presents
company's services, interprets potential reimbursement options and
negotiates reimbursement levels with third party payer.
- Contacts referral sources to advise them of case acceptance and
provides information on the clinical team responsible for client's
- Develops/maintains a working knowledge of all
services/resources provided by the Company and services available
within the community. Assists in identifying alternative community
service sources when company solutions are not appropriate or
- Maintains relationships with standard referral sources and
payer case managers. Contacts identified referral sources and seeks
referrals as appropriate. Records outcome of calls and keeps the
- Monitors/tracks referral sources' satisfaction levels,
tracks/reports on conversion ratios and provides summary reports to
management at requested intervals.
- Implements/maintains, with the up line management, operational
processes to ensure compliance with Company policies, requirements
and regulatory mandates.
- Adheres to and participates in Company's mandatory HIPAA
privacy program/practices and Business Ethics and Compliance
- Participates in quarterly growth planning meetings/activities
including discussions around staffing and recruitment needs.
- Participates in special projects and performs other duties as
- Bachelor's degree in a human services field or nursing field.
- Valid driver's license.
- Must have two years of experience with case management or
- Must be able to communicate both verbally and in writing.Equus
Workforce Solutions,formerly ResCare Workforce Services, is the
nations leading provider of workforce development services in North
America. With a dedicated and passionate team, Equus puts the
industrys best practices to work nationwide by focusing on the
development, design, and delivery of demand-driven workforce
solutions. Assisting over a million job seekers and thousands of
employers annually, Equus Workforce Solutions is the most
comprehensive workforce development company in the United States.
For more information visit .GENERAL SUMMARYThe Talent Development
Specialist (TDS) - Lead is responsible for understanding Wisconsin
Works (W-2) policies and procedures, updating Standard Operating
Procedures (SOP), and training TDS staff. The TDS - Trainer will
report to the Deputy Director and may carry a caseload, when
needed, to assist with operations. ESSENTIAL JOB RESPONSIBILITIES -
- - - - - - - - - - Understand Wisconsin Works (W-2) operational
policies and procedures - - - - - - - - - - - Create, update, and
maintain Standard Operating Procedures (SOP) - - - - - - - - - - -
Train Talent Development Specialists (TDS) on operational policies,
procedures, and SOPs - - - - - - - - - - - Assist Lead TDS with
auditing of team members and offer recommendations on additional
training - - - - - - - - - - - Able to work
independently/self-starter while remaining in communication with
Deputy Director - - - - - - - - - - - - May need to meet with job
seekers/participants and carry a case load - - - - - - - - - - - -
Identify barriers to employment and develop strategies to manage
these issues - - - - - - - - - - -
-QUALIFICATIONS/EDUCATIONAssociate's Degree in Human Services,
Social Work, or a related field and minimum two to three year's
work experience in Human Services preferability as a Case Manager,
or a satisfactory equivalent of education and experience -Proven
ability to manage a case load -Able to work with and relate to job
seekers and be culturally sensitive and knowledge about community
resources -Strong communication and organizational skills and
excellent internal and external customer service skills -Must be
computer literate and have MS Word and Excel skills at minimum, and
the ability to learn specialized databases and software systems
-Bilingual a plusTRAVEL REQUIREMENTSMinimal WORK ENVIRONMENT AND
PHYSICAL DEMANDSExtensive standing, sitting, computer, phone,
deskwork and extensive data entry requires; work primarily in a
defined office environment with specified hours, although flexible
hours may be required; interacts one on one and in groups with
individuals from a diverse range of backgrounds; availability for
occasional out of office meetings. - - -
Keywords: BrightSpring Health Services, Racine , LEAD CASE MANAGER, Executive , Racine, Wisconsin
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