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Care Manager

Company: Alternative HR LLC
Location: Hanover
Posted on: March 20, 2023

Job Description:

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.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.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 psychosocial 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 inservices.Attends meetings and participates on committees as required.Is available as scheduled for after-hours on-call.Ensures that the on-call phone is operational and returns calls in a timely manner.Responds promptly and courteously to client and employee complaints and inquiries.Directs daily marketing operations including direct oversight of the establishment and implementation of marketing initiatives.Employs marketing and promotional initiatives to achieve budgetary volume projections.Maintains and presents a professional image through appropriate dress, pleasant and helpful telephone manner, and courteous interaction with all staff and visitors; and is responsible for appropriate verbal and behavioral interaction with all individuals that he/she comes in contact with.Must be able to perform responsibilities with minimal supervision, and must possess a high degree of initiative, and the ability to organize and prioritize responsibilities.Exhibits a high degree of commitment to customer service and quality of work.19. - - - - - - Demonstrates to others the values of the organization. - - - - - 20. - - - - - - As requested, will complete all other duties as assigned. - -Powered by JazzHR

Keywords: Alternative HR LLC, Ellicott City , Care Manager, Executive , Hanover, Maryland

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