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CASE MANAGER

BrightSpring Health Services - Kenosha, WI

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Job Description

Our Company Equus Workforce Solutions Overview Our 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! Responsibilities 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 case. 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 available. 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 SAR informed. 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 programs. Participates in quarterly growth planning meetings/activities including discussions around staffing and recruitment needs. Participates in special projects and performs other duties as assigned. Qualifications 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 related disciplineMust be able to communicate both verbally and in writing. About our Line of Business Equus Workforce Solutions, formerly ResCare Workforce Services, is the nation''s leading provider of workforce development services in North America. With a dedicated and passionate team, Equus puts the industry''s 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 . Additional Job Information Job Title: Talent Development Specialist Line of Business: Workforce Services Reports to (Title): Operations Supervisor or Designee Salary Grade: Job Code: 816140 FLSA Status: Non-Exempt Created/Revised Date: 5/18/2019 Driving Position: No Driving Position: Yes GENERAL SUMMARY Assists program job seekers from partner agency locations or other satellite offices to develop vocational goals reflective of their skills, capabilities and interests. Manages job seeker progress towards achieving goals by creating and updating plans. ESSENTIAL JOB RESPONSIBILITIES • Meets with participants to identify barriers to employment and develop strategies to manage these issues • Maintains complete, accurate and timely case notes and related records in manual and/or electronic systems • Ensure access to supportive services and retention services for job seekers • Outreach to referrals who fail to show for appointment • Create, update, and ensure completion of plans according to contract deadlines • Attends scheduled weekly unit meetings • Knowledgeable about Workforce programs and can navigate appropriate state and contract specific system(s) • Monitor and record job seeker participation in required activities • Know, understand, and implement current and future ResCare and contract specific policies, SOPs, and Operations Memos • Able to work independently/self-starter while remaining in communication • Ensure confidentiality of job seeker information and protect and secure ResCare equipment and property • Authorize, distribute, and reconcile transportation assistance • Ensure timely submission and preparation of documentation for scanning • Other duties as assigned QUALIFICATIONS/EDUCATION Bachelor''s degree in related field and minimum two year''s work experience in related field, or a satisfactory equivalent of education and experienceStrong communication and organizational skillsKnowledge about community resourcesAble to work with and relate to job seekers and be culturally sensitiveExcellent internal and external customer service skillsMust be computer literate and have MS Word and Excel skills at minimum, and the ability to learn specialized databases and software systemsBilingual a plus TRAVEL REQUIREMENTS Minimal WORK ENVIRONMENT AND PHYSICAL DEMANDS Extensive 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.

Created: 2025-11-01

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