Case Manager

Description


Position at Clarvida - Pennsylvania


Clarvida

Job Description

Job Title: Case Manager

Program(s): Outpatient

State: Pennsylvania

Population Served: N/A

Reports To: Area Operations Director

FLSA Status: Non-Exempt

SUMMARY


This position is responsible for providing direct oversight of office location operations and for ensuring their assigned office location functions effectively. Working collaboratively with the Clinical Supervisor, this position is responsible for managing expenses, employee productivity, coordinating payroll, and onboarding and the management of the timely and effective staffing of all programs and service lines.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Assigns and schedules Outpatient Therapists maximizing the available hours in conjunction with the planned needs of the client.
• Monitors productivity and utilization of assigned hours, making adjustments when necessary, including the reassignment of hours among other Outpatient Therapists in order to maximize utilization and provide maximum service coverage when appropriate.
• Maintains a consumer waitlist, assigning as needed.
• Monitors work performed by staff to ensure that work is performed in accordance with company policies and procedures, program regulations, and expected standards for client care.
• Processes paperwork required in enrolling a client in Outpatient Therapy services.
• Completes and maintains accurate files for case management for each consumer.
• Provides accurate and complete information on the outpatient therapy and medication management process to clients/families receiving services.
• Maintains a tracking system which lists client med appointments or yearly paperwork information.
• Sets up all new consumer profiles, verify insurance when applicable.
• Monitor and actively work the consumer balances of the assigned locations.
• Maintains, or oversees, all consumer communication regarding appointments, med refill requests, medical requests, etc.
• Assists in gathering information as required for corporate compliance and audits including Relias and training management.
• Completes payroll for all assigned employees on a biweekly basis in conjunction with capacity and productivity reporting.
• Manages draft list and following all guidelines for staff completion of services.
• Manages all faxes and mail received and all tasks related to the documents.
• Responsible for collecting all HR documents that are needed by shared services and giving notices of deadlines.
• Manages all trackers related to compliance of the program including, but not limited to, discharges, med management, IT, HR, capacity, productivity, etc.
• Consistent communication with supervisors and attend all required meetings.
• Onboarding of all newly hired staff including documents, admin training, technology set up, etc.
• Performs related work as required.

OTHER DUTIES

• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SUPERVISORY RESPONSIBILITIES

• Supervision of the Office Assistant(s)
• Assures the completion of supervisory responsibilities in accordance with the organization's policies and applicable laws, including interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

PHYSICAL DEMANDS

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• May be required to remain in a stationary position 50% of the time. May be required to occasionally move about inside a home, school, community, clinic, or program office environment to provide services to consumers, support employees and team members, or access office resources and machinery. May be required to operate a computer and other office productivity machinery (i.e.: iPad, copier, printer). May be required to occasionally ascend/descend stairs to provide services to consumers, support employees and team members, or access office resources and machinery. May be required to position self in appropriate physical proximity to provide services to consumer, support employees and team members, or access office resources and machinery. May be required to frequently communicate with consumers, employees and team members, or external sources in a way that supports the company mission and enhances delivery and quality of services. May be required to recognize and determine data and information pertinent to essential job functions. May be required to frequently transport resources and materials required to provide quality services.

WORK ENVIRONMENT

• The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Clinic or community environments

TRAVEL

• Up to 25% of travel between locations - as need requires

REQUIRED EDUCATION AND/OR EXPERIENCE

• Bachelor's Degree required
  • Psychology
  • Social Work
  • Counseling
  • Education
  • Human Services
  • Public Administration
  • Business Administration
  • Or a related field

PREFERRED EDUCATION AND EXPERIENCE

• At least 1 year experience supporting a similarly sized office, and/or at least 1 year of experience in a customer service position

CERTIFICATES, LICENSES, REGISTRATIONS

• None required

QUALIFICATIONS

• Language Skills

Ability to read, analyze, and interpret complex documents and instructions. Ability to respond effectively to sensitive inquiries or complaints. Ability to clearly explain instructions in both written and oral media.

• Mathematical Skills

Basic mathematic ability including addition, subtraction, multiplication, and division. Use of MS Excel to aid in mathematical work.

• Reasoning Ability

Ability to read instructional bulletins and/or participate in training sessions then translate information provided into day-to-day work duties. Must be able to make sound decisions to support employees and consumers in a calm and timely manner. Must be able to interact with employees, outside agencies, external sources, and internal departments on a daily basis in a way that supports the company's mission and enhances the delivery and quality of services

ADDITIONAL ELIGIBILITY QUALIFICATIONS

• Basic understanding of data entry and formatting in Microsoft Office
• Ability to work as team member
• Organizational skills
• Communication skills

MY SIGNATURE BELOW INDICATES THAT I HAVE READ AND UNDERSTAND THE JOB DESCRIPTION AND AGREE THAT I AM QUALIFIED AS TO EDUCATION AND SKILL TO MEET THE REQUIREMENTS OF THE POSITION WITH OR WITHOUT REASONABLE ACCOMMODATION(S):

_____/_____/______

EMPLOYEE SIGNATURE DATE

_____/_____/______

SUPERVISOR SIGNATURE DATE

1


Case Manager Revised 11/2020