Case Manager

Shine Bright Care•Fairbanks, AK

11d

About The Position

The Case Manager performs administrative functions to process and maintain consumer files and database records and ensure files comply with State and Federal regulations. The role serves as a primary contact for consumers, legal representatives, guardians, and family members, and supports consumers with assessments, intake documentation, services, caregiver hiring, and program information. The Case Manager also helps maintain program compliance, handles confidential records, and supports the Office Manager, Executive Director, Care Coordinator Administrator, and CEO as needed.

Requirements

High school diploma or GED.
Two years of experience in the healthcare field.
At least 18 years of age.
Valid Alaska Driver’s License.
Ability to pass a criminal background check.
Strong interpersonal and customer service skills.
Knowledge of HIPAA laws of 1996 and ability to safeguard confidential medical and personal records.
Knowledge of Microsoft software applications, including Outlook, Word, PowerPoint, and Excel, as well as word processing, spreadsheets, databases, and presentation software.
Typing speed of 65 words per minute.
Ability to use multi-line phones, copiers, and fax machines.
Effective written and oral communication skills.
Ability to consistently attend work and be on time.
Ability to maintain confidential working relationships.
Excellent personal organizational skills and ability to follow oral and written instructions.
Ability to communicate effectively and maintain a positive attitude.
High interpersonal skills to handle sensitive and confidential situations with poise, tact, and diplomacy.
Ability to interact and communicate with individuals at all levels of the organization.
Continual attention to detail, including composing, typing, and proofreading materials; establishing priorities; and meeting deadlines.
Ability to work in a fast-paced environment and manage multiple competing tasks and demands.
Ability to work in an office setting.
Position may require extended hours, including evenings and weekends, and travel.

Responsibilities

Serve as the primary contact for consumers, legal representatives, guardians, and family members.
Prepare documentation for and attend consumers’ initial and annual assessments.
Process new consumer intake documentation.
Request Verification of Diagnosis (VOD) and Qualifying Diagnoses Certification (QDC) from consumers’ doctors.
Request and process consumer supplies through vendors, including Geneva Woods.
Request and process consumer products such as Life Line Services.
Fax completed documentation to the State of Alaska for processing.
Complete consumers’ sample PCA/Waiver timesheets for signature.
Prepare Personal Care Assistant Tool (PCAT) signature pages and fax them to the State of Alaska.
Assist consumers with hiring and firing Personal Care Assistants and caregivers.
Participate in consumers’ Fair Hearings.
Write and process expedited assessments and amendments.
Process incoming and outgoing transfers.
Schedule and attend home visits with consumers twice per year for PCA clients or quarterly for waiver clients.
Facilitate consumer meetings and ensure relevant program information, training, and agency policies and procedures are reviewed as needed.
Ensure program compliance, safety procedures, contracts, and State and Federal regulations.
Handle confidential and sensitive information with poise, tact, and diplomacy.
Complete Critical Incident Reports and fax them to the State of Alaska within 24 hours.
Organize and prioritize large volumes of information and assignments, including paper and electronic filing through a network server.
Work independently and as part of a team on special and ongoing projects as needed.
Maintain a positive, professional image when interacting with internal and external colleagues, consistent with the organization’s values and culture.
Perform other duties as assigned.
Assist the Office Manager, Executive Director, Care Coordinator Administrator, and CEO as needed.