Case Manager

Shine Bright Care•Fairbanks, AK

About The Position

The Case Manager performs administrative functions to process and maintain consumer files and database records and ensure that 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 through assessments, intake, documentation, service coordination, and related processes. The position works independently and as part of a team, handles confidential and sensitive information, and coordinates with consumers, vendors, healthcare providers, and the State of Alaska. It requires attention to detail, organization, effective communication, professionalism, and the ability to manage competing assignments in a fast-paced office environment. The position may require extended hours, including evenings and weekends, and travel.

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.
Knowledge of HIPAA laws and the handling and safeguarding of 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.
Experience or ability to use multi-line phones, copiers, and fax machines.
Effective written and oral communication skills.
Strong interpersonal and customer-service skills; ability to communicate with people at all levels of the organization.
Ability to maintain a confidential working relationship and handle sensitive situations with poise, tact, and diplomacy.
Strong personal organizational skills and attention to detail, including composing, typing, and proofreading materials, setting priorities, and meeting deadlines.
Ability to follow oral and written instructions and maintain a positive attitude.
Ability to consistently report to work on time.
Ability to work in a fast-paced environment and manage multiple competing tasks and demands.

Responsibilities

Serve as a 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 and Qualifying Diagnoses Certification from consumers’ doctors.
Request and process consumer supplies from vendors and 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 signature pages and fax them to the State of Alaska.
Assist consumers with hiring and firing Personal Care Assistants or 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 that necessary program information, training, and agency policies and procedures are reviewed as needed.
Ensure program compliance, safety procedures, contracts, and compliance with 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 the network server.
Work independently and with a team on special and ongoing projects as needed.
Maintain a positive, professional image when dealing 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.