Case Manager

$39,520 - $39,998/Yr

PharMerica - Morehead, KY

Full-time

Morehead, KY

Health and Personal Care Retailers

About the position

The Case Manager at BrightSpring Health Services is responsible for ensuring quality care for clients by assessing their needs and coordinating appropriate services. This role involves direct communication with referral sources, overseeing pre-screening assessments, and maintaining relationships with various stakeholders to facilitate client care and satisfaction.

Responsibilities

• Receives/responds to incoming calls from referral sources/potential clients to identify their needs.
• Completes viable referrals by conducting pre-screening assessments and preparing necessary paperwork.
• Oversees and supervises field staff involved in the pre-screening process.
• Accesses and manages national/state/company account information relevant to client cases.
• Consults with third-party representatives regarding client benefits and reimbursement procedures.
• Contacts referral sources to inform them of case acceptance and the clinical team involved.
• Develops and maintains knowledge of services provided by the company and community resources.
• Maintains relationships with referral sources and tracks satisfaction levels.
• Monitors and reports on conversion ratios and provides summaries to management.
• Implements operational processes to ensure compliance with company policies and regulations.
• Participates in mandatory HIPAA privacy and compliance programs.
• Engages in quarterly growth planning meetings and special projects.

Requirements

• Bachelor's degree in a human services field or nursing field.
• Valid driver's license.
• Two years of experience in case management or a related discipline.
• Strong verbal and written communication skills.