Eligibility Specialist - Goose Creek, SC

Care Lync•Goose Creek, SC

About The Position

The Eligibility Specialist / Case Manager provides case management activities for clients assigned to the consolidated care team. The role develops individualized care management plans, coordinates and brokers services to implement those plans, and monitors and evaluates clinical outcomes to ensure services are professional, comprehensive, and cost-effective. The position helps locate, coordinate, and monitor needed services and supports through development and implementation of the Individual Support Plan (ISP). It assists people receiving services in identifying and communicating their requests and needs, which may include housing, medical, social, vocational, and other community services. The role involves travel to participants as needed, estimated at 50%.

Requirements

Bachelor of Arts or Bachelor of Science degree in related coursework.
Experience with Microsoft Office and state-maintained databases.
Maintain proficiency in company-sponsored training and certifications.
Maintain CPR/First Aid certification and current state-related clearances.
Successfully complete and maintain training courses required or amended by program regulations.
Valid driver’s license, personal vehicle liability insurance, and current vehicle registration; copies must be maintained on file with Care Lync.
Immediately inform a supervisor of changes to auto insurance, vehicle registration, or driver’s license status.

Responsibilities

Complete assessments to identify each participant’s needs and service-delivery preferences.
Develop a Person-Centered Service Plan for each participant and modify it at least annually or after a significant medical or social change.
Provide information to support participants in making fully informed choices of providers.
Ensure the Behavioral Support Plan and Crisis Plan, when applicable, are consistent with the ISP.
Immediately report incidents of participant abuse, neglect, or exploitation to a supervisor or director.
Coordinate with individuals and entities involved in participants’ physical or behavioral care, including other care coordinators, to support seamless coordination of services.
Research and develop alternative solutions to participants’ needs.
Maintain confidentiality of sensitive materials and private health information.
Attend required trainings and recertification classes.
Consult regularly with supervisors and directors regarding participants’ needs, abilities, learning levels, and physical limitations.
Travel to participants as needed; the posting states 50% travel.