Foster Care Case Manager
About The Position
The Foster Care Case Manager supports referral intake and assessment, prepares pre-admission materials, coordinates appropriate treatment teams, and helps determine whether the company can meet prospective clients’ needs. The role works with referral sources, third-party payers, clients, and internal clinical and operational teams to coordinate service acceptance, authorization, and reimbursement. The position also develops and maintains relationships with referral sources and payer case managers, monitors referral outcomes and satisfaction, and reports results to management. It helps maintain operational compliance with company policies and regulatory requirements and participates in growth-planning activities and special projects. StepStone Family and Youth Services provides residential and family services for children and youth who need alternative living environments, including foster-family connections, foster-care training, respite care, and support services. It also offers guidance and life-skills training for young adults transitioning from foster care to independent living.
Requirements
- Bachelor’s degree in a human services or nursing field.
- Valid driver’s license.
- Two years of experience in case management or a related discipline.
- Ability to communicate verbally and in writing.
Responsibilities
- Respond to calls from referral sources and potential clients, identify needs, and consult with the Director of Clinical Management about the company’s ability to meet them.
- Complete viable referrals by arranging and conducting pre-screening assessments, preparing reports and case proposals, and completing related pre-admission paperwork.
- Oversee, direct, and supervise field staff who assist with the pre-screening process.
- Access relevant national, state, and company account information, including contract terms and prior payer agreements.
- Consult third-party representatives about benefit coverage, client financial responsibility, service authorization, and reimbursement procedures.
- Present company services, explain reimbursement options, and negotiate reimbursement levels with third-party payers.
- Notify referral sources of case acceptance and provide information about the clinical team responsible for the client’s case.
- Maintain working knowledge of company services and resources and services available in the community.
- Help identify alternative community service sources when company services are not appropriate or available.
- Maintain relationships with referral sources and payer case managers, seek referrals, and record call outcomes while keeping the SAR informed.
- Monitor referral-source satisfaction, track and report conversion ratios, and provide summary reports to management at requested intervals.
- Work with up-line management to implement and maintain operational processes that comply with company policies, requirements, and regulatory mandates.
- Participate in the company’s HIPAA privacy practices and Business Ethics and Compliance programs.
- Participate in quarterly growth-planning meetings and activities, including discussions about staffing and recruitment needs.
- Participate in special projects and perform other duties as assigned.
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What This Job Offers
Job Type
Full-time
