Our operational team members focus on efficiently meeting the needs of our clients across various lines of business. If your passion is to ensure quality care to help our clients live their best life, we encourage you to apply today!
Overview : StepStone Family & Youth Services provides the full spectrum of support to children in need of alternative, safer, and more positive living environments with residential and family services.
Responsibilities :
Receives/responds to incoming calls from referral sources/potential clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet them.
Completes all viable referrals by setting up and carrying out pre-screening assessments, completion of pre-screening reports, and preparation of case proposals and other related pre-admission paperwork.
Oversees, directs, and supervises field staff assigned in assisting with pre-screening process.
Accesses national/state/company account information, including the account names and terms of contracts or other past payer agreements, as appropriate.
Consults with third-party representatives regarding client benefit coverage, client financial responsibility, company service authorization, and specific reimbursement procedures.
Contacts referral sources to advise them of case acceptance and provides information on the clinical team responsible for the client's case.
Develops/maintains a working knowledge of all services/resources provided by the Company and services available within the community.
Maintains relationships with standard referral sources and payer case managers.
Monitors/tracks referral sources' satisfaction levels, tracks/reports on conversion ratios, and provides summary reports to management at requested intervals.
Implements/maintains, with the upline management, operational processes to ensure compliance with Company policies, requirements, and regulatory mandates.
Adheres to and participates in Company’s mandatory HIPAA privacy program/practices and Business Ethics and Compliance programs.
Qualifications :
Bachelor's degree in a human services field or nursing field.
Valid driver's license.
Must have two years of experience with case management or related discipline.
Must be able to communicate both verbally and in writing.
StepStone Family and Youth Services is an equal opportunities employer and welcomes applications from diverse candidates.