Case Manager (FT) – Bedford, IN

An Equal Opportunity Employer:   Indiana Health Centers, Inc. does not discriminate on the basis of race, color, national origin, sex, religion,  age or disability in employment or in the provision of services

The position listed below is open and available to all qualified candidates.  Any individuals interested in submitting their application for candidacy should email all resumes and cover letters to: sknoll@ihcinc.org.

Summary
The Case Manager contributes to IHC’s mission and goals of client satisfaction, quality of care, cost competitiveness, and productivity by accurately assessing clients and assisting them in accessing community and health resources.  The Case Manager works with clients, clinic staff, and community agencies to ensure access to medical care and local resources while ensuring continuity of care.

Evaluation of performance
Performance will be evaluated based on meeting specific goals, productivity measures, employee satisfaction scores, and other quality indicators for this position such as:  IHC strategic objectives; site strategic objectives; functional capabilities; leadership and/or employee capabilities; IHC commitments, quality measures, and productivity measures.

Application of knowledge
Case Manager requires knowledge of the administrative practices, laws and policies, analytical methods and regulations related to health programs and social welfare to complete assignments using established principles and practices.  Knowledge permits Case Manager to carry our recurring assignments and gain familiarity with IHC’s practices and permits Case Manager to assist clients seeking services, answer questions, gather information, while gaining knowledge of more demanding requirements of public health case management.

Client Care:

  • Visits client in homes to perform social service assessments, determine eligibility for applicable programs and follow-up as needed.
  • Refers farm workers to the appropriate community service agencies, as needed.
  • Tracks client utilization of clinic and community services and problem-solves to remove barriers to service.
  • Acts as liaison between clients and service providers.
  • Provides orientation and in-service training to community agencies, as necessary.
  • Works with clinic staff to increase patient compliance with treatment plan.

Administrative:

  • Meets regularly with community agencies to ensure extensive knowledge of services provided and effective working relationships with service providers.
  • Maintains accurate and up-to-date participant records to assist providers in the planning and delivery of services.
  • Prepares and submits reports as needed.

Job controls and complexity
Case Manager performs work with minimal supervision using guidelines that cover most situations and follow processes and procedures that may vary from one assignment to the next.

Critical skills and behaviors
Communication and Relationship Building –Able to:

  • Demonstrate effective verbal and written communication and strong interpersonal skills.
  • Effectively interview and interact with people from a wide range of educational levels and different backgrounds one-on-one and in groups.
  • Resolve conflicts; think creatively, and negotiate to achieve desired outcomes.
  • Establish and maintain effective working relationships with state and local agencies, service providers, other employees within IHC, and clients.
  • Cooperate with a multi-disciplinary management team.
  • Demonstrate positive customer service skills.

Public Health Case Management – Able to:

  • Demonstrate extensive knowledge of all state and local community resources.
  • Demonstrate specialized knowledge of and ability to apply state and local agencies’ program rules, regulations, policies, and procedures.
  • Demonstrate extensive knowledge of theory and practice of public health programs.
  • Knowledge of the principles and practices of case management.
  • Prepares and maintains accurate and up-to-date client records.
  • Maintain client confidentiality.

Administration and Management–Able to:

  • Understand and apply a variety of interrelated administrative techniques.
  • Effectively plan and prioritize a variety of projects and meet multiple deadlines.
  • Demonstrate effective supervisory skills including planning and overseeing the work of others.
  • Perform responsibilities accurately, efficiently, and timely.
  • Maintain participant confidentiality.

Process Improvement – Able to:

  • Proactively anticipate and alert others to problems with projects or processes and offer solutions.
  • Implement process improvements where necessary.
  • Design, initiate, and/or participate in process improvement projects.

Technology –proficient in computer skills, including typing and use of Microsoft Word, Excel, Outlook, Access, eCW.

Qualifications
Bachelor’s degree preferred.  Related health/social service experience will be considered as substitute for degree requirement.  High school diploma or equivalent required.  May require Navigator certification, depending on clinic needs.

Intake Specialist (FT) – Bedford, IN

The position listed below is open and available to all qualified candidates.  Any individuals interested in submitting their application for candidacy should do so in writing.  All submissions should identify the position. Please email all resumes and cover letters to: sknoll@ihcinc.org.

DESCRIPTION OF WORK:              

The Intake Specialist contributes to IHC’s mission and goals of client satisfaction, quality of care, cost competitiveness and productivity by ensuring efficient handling of all client income documentation, front-office paper work, charts and billing.  The Intake Specialist works closely with the other front office staff to provide customer service to clients in the lobby and on the phone, and complete billing paperwork and daily reports integral to monitoring the overall effectiveness of the clinic. Intake Specialist acts as a navigator and has advanced knowledge on how to navigate the entire clinic process flow; applies this knowledge to determine the eligibility for the various Medicaid and WIC services and sliding fee scales.

ESSENTIAL FUNCTIONS

Clerical:

  • Greets clients and visitors to clinic and assists with check in process.
  • Makes appointments and educates clients regarding documents they will need to provide at the time of service.
  • Answers phones and accurately direct calls.
  • Accurately enters, maintains and retrieves data on IHC’s computer system.
  • Uses and maintains electronic medical record, accurately assembling income

Medical Billing:

  • Assists in timely completion of daily Batches, including migrant worker Batches, ensuring all information is complete and accurate on the superbill and that all supporting documents are attached.
  • Assists in running daily Variance Report.
  • Determines eligibility and signs up eligible clients for Medicaid or Medicare part D, refers eligible clients to WIC programs.

DESIRABLE KNOWLEDGE, SKILLS, AND ABILITIES

Intake Specialist II requires expert knowledge of a wide body of income eligibility rules in addition to verification, application, and documentation procedures and requirements; Intake Specialist requires specialized knowledge of various Medicaid application processes, medical billing practices, electronic medical records, and IHC’s policies and procedures.

Logic and Analysis – Able to:

  • Think logically and analytically
  • Demonstrate proficiency in basic mathematics

Communication – Able to:

  • Demonstrates effective verbal and written communication skills
  • Interact with a diverse population with a wide range of educational levels including children
  • Maintain effective working relationships with physicians, other employees and patients
  • Demonstrate positive customer service skill
  • Resolve conflicts, think creatively and negotiate solutions
  • Demonstrate positive customer service skills in person and over the phone
  • Work well in a team environment and as part of a team

Intake Functions: Able to:

  • Learn and follow standard work practices/procedures – every time – without variation or error
  • Follow established routines, requiring occasional modifications in procedure
  • Train others on intake functions and standard work
  • Demonstrate proficiency in patient scheduling, including procedures for walk-ins, overbooking, and rescheduling
  • Demonstrate proficient knowledge about Medicaid and Medicare requirements
  • Counsel clients on the advantages and services provided by Medicaid
  • Recognize, troubleshoot, and/or alert others to potential scheduling conflicts or problems
  • Take initiative; prioritize, organize tasks and time; follow upWork Product:   Able to:
  • Demonstrate high detail orientation and accuracy
  • Perform responsibilities accurately, efficiently and timely
  • Demonstrate knowledge of standard office practices and procedures.
  • Able to juggle multiple requests and meet multiple deadlines

Technology –Demonstrate office equipment and computer skills, including data entry;   Able to use Microsoft Word, Excel, and Outlook, and electronic health records, eCW, etc…

EDUCATION AND EXPERIENCE

Graduation from a standard high school, or equivalent.  One (1) year of prior experience in an office or health related position.  Related education can substitute for experience.  Spanish skills required.