Title: Case Management Coordinator
Location: Hamilton, NJ 08625
Pay Rate: $33.63/Hour on W2 without benefits
Duration: 02+ months
Shift Timing (Day/ Evening/ Night): 8:30 am-4:30 pm Our office works a hybrid schedule. We're remote on Monday's and Friday's, employee will be asked to come to the office Tuesday's, Wednesday's and Thursday.
Job Description:
- Review service plan requests from case managers, daily
- Ensure plans are detailed and comprehensive
- Communicate with case managers, in writing and by telephone, to obtain information, provide technical assistance, and resolve service plan/ client issues.
- Review client files for information relevant to current service plan/request.
- Immediately alert the Manager/Administrator to any discrepancies or gaps.b. Ensure plans are complete and include all required documentation
- c. Provide initial guidance and ongoing technical assistance to new and current case managers.
- d. Ensure plans comport with TBIF/Client rules and regulations.
- e. Ensure plans are fiscally viable (funds are available)
- f. Confirm, via the TBIF Vendor Database, authorization of vendor and rates
- g. Confirm, via GLink, Medicaid status for all beneficiaries, upon request and annually (at a minimum)
- h. Make service plan recommendations for Review Committee action. Include all relevant regulation citations for modify/deny recommendations.
- i. After determinations is made - send all APPROVED service plans to the admin. staff within two (2) business days following receipt of information from Manager/Administrator, for letter preparation, including amount of funds spent to date.
- j. After determinations is made - send to the admin. staff service plans with in two (2) business days following receipt of information from Manager/Administrator, language addressing modifications, hold, ddenials,or other Review Committee decisions for letter preparation, including amount of funds spent to date.
- k. After determination is made regarding service plans update TBIF beneficiary ?? s spreadsheet
- l. Continuously update service plan tracker
- m. Upload the original and final service plan packet (all documentation provided to the Review Committee) into IQ along with any pertinent emails and notes.
- n. Ensure that the final service plan packet is in hardcopy file.
- o. Update Client Roster after each Review Committee meeting.
Assist with Coordination of Review Committee Meetings:
- Abstract service plans to be presented for consideration by the TBI Fund Review Committee and save in Abstract folders.
- Format plans
- Create and complete cover sheets
- Provide recommendation and justification
- Upload supplemental documentation as pdfs
- b. As necessary, review pre-meeting feedback from the Review Committee and provide information.
- c. Participate in monthly TBIF Review Committee meeting as requested.
Process TBI Fund Payment Vouchers:
- Ensure invoice is complete, includes all required information and formatted appropriately;
- Double check that math adds up
- Verify type of service, rates and award dates match GOP
Check availability of funds:
- b. Communicate with service providers, as needed, to obtain missing or incomplete invoice information
- c. Create vouchers using appropriate forms; review and save completed vouchers to Completed Vouchers online folder.
- d. Print vouchers and invoices for Director ?? s signature.
- e. Maintain/update invoice tracker, track vouchers to Fiscal for payment.
- f. Update TBIF beneficiaries ???? spreadsheets.
- g. Upload progress notes in client IQ file.
- h. Initiate internal fiscal investigations to resolve vendor issues.
Oversee Case Management Billing:
- a. Educate case management agencies on proper billing/invoicing procedures and rates
- b. Work with case management agencies to ensure timely and appropriate billing
- c. Process all case management billing/invoices for assigned case management agencies
Monitor Case Manager reporting:
- a. Ensure Quarterly Case Management Reports (QCMRs) are received in a consistent and timely basis from assigned case managers
- b. Review all QCMRs for all assigned case managers for invoice/billing purposes
- c. Review QCMRs for all assigned case managers, following up on issues/concerns
Provide general TBIF support:
- a. Maintain up-to-date contact information (names, email addresses, telephone numbers, addresses, etc.) for all assigned case managers.
- Respond to all inquiries/questions/requests from assigned case managers within 3 business days.
- b. Provide timely assistance and response to constituent referrals including consumers, providers/vendors, and family members.
- Return constituent phone calls/emails (within 2-3 business days).
- c. Maintain detailed records of complaints received and responses (date of contact, nature of complaint, staff involved, etc.)
- Require corrective action plan of case manager, if issues/complaint(s) persist
- Ensure implementation of corrective action plan by requesting status, via email, at predetermined intervals (intervals will be determined by length and type of corrective action plan)
- d. Serve as backup to admin and PSS3 staff as needed/requested.
- e. Conduct TBIF presentations to various audiences including public, partners, internal and external staff, etc. as assigned.
- f. Conduct monitoring/site visits as needed/assigned.
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