Client Success Manager

Care Options for Kids is looking for a critical thinker and proactive Client Success Manager that shares our dedication to quality and our genuine concern for the comfort and dignity of our clients. We connect leading pediatric specialists with families to provide best-in-class pediatric nursing, therapy, and school-based services. We seamlessly integrate into children’s lives by bringing individualized care to children where they live, work, and play.

Our pediatric specialists are committed to providing high-quality pediatric services that help children and families live their best lives. We empower our community of clinicians to meet children where they are by providing the support and resources necessary to decrease administrative burdens. This focus allows our clinicians to obtain optimal work-life balance.

Responsible for:

• Intake process and oversight
  • Participate in and manage the new patient intake workflow from pending status to active status which includes:
    • Initial communication with patient and/or family members regarding services, rates, and community resources.
    • Able to determine patient needs and make recommendations on this basis.
    • Proper completion of new intake in EMR
    • Distributing Patient Information to the pertinent departments and/or individuals via EMR workflow and inbox and other supporting communication means such as Teams.
    • Communicating with appropriate office personnel (i.e., Director of Business Ops, Director of Clinical Services, Client Services Associate)
    • Oversees sending signature paperwork or company information, either by mail, email, or fax to inquiring patients or other responsible party
    • Oversee communication with family or responsible party routinely until case becomes active or moves to a non-admitted status.
    • Oversee communication with the referral source contact (care manager, doctor’s office, discharge planner, etc.) until case becomes active or moved to non-admitted status.
    • Daily oversight of on-call report, identifying situations that are appropriate for referrals/intake.
    • Ensure Patient Information Sheets are correct and updated in EMR.
    • Obtain initial Physician orders on new Skilled Nursing cases.

• • • Keep local offices, billing department, the authorization department, and other appropriate departments informed of intakes, information calls, and non- admits.
    • Prepare weekly report on new starts, new referrals, discharges and holds every Friday via EMR report and/or Power BI.
    • Cultivate and develop relationships with appropriate referrals sources including but not limited to care managers of Medicaid Managed Plans, physician offices, hospital discharge planners, social workers
    • Maintains a current Referral Source Spreadsheet
    • Communicate any patient’s concerns to the appropriate Director of Clinical Services or Director of Business Ops.
• Authorization responsibilities:
  • Perform or oversee insurance verification process on new patients prior to acceptance of new cases
  • Obtaining proper authorization for new patients, ensuring the local offices are aware of amount and type of authorized services.
  • Ensuring updated authorizations are obtained in timely manner.
  • Oversee that authorizations are attached in Admission documents in EMR and properly entered into EMR and that correct billing is set up in the EMR.
  • Communicate with local offices and Director of Clinical Services if the Health Plan does not authorize service. Work with the local office to decide on non-admission due to no identifiable payer source.
  • Obtain Single Case Agreements as needed, collaborating with Director of Contractual Development or Director of Business Operations
• Other responsibilities:
  • Maintains awareness of and compliance with state, accreditation and federal guidelines and requirements.
  • Attends community in-service, seminars, or other events as directed.
  • Attend departmental meetings as required.
  • Schedules and hosts routine Intake Department meetings.
  • Ensure department is aware of budget to goal results.
  • Promote good teamwork by working with all departments in friendly, cooperative environment.
  • Monitor, manage and approve Client Success Department staff payroll and time off.
  • Conduct annual performance evaluations for Client Success Department.
  • Ability to communicate verbally and through written words in a professional manner.
  • Treat and communicate with patients, families, co-workers, referral sources and caregivers with courtesy, respect, and consideration.
  • Maintain confidentiality of all patients, caregivers, and business information.
  • Comply with all applicable laws, regulations, policies, procedures, and guidelines.
  • Report to work as assigned or scheduled. Follow procedures for notification of absence or time-off requests.

• • Maintain professional/technical competency and proficiency of job responsibilities by attending and participating in meetings, conferences and education programs as requested.
  • Perform other related duties as needed and requested by Supervisor.
  • Perform all job responsibilities with a friendly, positive, and collaborative attitude.

Qualifications:

• Bachelor’s degree (preferred)
• Five years home health care experience
• Pediatric home health experience (preferred)
• Management experience
• Experience working with Medicaid Eligibility and Authorization process

What we Offer:

• A supportive and collaborative work environment.
• Opportunity to Join a Rapidly Growing, Fast-Paced Organization!
• Comprehensive benefits package, including health, dental, and vision insurance.
• Generous Paid Time Off
• 401K
• A chance to make a meaningful impact in the lives of children and families.

Annual Salary Range:

• Full-Time, $70,000 - $85,000.00/year

*Compensation dependent on experience.

Location : Delaware, New Jersey or Pennsylvania

If you are the best  at what you do, and are ready to work with an innovative, positive and supportive organization, please contact us today.

Care Options For Kids is an equal opportunity employer. The Equal Employment Opportunity Policy of Care Options For Kids is to provide a fair and equal employment