The Caseworker is responsible for helping adults, children and families find and obtain government resources like healthcare services, financial aid or counseling. Duties include meeting with clients to identify their needs, using resources in the government, healthcare and financial service industries to offer assistance to their clients/patients.
Essential Duties and Responsibilities:
- Confirms Medicaid or other insurance eligibility for causality cases
- Obtains additional information required for case start-up from beneficiaries and/or attorneys Intakes referral leads from attorneys, insurance adjusters, and medical providers
- Reviews and research leads regarding potential accident or trauma situations Investigates, research, review, and compile information from multiple sources
- Interfaces with attorneys, insurance adjusters, and medical providers, court staff, personal representatives/executors of estates, and family members
- Prepares necessary correspondence, liens, and other documents
- Works, maintains, and manages active Casualty and/or Estate recovery cases Performs basic legal research; compile various reports
- Reviews medical claims histories
- Files and maintains case history reports
- Interviews client to assess their situational needs and then determines services/resources that are applicable and accessible for client
- Serves as a liaison and advocate between the client and social, financial, health and legal services
- Develops a plan of action to improve client’s overall well-being
- Plans regular follow ups to assess progress and changes in current needs
- Reviews and modifies plans as appropriate based on client circumstantial changes
Minimum Requirements:
- 1+ year’s professional experience preferred
- Strong communication skills and excellent organizational and prioritization skills
- Bachelor’s degree in health sciences preferred
- Familiarity with Medicaid rules and regulations preferred
- Complies with all relevant professional standards of practice
- Participation and completion of Amergis’ Competency program when applicable
- Current CPR if applicable
- TB questionnaire, PPD or chest x-ray if applicable
- Current Health certificate (per contract or state regulation)
- Must meet all federal, state and local requirements
- Successful completion of new hire training as applicable to job site
- Understand patient confidentiality and HIPAA requirements
- Ability to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language is required
- Computer proficiency required
- Must be at least 18 years of age
GENERAL STATEMENT OF FUNCTIONS:
- Knowledge of the special needs and behavioral characteristics of the mentally dysfunctional client population served by the Agency.
- Knowledge of the community resources.
- Knowledge of the rules and regulations governing human services provider agencies in the service area.
- Knowledge of the legal and ethical issues relative to confidentiality of client information and the ability to interpret and apply them within the scope of the assignment.
- Knowledge of case work principles and methods related to coordinated services in Mental health.
- Working knowledge and skills using interviewing techniques and principles.
- Demonstrate good interpersonal skills, teamwork, and group dynamics.
- Ability and willingness to document activities and maintain records.
- Ability to formulate psychosocial assessment and community functioning of the client and of families.
- Ability to monitor adherence to a client driven coordination plan and to manage the flow of information necessary to carry out the objectives and goals for coordinated services.
- Ability to serve as liaison between Kedren and designated agencies within the community. In this capacity able to represent Kedren’s goals, policies and procedures to all relevant professionals, programs and resources involved in designated assignments.
- Able to serve as advocate and to intercede on behalf of an individual or family to assure equity, and to influence human support systems to respond to individual case needs.
- Able to communicate positively and in a professional manner with clients and community resource representatives that is reflective of the image required by the Agency.
- Demonstrate the ability to identify problems that impact on the quality of services, to report them to appropriate agency personnel in a timely manner and to assist in finding solutions for improvement.
- Observes confidentially in client matters.
- Participates in the fundraising activities of Kedren.
- Practices loyalty and commitment to the philosophy, goals and objectives of Kedren.
- Assist in other duties and special projects as needed.
Benefits
At Amergis, we firmly believe that our employees are the heartbeat of our organization and we are happy to offer the following benefits:
- Competitive pay & weekly paychecks
- Health, dental, vision, and life insurance
- 401(k) savings plan
- Awards and recognition programs
*Benefit eligibility is dependent on employment status.
About Amergis
Amergis, formerly known as Maxim Healthcare Staffing, has served our clients and communities by connecting people to the work that matters since 1988. We provide meaningful opportunities to our extensive network of healthcare and school-based professionals, ready to work in any hospital, government facility, or school. Through partnership and innovation, Amergis creates unmatched staffing experiences to deliver the best workforce solutions.
Amergis is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.