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Home Modification Specialist

CareStar, Inc.

Cincinnati, OH • On-site

$21.50 - $29.50/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Job description

Home Modification Specialist
Company: CareStar, Inc.
Location: Ohio
Job Type: Full Time |
Industry: Healthcare / Social Services / Home Modifications
About the Opportunity at CareStar
Founded in 1988 in Cincinnati, Ohio, CareStar, Inc. is a recognized leader in long-term care case management and population health. With a mission to Improve Communities by Improving Lives, we proudly serve individuals across Ohio through compassionate, high-quality care coordination. We are currently seeking a Home Modification Specialist to join our Ohio Home Care program. This is a meaningful opportunity for professionals who are passionate about helping others live healthier, more independent lives. As a Home Modification Specialist, you will receive, review and process all requests for home modifications. The Home Modification Specialist will also assist with processing requests for adaptive/assistive devices and durable medical equipment. You will review requests to assess if program criteria are met.
Key Responsibilities
  • Reviews requests for home modifications to assess for completeness and to determine if criteria for approval are met.
  • Communicates with case managers as needed regarding the request.
  • Completes denials for requests not meeting criteria for coverage.
  • Initiates bid process for requests meeting criteria for coverage.
  • Presents competing bids to CareStar home modification/adaptive assistive device review committee.
  • Notifies providers of outcome of CareStar home modification adaptive assistive device review committee.
  • Completes paperwork to initiate payment to providers upon satisfactory completion of jobs.
  • Communicates with other team members as needed.
  • Identifies problematic cases and works with other Home Modification Specialists and Clinical Managers towards a resolution.
  • Maintains appropriate recordkeeping regarding home modification and adaptive/assistive devices, including making timely entries into the agency's electronic database.
  • Prepares Appeal Summaries and participates in consumer appeal hearings as a State agency representative.
  • Adhere to the CareStar Rule in performance of job responsibilities.
  • Understand and comply with CareStar Policies and Procedures.
  • Maintain confidentiality as related to patient information. Any disclosures of confidential information made unlawfully outside the proper course of duty will be treated as a serious disciplinary offense.
  • Follow the Acceptable Use Policy while using any information systems owned or controlled by CareStar, Inc.

Minimum Qualifications
  • Bachelor's degree in Social Work, Counseling, Psychology, Nursing, or a related field
  • Required: Licensed Social Worker (LSW), Licensed Independent Social Worker (LISW), Licensed Practical Nurse (LPN) or Registered Nurse (RN)
  • Minimum of two years' healthcare experience, home health or home medical equipment experience preferred; knowledge of adaptive equipment/durable medical equipment.
  • Experience working with individuals with chronic conditions or severe and persistent mental illness
  • Strong knowledge of Medicaid, behavioral health systems, and local community resources
  • Demonstrates strong critical thinking and problem solving skills and flexibility in relationship to job requirements.
  • Computer skills sufficient to enter and process consumer information, report preparation, and use CareStar's website and email, and familiarity with suite of Microsoft Office programs.

Why Join CareStar?
  • Remote flexibility with meaningful community engagement
  • Competitive salary based on experience and education
  • Comprehensive benefits: Medical, dental, vision, life insurance
  • 401(k) with a generous company match
  • Paid time off + 10 paid holidays
  • Employee Stock Ownership Plan (ESOP) - become a part-owner in the company
  • Supportive, mission-driven culture focused on improving lives

Apply Today
Ready to make a difference? Visit https://www.carestar.com/about-carestar/careers/ to apply and learn more about joining our team.
Department Ohio Clinical Role Home Modification Specialist Locations Hamilton County

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