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