Qureos Mentor

Pathways, Inc.

<div><h1 class="jobSectionHeader"><b>JOB DESCRIPTION</b></h1><p><b>
JOB TITLE:</b> Case Manager &ndash; Full Time</p><p><b>
REPORTS TO:</b> Clinical Director</p><p><b>
EMPLOYMENT TYPE:</b> Full-Time</p><p><b>
SALARY RANGE:</b> $52,000 &ndash; $62,000 per year</p><h2 class="jobSectionHeader"><b>
SUMMARY:</b></h2><p>
The Case Manager is part of a compassionate clinical team supporting recovery through case management and social work services for adults impacted by chronic and severe mental illness. This role serves individuals living in supportive housing, in the community, and those attending the Pathways Club.</p><p>
The ideal candidate is a flexible, independent, and collaborative team player with strong documentation skills and the ability to work effectively in an Electronic Health Record (EHR) system. Experience working with individuals with serious and persistent mental illness across residential and community settings is strongly preferred.</p><h2 class="jobSectionHeader"><b>
RESPONSIBILITIES:</b></h2><h3 class="jobSectionHeader"><b>
Clinical &amp; Case Management Services</b></h3><div><ul><li>
Assess client strengths, needs, and abilities to develop individualized, client-centered treatment plans in collaboration with clients, supervisor, and community supports.</li><li>
Conduct quarterly assessments covering residential, psychiatric/mental, social/vocational, financial, and community functioning.</li><li>
Provide individual counseling and make referrals for group or family counseling as needed.</li><li>
Provide crisis intervention and verbal de-escalation support when necessary.</li></ul></div><h3 class="jobSectionHeader"><b>
Service Coordination</b></h3><div><ul><li>
Collaborate with community agencies and referral sources to coordinate client services.</li><li>
Assist clients with:</li></ul></div><br>
<p></p><ul><li>
ADL skills (money management, shopping, housekeeping, hygiene, leisure activities, travel training, etc.)</li><li>
Accessing and managing benefits (federal, state, local)</li><li>
Scheduling and attending medical/psychiatric appointments</li><li>
Mediation with landlords, family members, and others</li></ul><p></p><div><br>
<ul><li>
Ensure communication of medication changes to residential staff and maintain accurate medication documentation.</li></ul></div><h3 class="jobSectionHeader"><b>
Documentation &amp; Compliance</b></h3><div><ul><li>
Maintain timely and accurate documentation in the Electronic Health Record (EHR), including progress notes, treatment plans, and discharge summaries.</li><li>
Complete state-required documentation (DDAP, Mental Health Waiver, Time Studies, etc.).</li><li>
Complete CARF-related responsibilities, including chart reviews, trainings, and required forms.</li></ul></div><h3 class="jobSectionHeader"><b>
Team &amp; Program Participation</b></h3><div><ul><li>
Participate in clinical meetings, staff meetings, and community meetings related to client care.</li><li>
Investigate case situations and present relevant clinical information for treatment planning.</li><li>
Provide orientation to new clients and staff regarding program philosophy and expectations.</li><li>
Support transitions for clients moving between case management programs.</li></ul></div><h3 class="jobSectionHeader"><b>
Professional Development</b></h3><div><ul><li>
Engage in ongoing professional development and training.</li><li>
Stay current with best practices in mental health, case management, and social work.</li><li>
Maintain MSW licensure or actively pursue licensure requirements, including supervision and exams.</li><li>
Complete special projects and additional duties as assigned.</li></ul></div><p><b>
Required Knowledge, Skills, and Abilities</b></p><div><ul><li>
Knowledge of human development, psychopathology, and social work/case management principles</li><li>
Strong understanding of serious and persistent mental illness</li><li>
Excellent written and verbal communication skills</li><li>
Strong organizational and documentation skills</li><li>
Ability to work independently and as part of a multidisciplinary team</li><li>
Knowledge of community resources and entitlement programs</li><li>
Proficiency in Microsoft Office 365 and ability to learn EHR and state systems</li><li>
Ethical practice aligned with the Social Work Code of Ethics</li><li>
Creative problem-solving skills and professional boundaries</li></ul></div><h2 class="jobSectionHeader"><b>
QUALIFICATIONS:</b></h2><div><ul><li>
Bachelor&rsquo;s degree in a mental health-related field required (MSW preferred)</li><li>
Minimum of 2 years&rsquo; experience working with individuals with mental illness</li><li>
Strong interpersonal, communication, and multitasking skills</li><li>
Valid driver&rsquo;s license, clean driving record, and ability to use agency vehicle</li></ul></div><h2 class="jobSectionHeader"><b>
BENEFITS:</b></h2><div><ul><li>
Competitive salary</li><li>
Generous Paid Time Off (PTO)</li><li>
Medical and dental insurance</li><li>
Health insurance, vision, and dental coverage</li><li>
Health Savings Account (HSA)</li><li>
Life insurance</li><li>
Employee Assistance Program (EAP)</li><li>
Employee discount programs</li><li>
Retirement plan</li></ul></div><h2 class="jobSectionHeader"><b>
Work Environment &amp; Schedule</b></h2><div><ul><li>
8-hour shifts</li><li>
Full-time schedule</li><li>
On-site work required (not remote)</li></ul></div></div>

CASE MANAGER - SOCIAL WORKER MRO GROUP HOME

<div>Pathways complies with all applicable federal, state, and local laws and provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ancestry, age, disability, pregnancy status, victim status, marital status, member of the armed services or covered veteran status, or any other status that is protected by applicable federal, state, and/or local laws. This policy includes, but is not limited to: recruitment, employment, promotion, demotion, transfer, termination, compensation, benefits, layoffs, training, and social and recreational programs.
<p><b>
Salary:</b> $39,000<br>
<br>
<b>Requirements / Licensures:</b> This position requires a high school diploma with billing or coding certificate. Proficient use with Microsoft Office programs (Excel, Word, &amp; Outlook) is required.<br>
<br>
<b>Duties/Responsibilities:
</b></p><ul><li>Billing Medicaid claims using computerized billing program and check billing logs for completion/errors</li>
<li>Ensure proper use of ICD-10 codes</li>
<li>Ensure proper usage of CPT/HCPS codes</li>
<li>Manage assigned workflows to include follow up on status claims, denials and appeals for timely receipt of payment</li>
<li>Contact insurance companies regarding denied claims</li>
<li>Send appeals to insurance companies with appropriate documentation</li>
<li>Answer billing inquiries from patients, staff, and insurance companies and resolve complaints</li>
<li>Correct and resubmit claims after confirming transmission errors with the payer</li>
</ul>
<br>
<b>Experience or Skill Set Required:
</b><ul><li>Working knowledge of medical billing</li>
<li>Excellent customer service skills</li>
<li>Critical thinking on every aspect of claim submission</li>
<li>Ability to compose effective appeals</li>
<li>Ability to work independently and as a part of a team</li>
<li>Ability to work in a fast paced, expanding organization</li>
<li>Proficient with Microsoft Word, Excel, Billing software, 10-key, ICD-10 coding, and medical terminology</li>
<li>Experience with HIPAA and compliance-sensitive environments</li>
<li>Strong attention to detail, and ability to collaborate independently and within a team</li>
<li>Position is located on-site, not a remote position.</li></ul></div>

Accounts Receivable Associate

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Pathways, Inc.

About Company

CASE MANAGER - SOCIAL WORKER MRO GROUP HOME

Accounts Receivable Associate