CareStar

Manager

• Conduct face-to-face eligibility evaluations and assessments (e.g., Adult Needs and Strengths Assessment)
• Must be available during business hours, 8:00 a.m. to 5:00 p.m., to complete all job duties, including but not limited to phone calls, home visits, and returning emails.
• Travel to and from the individual’s home, not to exceed 2 hours each way.
• Develop and maintain individualized, person-centered care plans and Health and Safety Action Plans, make required reports to regulatory bodies, and complete incident reports as needed.
• Coordinate and authorize services across behavioral health, medical, and community-based systems
• Transition planning, including coordinating care and services to support individuals during changes in providers, settings, or levels of care.
• Assist individuals in accessing Medicaid and other essential services
• Monitor service delivery and ensure compliance with program guidelines
• Serve as the lead advocate and care coordinator for each participant
• Adhere to the CareStar Rule in performance of job responsibilities.

Case Manager

Operations

• Direct and lead program specific Clinical Services as assigned.
• Oversee responsibilities including business analytics, client relationships, assessments, case management, care coordination and sales.
• Ensure clinical services are effective and in compliance with the terms of all contracts held between CareStar clients.
• Oversee productivity and provide direction and overall management of assigned clinical operations including Directors, Clinical Managers, Supervisors, professional and administrative staff.
• Participate with senior management team in strategic planning and business development.
• Participate in the development of the Operational budget and manage operations in accordance with budget.
• Collaborate with clients, government agencies and other business entities to ensure that clinical services/practices meet expectations/standards.
• Plan, operationalize, implement, and evaluate initiatives required to meet the needs of individuals, staff, governmental agencies, and other business entities, and to meet contractual guidelines.
• Participate in the planning and presenting of in-service/training for clinical staff development ensuring that all clinical staff complete an orientation process and receive ongoing training, as needed.
• 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.

Assistant Vice President – Operations

Business Intelligence Developer

• Conduct assessments and documentation related to behavioral/intellectual functioning, support needs, and related service planning
• Gather information from members, caregivers, providers, and collateral contacts as appropriate
• Accurately enter and maintain assessment data in required systems
• Identify risks, service needs, and referral concerns, and communicate them appropriately
• Participate in quality assurance reviews, training, and performance improvement activities

BI Specialist

• Adheres to the CareStar Rule in performance of job responsibilities
• Understands and complies with CareStar Policies and Procedures
• Maintains confidentiality as related to patient information
• Conduct assessments and documentation related to behavioral/intellectual functioning, support needs, and related service planning
• Gather information from members, caregivers, providers, and collateral contacts as appropriate
• Accurately enter and maintain assessment data in required systems
• Identify risks, service needs, and referral concerns, and communicate them appropriately
• Participate in quality assurance reviews, training, and performance improvement activities