Modification Specialist

Home Modification Specialist

Company: Care Star, Inc.
Location: Ohio
Job Type: Full Time
Industry: Healthcare / Social Services / Home Modifications

Founded in 1988 in Cincinnati, Ohio, Care Star, 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.

• 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 Care Star home modification/adaptive assistive device review committee.

• Notifies providers of outcome of Care Star 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 Care Star Rule in performance of job responsibilities.

• Understand and comply with Care Star 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 Care Star, Inc.

• 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 Care Star’s website and email, and familiarity with suite of Microsoft Office programs.

• 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