NJ Case Manager

ESSENTIAL JOB FUNCTIONS / DUTIES

The essential functions / duties include, but are not limited to the following :

• Runs the Mandate / Utilization and EIMS Reports for all three regions (North, Central and South) to ensure the assigned providers achieve 80% or higher utilization on their caseload.
• Maintains consistent communication with providers via phone and / or email to obtain reason (s) for low utilization. Works closely with providers and program managers to satisfactorily resolve the reasons for the low utilization.
• Provides monthly data points on all of three regions utilization percentages.
• Ensures EIP services are being provided for each child, as per the mandated frequency and duration on their IFSP.
• Works closely with the billing department to ensure the providers are submitting their billing / SEVLOGS each cycle.
• Maintains client files in compliance with contractual requirements; tracks required dates as per all mandated regulations / policies by the NJ DOH EIP.
• Documents all follow-ups and communication with clinician, program managers in Eprovider plus (EPP).
• Provides excellent customer service to external and internal customers.
• Maintains ongoing communication with service coordinators, families, regarding the service provision,
• Attends required meetings and participates in projects or committees as requested
• Maintains clinician, client and company confidentiality.
• Responsible for special projects and additional responsibilities as needed. i.e. (assisting in the collection of SEVLOG never submitted from previous years).

KNOWLEDGE, SKILLS AND ABILITIES

The items listed below are representative of the knowledge, skill, and / or ability required :

SUPERVISORY RESPONSIBILITIES

REQUIREMENTS

PHYSICAL REQUIREMENTS

NOTE : The statements herein are intended to describe the general nature and level of work being performed by employees assigned to this classification.  They are not intended to be constructed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified.  This job description may be changed or updated at any time without notice.