Employment

Claims Representative – Full-time

General Information

Location

2100 Raybrook St., SE, Suite 203

Grand Rapids, MI 49546

Description:

Reliance Community Care Partners is seeking a full-time Claims Representative to join our team of professionals..

What will you do:

  • Receive, review, and process incoming claims from providers
  • Ensure all claims are entered and processed in accordance with Reliance standards.
  • This key team member has the option to work in the Corporate Office or in their own home office setting (once oriented).
  • The schedule is Monday – Friday, 8:00am – 4:30pm. Option to work a 32-hour schedule, if desired.

Qualified candidates:

  • High school diploma or equivalent.
  • Minimum of 1 year of experience in medical claim processing.
  • Top candidates will be skilled in efficient and accurate, detailed data entry.
  • Experience with claims processing software, and knowledge of medical terminology and ICD10, CPT, and HCPCS coding is preferred.

Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.

If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “Claims Representative” in the search box.

https://hollandhome.org

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Social Work Transition Navigator

General Information

Location:

2100 Raybrook St., SE, Suite 203

Grand Rapids, MI 49546

Contact Information:

Name: Laurie Vandelaan

Email: Laurie.Vanderlaan@hollandhome.org

Description:

Reliance Community Care Partners (RelianceCCP) has a unique opportunity for a Social Worker to take their career to the next level. The Transition Navigator offers flexibility, work from your home office, traveling to participant locations in central and southwest Michigan and access to a team of other experienced navigators.

Why Join Reliance Community Care Partners?

Reliance Community Care Partners is a non-profit health care and case management organization, that specializes in coordinating community health care services for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve transition from an institutional setting to the community. RelianceCCP has a turnover rate around 10% for over 15 years.

What Will You Do?

In this community-based program, the Social Work Transition Navigator assesses individuals in an institutional setting and assists with overcoming barriers to allow for a safe transition into the community setting of the individual’s choice.

Responsibilities

  • Perform in-person assessments to identify the individual’s desires, resources, strengths and barriers to transitioning into the community
  • Formulate an individualized plan of care to facilitate the transition
  • Coordinate with other natural supports and professionals to develop, initiate, facilitate and monitor the plan of care
  • Find housing options and coordinate with apartments, assisted living facilities, etc.
  • Conduct or coordinate home safety evaluations
  • Advocate and refer individuals for procurement of services and entitled benefits
  • Follow the individual in the community for as long as the individual is eligible
  • Participate in shopping for various needs
  • Documentation in different software systems
  • Reliable transportation to travel throughout various counties

Skills to be Successful

  • Flexibility, resiliency and adaptability
  • Self-directed and autonomous
  • Ability to prioritize
  • Organized
  • Comfortable with navigating various technologies and computer applications
  • Team player mentality

Education and Experience

  • BSW or MSW licensure (limited or full) in the State of Michigan (Master’s preferred); or
  • Have a bachelor’s degree in a health or human services field and at least 3 years of experience in the provision of health or social services; or
  • A Community Health Worker certification with at least 3 years of experience in the provision of health or social services.

Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.

If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job type in “Social Work Transition Navigator” box.

https://hollandhome.org

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LPN – Behavioral Health Clinic, Part-time or Full-time

General Information

Location:

2100 Raybrook St., SW, Suite 203

Grand Rapids, MI 49546

Description:

We are seeking an LPN to join our team of mental health care professionals 3-5 days a week in our mental health clinic! The LPN assists in the day-to-day activities of the Behavioral Health Clinic carrying out all assigned duties with necessary responsibility and accountability as well as providing exceptional customer service.

This opportunity requires licensure as an LPN in the state of Michigan. Our top candidates will also have experience working in a clinic setting and experience serving those with mental illness challenges. Compassionate, customer service focused individuals are successful in this role.

Reliance Community Care Partners is a non-profit health care and case management organization that specializes in coordinating community health care service for older adults and those with disabilities. We work collaboratively with health care providers, government agencies, insurance providers, legal representatives, and family members to make sure those we serve receive the attention and care they need to live healthy, meaningful and productive lives.

If you are interested and passionate about serving the needs of adults in our community please click on the link below, then click on the “Careers” tab at the top of the page and then click on the blue “View Available Positions” box. To find this job just type in “LPN Behavioral” in the search box.

https://hollandhome.org

Reliance Community Care Partners has been awarded a NCQA accreditation.

The National Committee on Quality Assurance (NCQA) Case Management for Long Term Services and Supports (CM-LTSS) awarded Reliance Community Care Partners a full accreditation.

The CM-LTSS accreditation is bestowed on organizations that implement best practices for person-centered care planning and effective care transitions. The honor awarded to Reliance Community Care Partners is for a three-year accreditation, the maximum achievable time frame.