UM Case Manager

As a UM Case Coordinator for Swope Health's Services Behavioral Health Outpatient department, you will be apart of a team of caregivers to provide care for the people who need it the most. The UM Case Manager will provide assistance to individuals in effective use of benefits and application for eligible benefits, access to services, and assessment for potential services needed.

Primary Functions:

• Verify patient insurance coverage and eligibility prior to services being rendered.
• Manage CIMOR database to ensure active clients are enrolled in correct programs and are current on required reviews.
• Manage and monitor billing corrections, i.e.: case labels, insurance updates, and billing codes.
• Working knowledge of various insurances and their plans.
• Document all verification activities in the EHR accurately and promptly.
• Communicate effectively with insurance companies to retrieve coverage information.
• Maintain compliance with HIPAA regulations while handling sensitive patient information.
• Collaborate with medical office staff to gather necessary documentation for claims processing.
• Follow protocols, procedures, and policies to guide care.

Secondary Functions:

• Follow department workflow standards
• Maintain access to state sites
• Monitor monthly billing corrections and report to appropriate departments
• Submit monthly reports as required
• Tracking and reporting of data on spreadsheets
• Complete all documentation required within the agency’s deadlines
• Complies with computer security guidelines and confidentiality of both patients and staff
• Maintains and supports an environment conducive to the care and welfare of clients and co-workers
• Attends all required training and continuing education as required or provided
• Other duties and/or responsibilities as assigned

Education Requirements:

Bachelor’s degree in social work or a related field (psychology, sociology, etc.) preferred, experience may replace education requirement depending upon job duties.

Experience & Qualifications:

Competencies:
• Completion of required forms per guidelines or protocols
• Ability to work independently and effectively manage multiple responsibilities appropriately
• Ability to document in a concise and professional manner

Qualifications:
• Previous 2-5 years’ experience in a medical office or healthcare setting is preferred.

• Familiarity with managed care processes and insurance verification protocols is essential.
• Knowledge of medical coding practices, including ICD-9 and ICD-10, is highly desirable.
• Proficiency in handling medical records and understanding of relevant regulations such as HIPAA.
• Strong attention to detail, organizational skills, and the ability to work independently in a fast-paced environment are

  crucial for success in this role.

About Swope Health Services:

Swope Health, the Kansas City region’s largest Federally Qualified Health Center, has provided comprehensive primary care, dental care and mental health services in the Greater Kansas City area for more than 56 years.

Recognized as a patient-centered medical home by the National Committee for Quality Assurance, our commitment to an integrated model of healthcare aligns with our mission to improve community health and wellness through accessible, quality, comprehensive patient care.

Accredited by the Commission on Accreditation of Rehabilitation Facilities and The Joint Commission, we served nearly 56,000 patients in 2025 at 24 locations throughout the area, including Kansas City, Belton, Independence, North Kansas City, Hickman Mills, and Wyandotte and Leavenworth Counties in Kansas. Swope Health is a special place that cares for the people who need it most, wherever they are in the community.

As a Swope Health Associate you will be expected to help deliver on the Swope Health Promise of “We Make Care Visible”.

You will do this by V.I.S.I.B.L.E
1. Valuing every person
2. Impacting communities
3. Serving with professionalism
4. Inspiring Innovation
5. Believing that healthcare is a basic human right
6. Leading with accountability and praise
7. Empowering Excellence