Case Manager

Case managers are advocates for each individual client. Their role is to help clients plan, facilitate and manage their treatment plans for aftercare and discharge planning. Case managers get to know their clients on a personal level. They learn about their families, life circumstances, legal challenges, employment status, medical needs, and any other information pertinent to managing the client’s recovery journey. Case Managers serve as an intermediary between our clients and their families, lawyers, doctors, employers, universities or any other pertinent people or entities involved in the client’s treatment plan. Case Managers communicate with counseling and UR teams on all aspects of patient care.

Essential Duties:

· Perform all case management requirements in accordance with designated scope, state laws, substance use treatment boards, and professional ethical guidelines.

· Maintain a patient caseload.

· Provide and document weekly coordination of care designed to improve patient adherence to treatment and follow-up care. This includes contacting providers and collecting medical records upon admission into treatment as well as overseeing patient connection and appointments with post-treatment providers and services.

· Complete aftercare assessment, discharge plans, and required contacts according to policy timelines.

· Maintain and document communication with Business Development rep. including the provision of ongoing professional coordination with the referent, family, legal, monitoring programs, EAP, and/or employer as necessary.

· Provide and document weekly sessions with patients that address recovery stability, adhering to prescribed treatment, active coordination of care, transition of care issues, behavior intervention, coordination of care, and discharge planning.

· Manage, address, and document patient behavioral concerns and crisis situations as needed.

· Attend treatment team meetings as assigned per caseload.

· Address aftercare issues related to ongoing treatment needs, MAT, transitional housing, employment, transportation, support groups, community resources, healthcare appointments, and other support services.

· Complete and/or manage completion and timely transmission of necessary treatment documentation for FMLA, Short-Term Disability Insurance, ROI’s, and other outside agency reports as needed.

· Ensure that all documentation meets policy, licensure, accreditation, and standards for services in a timely manner following the documentation policy guidelines.

· Communicate efficiently with other departments to ensure the best care for patients.

· Understand and abide by State Department standards, facility accreditation, as well as policy and procedures.

· Identify, evaluate, and address situations which may be potentially harmful to patients and report any patient or safety concerns to the assigned counselor and Clinical Director.

· Adhere to company code of ethic and always maintain professional boundaries with patients.

· Act in a manner that is respectful of patient rights and demonstrates an understanding of each patient's unique recovery needs.

· Communicate with all staff, patients, and families using excellent professional written and verbal skills.

· Participate in required clinical supervision, training, and staff meetings.

· Work as a larger interdisciplinary team along with other departments to ensure quality of care.

· Demonstrate dependability and adaptability with patients and staff.

· Maintain confidentiality of patient and company information.

· Abide by the standards of HIPAA and 42 CFR Part 2 guidelines.

· Other tasks as assigned by direct supervisor within scope of practice.

This job description is not intended to be all-inclusive.

Employee may perform other related duties to meet the ongoing needs of the hospital.

Requirements

Education and/or Licensure – Highschool diploma or GED required. Bachelors preferred.

Experience – Minimum of 2-year work experience in the field of substance abuse or mental health in Case Management.

Additional Requirements – Bi-lingual (English/Spanish) a plus. Must obtain and maintain approved CPR certification, de-escalation training, and CPI training.

Knowledge Skills and Abilities

· Must have basic PC skills that include a combination of working in a Windows Operating System and Microsoft Outlook, Word and Excel and the ability to type a minimum of 30 words per minute.

· Understands the importance of maintaining confidentiality; able to maintain confidentiality under HIPAA standards.

· Must have the ability to exercise a high degree of diplomacy and tact; excellent customer services and interpersonal communication skills; Cultural sensitivity and demonstrated ability to work with diverse people groups.

· Well-developed verbal and written communication skills in English; Additional language abilities desirable. Ability to work well under pressure with minimal supervision.

· Ability to effectively interact with persons of widely diverse roles, backgrounds, cultures, and socio-economic classes, those in crises or resistant or negative toward organization

· Ability to apply time management practices to prioritize, schedule and complete work effectively to comply with mandated policies and deadlines.

· Maintains a cooperative and positive attitude and approach with patients, family members, staff and visitors.

· Knowledge of policies regarding the use of tobacco products, illicit or licit drugs brought into the program.

· Knowledge of the Intake assessment process, transition criteria and procedures.

· Critical thinking skills and ability to resolve complex issues within the department.

· Ability to accurately enter data, prepare and maintain records, files, and reports.

· Outstanding skills in giving attention to details with display of dexterity in maintaining confidentiality

· Ability to work on multiple tasks or parts of tasks simultaneously to ensure timely completion of work activities.

· Must be able to work productively with other department heads and personnel.

· Ability to work with professionals from many outside partners and organizations.

· Usually works forty (40) hours per week, including weekends.

· Ability to successfully manage conflict, negotiating “win-win” solutions.

· Must be able to multi-task, prioritize with strong time management skills.

· Exceptional follow through on tasks and assignments.

· Other duties as assigned.

Physical Requirements/Environmental Conditions

Perform the following with or without reasonable accommodations:

· Ability to stoop, kneel, crouch, crawl, reach, stand, walk, push, pull, lift, grasp, and be able to perceive the attributes of objects such as size, shape, temperature, and/or texture by touching with skin, particularly that of the fingertips.

· Ability to express and exchange ideas via spoken word during activities in which they must convey detail or important spoken instructions to others accurately, sometimes quickly and loudly.

· Hearing to perceive the nature of sound with no less than 40 db loss @ Hz, 1000 Hz, and 2000 Hz with or without correction; ability to perceive detailed information orally and make fine discriminations in sound.

· Perform repetitive motions with wrists, hands, and fingers. Individual must be able to exert up to 100 pounds of force occasionally and to be able to lift, carry, push, pull, or otherwise move objects.

· Work requires a minimum standard of visual acuity with or without correction that will enable people in the role to complete administrative and clerical tasks, as well as inspect and analyze.

· Must be able to work and concentrate amidst distractions such as noise, conversation and foot traffic; ability to handle interruptions often and be able to move from one task to another

· While worker may possibly be subjected to temperature changes, the worker is generally not substantially exposed to adverse environmental conditions as the work is predominantly inside.

Benefits

• Health Insurance
• Vision Insurance
• Dental Insurance
• 401K Retirement Plan
• Healthcare Spending Account
• Dependent Care Spending Account
• PTO Plan with Holiday Premium Pay
• Life Insurance (Supplemental Life, Term, and Universal plans are also available.)
• Short and Long-Term Disability (with additional buy-in opportunities)