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Senior Case Management Specialist
2 months ago
Position: Case Manager III
The Case Manager III is responsible for executing advanced case management functions. This role entails overseeing case management operations for individuals receiving services at the outpatient clinic.
Key responsibilities include establishing and nurturing long-term relationships with patients, their families, and service providers to develop comprehensive care plans addressing medical, social, and educational needs.
This position requires the formulation of care strategies and identification of necessary services. The Case Manager III is accountable for coordinating services and collaborating with community resources to meet patient needs.Responsibilities also include managing medical referrals, interpreter services, and liaising with various agencies to ensure seamless service delivery.
The role involves evaluating patients, assessing their needs, and facilitating access to local, state, and federal assistance programs.
Additionally, the Case Manager III prepares and submits reports for quality assurance and performance improvement initiatives to uphold service excellence.
This position operates independently while seeking guidance from leadership when necessary.Decision-making regarding patient cases involves input from patients, family members, and community resources.
Supervisory responsibilities may be required as needed. The Case Manager III works under minimal supervision, exercising significant initiative and independent judgment.Other responsibilities may include participating in disaster response and recovery efforts as required by the agency.
Core Responsibilities:
Regular attendance is essential, and the Case Manager III may be required to work specific or rotating shifts, including extended hours as per agency policy.
The role involves delivering case management services and effectively communicating with patients and their families in a timely manner.
Confidentiality must be maintained, with appropriate documentation in the Electronic Medical Record (EMR) system. A service log of all monthly referrals must be kept. The Case Manager III will assist in monitoring program effectiveness and providing evaluations.Options for medical care services, including disability benefits, medical referrals, and protective services, will be provided based on individual patient needs.
Documentation of case progression in the patient's medical record is required. Monthly, quarterly, and annual performance improvement plans and reports must be submitted to the relevant departments. Collaboration with other facilities is essential to ensure continuity of care during patient transfers.Coordination with physicians is necessary to ensure accurate referrals that align with treatment orders.
Interacting with patients, families, and stakeholders should be conducted in a professional and friendly manner, providing accurate information using appropriate resources.
Timely customer service is crucial, demonstrating respect, courtesy, and a commitment to assisting patients and their families.
The Case Manager III will work collaboratively within the Case Management Department and with other departments.
Good public relations with patient care units, hospital departments, and the community are essential.The Case Manager III will oversee patient referrals and prepare quarterly reports on findings. Contact with patients regarding referrals must occur within 72 hours, and appointments with specialists will be arranged promptly.
Accountability to accreditation standards is required, with documentation completed within 72 hours to ensure compliance.
Required Knowledge, Skills, and Abilities:
Familiarity with community resources and case management principles is essential.
Proficiency in using Electronic Medical Records is required.
Understanding of relevant regulations and policies is necessary.
Knowledge of legislative and legal practices is beneficial.
Strong communication skills in both English and Spanish are required.
Proficiency in Microsoft Office applications is necessary.
Ability to manage sensitive situations with professionalism is essential.
Skills in organizing and prioritizing tasks while interacting respectfully with diverse individuals are crucial.
Ability to collect and analyze program data for monitoring quality and outcomes is necessary.
Skills in assessing client needs and coordinating services are required.
Ability to maintain confidentiality and manage multiple projects effectively is essential.
Willingness to work beyond scheduled hours to meet deadlines is expected.
