Case Manager

2 weeks ago

Detroit, MI, United States VONA Case Management Inc Full time
About Us: We are passionate about making a difference for individuals with disabilities or injuries. Our team is dedicated to providing exceptional case management services to ensure individuals receive the care and support they need to address ongoing medical and functional problems and to assist them in reaching their highest level of function. We employ Case Managers who share our passion and commitment to making helping individuals and their families overcome obstacles that impact their ability to recover or manage their daily lives secondary to an injury or disability.

Purpose: The Case Manager facilitates and coordinates the medical and rehabilitation care of an injured or disabled individual in a timely and cost-effective manner; promoting optimal outcomes as well as physical and mental wellbeing, advocating for recovery from injury or illness, and helping them to move towards their optimal level of function.

This role is not just about task; it's about making a meaningful impact on the lives of those we serve.

Core Responsibilities:
  • Assessing the individuals' medical and functional issues related to an injury or disability and establishing, implementing, and coordinating the treatment/rehabilitation plan.
  • Maintaining phone and/or digital contact with all parties involved in a timely manner.
  • Coordinating and attending medical, therapy, in-home, and provider appointments as needed.
  • Work with family members and pertinent parties regarding activity modifications to assist with recovery and developing independence, based on medical and functional limitations.
  • Explain and educate the individual, care giver and family members with information provided by physicians and therapists, along with answering any questions the injured/disabled individual or their family/caregiver may have to facilitate recovery and maintain or improve functional status.
  • Serve as an intermediary to interpret and educate the injured/disabled individual, care giver and or family members related to his/her injury and the treatment plan established by the case manager, physicians, and therapists, and other providers.
  • Communicate with the supervisor and report on case status as needed.
  • Acquiring and maintaining knowledge of developments in the medical case management field.
  • Keep personal licenses, credentials, and accreditation current and in good standing in accordance with professional standards.
  • Maintain documentation on all activities, complete letters, reports, and documentation on a timely basis.
  • Document all time for case management duties as requested.
Additional Responsibilities:
  • Responsible for a caseload of 10-20 patients. Caseload may vary depending upon severity and intensity of cases, proximity to case manager, and other factors.
  • Expectation of 8-12 patient visits per week; dependent on case load.
  • Driving to appointments is generally under 2 hours each way; however, outlying cases may be further.
  • Responsible for billing 50 hours per week when using billing increments of .25.
  • Documentation of contacts within 24 hours of activity.
  • Completion of visit notes and reports within 24-48 hours of activity or report due date.
  • Responsible to return phone calls and respond to emails on same day or within 24 hours of the call (weekends not included).
  • Completion of letters on all new medical appointments prior to appointment to allow time for processing and submission.
  • Must review and follow office protocols presented during training and subsequent discussions.
  • Virtual attendance at monthly staff meetings.
  • Accurate reporting of time off per company policy.
  • General work hours are 8-5 but may require earlier or later attendance based on client appointment times. Case managers are expected to be engaged in work tasks during that time. Exceptions or changes related to general work hours need prior approval.
Requirements
  • Licenses in Nursing, OT, LMSW, or industry or work experience deemed transferrable.
  • CCM Certification (Certified Case Manager) preferred.
  • Prior Case Management experience is strongly preferred.
  • Strong medical/rehabilitation knowledge required.
  • Willing to attend all provider, client, and rehabilitation appointments as needed.
  • Excellent communication and writing skills.
  • Strong computer skills for documentation and information exchange in remote work environment.
  • Ability to multi-task.
  • Strong understanding of medical terminology and rehabilitation.
  • Demonstrated experience in hospital or rehabilitation settings.
  • Familiarity with HIPAA regulations.

Why AdvancedRM; A VONA Company: We are driven by a shared purpose: to improve the lives of our clients and provide exceptional care in the Case Management Industry. We offer a collaborative and supportive work environment where your passion for financial excellence and dedication to making a difference will be valued and rewarded. Join us in our mission to create positive change and be part of a team that truly is making an impact.

We are an equal opportunity employer and values diversity in the workplace.

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