Case Manager

2 days ago

Garden Grove, California, United States Southland Integrated Services, Inc Full time

Summary:

Under supervision of the Program Manager, this position's primary function is to serve as an important member of the care team facilitating case management for at-risk patients and quality improvement coordination. The case manager communicates with primary care providers, referral providers, community organizations, the patient/caregiver, and family to assist with the receipt of needed services, ensure communication across the care team, reinforce adherence with the care plan and facilitate self-management skills.

Duties & Responsibilities:

Essential functions may include, but are not limited to, the following:

  • Develop comprehensive assessments and individualized care management plans in the areas of physical health, mental health, substance use disorders, community-based long-term services support, oral health, palliative care, social supports, and social determinants of health.
  • Facilitate patient appointments, including those made with labs, diagnostic areas, and specialty physicians where special assistance is needed for target population.
  • Coordinates with referral provider to obtain reports on labs and diagnostic tests and consultant notes as appropriate. Follow-up with patient/family if test was not done or appointment was not kept and facilitate receipt of test or provider visit.
  • Participate in team huddle prior to clinic session to review needed care plans and anticipate flow.
  • Participate in scheduled team meetings to identify care plan improvement activities.
  • Coordinate and collaborate with the interdisciplinary team consisting of behavioral health, dental and medical providers and other community partners for integration of care.
  • Facilitate the completion of depression or other risk screening instruments as appropriate.
  • Assist patients to determine their eligibility for appropriate government sponsored programs and refer/link to enrollment specialists as needed.
  • Identify gaps in care for designated patients and facilitate receipt of needed services.
  • Client outreach and engagement, including direct communication with clients such as in person meetings, mail, email, texts and telephone; community and street-level outreach
  • Adhere to established productivity benchmarks.
  • Provide outreach, education, referrals/linkages to the homeless and at-risk populations.
  • Perform other duties as assigned.

Minimum Requirements:

Knowledge, skills, and abilities required to satisfactorily complete job:

  • Bachelor's Degree in related health field preferred.
  • At least one year of medical setting experience or case management.
  • 1 year of experience managing 50 or more cases is preferred
  • Experience working with the underserved and diverse populations.
  • Knowledge of clinic and patient protocols.
  • Flexible –as job duties are subject to change in order to provide the best client service available.
  • Ability to proceed on own initiative using independent judgment and discretion.
  • Possess excellent verbal and written communication skills, organizational skills, and interpersonal and time management skills.
  • Familiarity with electronic medical records administration.
  • Bi-lingual in English and Vietnamese or Spanish.
  • Must be able to perform comfortably in a fast-paced, deadline oriented work environment.
  • Strong multi-tasking skills and ability to work well in a team setting as well as independently.
  • Valid CA Driver's License required

Job Type: Full-time

Pay: From $28.93 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Work Location: In person

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