Case Manager
3 months ago
Position Overview:
The Case Manager is responsible for complete case management of all patient needs. Interviews patients and families to assess needs and risk categories to develop and implement appropriate plans of care. Assures quality clinical care by coordinating all services and collaborating with doctors on plan of care. Implements, monitors and evaluates the plan of care and its effectiveness on a regular basis. Communicates regularly with relevant staff members and family members on patient's progress. Specific Responsibilities: * Participates in the assessments and developments of the service plan.* Implements services to patients in accordance with their individualized service plan (ISP).
* Collaborates with the patient and patient's family or significant others to implement an effective service plan, explaining the available clinical options to the team, including the advantages and disadvantages of each option.
* Communicates and documents patient's progress toward their recovery.
* Maintains the patient's comprehensive clinical record, including documentation of activities performed as part of the service delivery process (, assessments, provision of services, coordination of care, discharge planning).
* Works collaboratively with the clinical team to engage, educate, communicate, and coordinate care with patient, their family, behavioral and general medical and dental health care providers, community resources and others to ensure that all services prescribed in the individualized service plan (ISP) are implemented.
* Provides assistance in maintaining, monitoring and modifying covered behavioral health services.
* Seeks out necessary resources other than covered services to meet basic needs.
* Ensures all appropriate referrals for identified services on the service plan are made and coordinated with service providers via contracted network providers or community resources; Ensures all covered services identified on the service plan are evaluated and updated monthly.
* Ensures documentation adheres to all regulatory timeframes and requirements.
Minimum Qualifications:
* Bachelor's Degree in a social work field or equivalent combination of education, training, and/or experience.
* Minimum of one (1) year experience in Behavioral Health or Psychiatric.
* Knowledge of health care, detoxification process, addiction, co-occurring disorders, DSM Criteria, and terminology.
* Ability to read and interpret written information; write clearly and informatively; edits work for spelling and grammar. Ability to speak clearly and persuasively in positive or negative situations; listens and gets clarification; responds well to questions; demonstrates group presentation skills; and participates in meetings.
* Working knowledge of Microsoft Word, Excel, and Outlook. Competencies:
* Job Knowledge: Understands duties and responsibilities, has necessary job knowledge, has necessary technical skills, understands company mission/values, keeps job knowledge current, is in command of critical issues.
* Communication: Excellent written and verbal communication skills. Creates accurate and punctual reports, delivers presentations, shares information and ideas with other. Good listening skills.
* Problem Solving: Identifies problems and conducts appropriate analysis to develop a plan of action. Involves in other in seeking solutions when appropriate. Develops a plan of action and responds quickly to new challenges. Identifies problems involves others in seeking solutions, conducts appropriate analyses, searches for best solutions; responds quickly to new challenges
* Decision Making: Takes action consistent with available facts, constraints, and anticipated consequences. Uses effective approaches for choosing a course of action or developing appropriate solutions and/or reaching conclusions; take action consistent with available facts, constraints, and anticipated consequences.
* Collaboration: Works collaboratively with other health professionals in the organization and leaders from other disciplines when appropriate. Clinical leaders must be able to work in collaboration with other health professionals and leaders from other disciplines. Work Environment: This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, and filing cabinets. The noise level in the work environment is usually moderate. Physical Demands: While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands to finger, handle or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch or crawl. The employee must occasionally lift and/or move objects up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision and the ability to adjust focus. Travel: Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected.
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