Care Management Associate

Responsibilities

• Educates patients, families, and staff on the benefits and availability of home health care, hospice, skill nursing facilities, nursing homes, rehabilitation services, and home infusion services.
• Captures care in homebound service areas.
• Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires.
• Case Management Only: Completes the plan for discharge after the Social Worker or RN Case Manager have assessed and completed recommendations for the plan of care.
• Captures appropriate documentation and arranges transportation to support a smooth transition.
• Completes any clerical duties associated with the plan of care including utilization management.
• Identifies potential candidates who could benefit from homebound services.
• Facilitates effective communication regarding the qualifying criteria for admission to various venues for post -acute hospital care.
• Documents the referral in the medical record according to departmental policy.
• Serves as a resource to the Physician, Case Manager, Social Worker and interdisciplinary team regarding post-acute care needs.
• Edits patients on standards of quality for patient satisfaction measures.
• Case Management Only: Keeps constant communication between the patient, family, RN Case Manager and the Social Work Team as to the status of all pending discharge arrangements.
• Communicates appropriately medical records to receiving agency/facility and to the appropriate payer.
• For INTEGRIS Decisions Only: Leads age and developmentally appropriate patient education groups to address the emotional, physical and environmental needs of Behavioral Health and/or Addiction Recovery patients.
• Participates in the writing of treatment plans with other program staff and physicians.
• Aids in utilization review process by contacting patients insurance companies to provide clinical information to authorize patient treatment.
• Serves as a patient advocate in the patients needs, as well as those individuals involved with patient.
• Completes or facilitates the completion of Emergency detention paperwork, as well as ensure its distribution and receipt by legally designated individuals.
• Processes orders/refills or laboratory for ordering physician.
• Maintains patients medications and provides education related to use and side effects.
• Maintains vital signs as indicated by physician orders or if deemed medically necessary.
• Provides referrals options for patients who are assessed, but do not enter the program.
• Completes a comprehensive Initial Mental Health Assessment of patients clinical, psychological and financial needs utilizing all available resources.
• Attends and participates in treatment team.

Qualifications

• Bachelor's degree in health related field OR Bachelor's degree in business field with 2 additional years of healthcare experience OR Associate degree with 2 years experience in a variety of clinical settings OR License Practical Nurse (LPN) with 3 years of nursing experience OR 6 years of directly related experience in lieu of degree
• LICENSE/CERTIFICATIONS: LPN (Licensed Practical Nurse) Current licensure as a Licensed Practical Nurse (LPN) in the State of Oklahoma or current multistate license from a Nurse Licensure Compact (eNLC) member state OR Bachelor's degree in health related field OR Bachelor's degree in business field with 2 additional years of healthcare experience OR Associate degree with 2 years experience in a variety of clinical settings in lieu of LPN license
• EXPERIENCE: 2 years experience in home healthExperience in healthcare education, marketing, public relations and/or communications