Case Manager

About the Role

The Case Manager will provide professional clinical care to patients with behavioral healthcare needs and work with clinical and case management staff to coordinate care and assist with treatment and continuing care plans.

Responsibilities

• Completes and/or reviews Biopsychosocial Assessment, identifies all life domain needs, and incorporates these identified needs into the Continued Care Plan to ensure patient has continued care for each identified need.
• Completes and/or supports the ongoing development of the treatment plan in collaboration with the multidisciplinary team, as well as supports patient's ongoing engagement in treatment.
• Completes consents to release information for all identified supports in the patient's ecosystem (natural supports, referents, existing treating providers, PCP).
• Collaborates with the patient and patient's family or natural supports to implement plans for evolving continued care.
• Follows all referent protocols.
• Initiates and manages FMLA and Short-term Disability applications as needed, with patient consent.
• Coordinates with patients and their employers to facilitate benefit processes when applicable.
• Communicates progress to the multidisciplinary team and documents patient's progress in accordance with regulatory requirements, including documentation of activities performed as part of the service delivery process (e.g., assessments, treatment planning, coordination of care, discharge planning).
• Schedules all appropriate appointments for services identified in the patient's treatment plan to address areas of need, such as substance use disorder, mental health disorder, MAT, medical, and legal.
• Confirms all appointments on the continuing care plan prior to discharge and ensures all efforts were made to schedule these appointments within the patient's in-network providers.
• Carries out RCA Care Model with fidelity.
• Sends all Continued Care Plan documentation to receiving treatment providers.
• Performs all other duties as assigned.

Requirements

• Bachelor's Degree in a related field is preferred. High School Diploma/GED/Equivalent and a minimum of one (1) year of professional experience in Behavioral Health/Substance Use Treatment field required.
• Knowledge of healthcare, detoxification process, addiction, co-occurring disorders, DSM Criteria, and terminology.
• Ability to read and interpret written information; write clearly and informatively; edit work for spelling and grammar.
• Ability to speak clearly and persuasively in positive or negative situations; listen and seek clarification; respond well to questions; demonstrate group presentation skills; and participate in meetings.
• Working knowledge of Microsoft Word, Excel, and Outlook.

Skills

• Job Knowledge: Understands duties and responsibilities, has necessary job knowledge and technical skills, understands company mission/values, keeps job knowledge current, and is in command of critical issues.
• Communication: Communicates well both verbally and in writing, creates accurate and punctual reports, delivers presentations, shares information and ideas with others, and has good listening skills.
• Problem Solving: Identifies problems, involves others in seeking solutions, conducts appropriate analyses, searches for best solutions, and responds quickly to new challenges.
• Decision Making: Uses effective approaches for choosing a course of action or developing appropriate solutions and/or reaching conclusions; takes action consistent with available facts, constraints, and anticipated consequences.
• Collaboration: Works effectively in collaboration with other health professionals and leaders from other disciplines.

Work Environment

• This job operates in a professional office environment.
• 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

• Regularly required to talk or hear.
• Frequently required to use hands to finger, handle, or feel objects, tools, or controls.
• Occasionally required to stand, walk, sit, reach with hands and arms, climb or balance, and stoop, kneel, crouch, or crawl.
• Must occasionally lift and/or move objects up to 25 pounds.
• Specific vision abilities required 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.