Case manager/program manager job description

Case Management Extender - (22000325) Description Department Profile

The Case Management Department is an integrated model with registered nurse and social work case managers. The case managers work together to assess patient and family needs across the hospital. They work collaboratively with all disciplines, patients, and families to achieve mutually agreed upon care goals. Case managers facilitate multi-disciplinary rounds to effectively transition patients safely to the next level of care and manage throughput initiatives. Our emergency department is staffed 24/7 with case managers and we have a dedicated observation management team.

Job Summary

Assists Case Managers and Social Workers in achieving the goals of the Case Management department through the successful completion of removing accounts from the Do Not Bill work queue and discharge planning, including but not limited to, (1) payer communication, certification and authorization, (2) supports case managers with admission and concurrent denial avoidance, (3) timely delivery, documentation, and tracking of “Important Message” notices to Medicare patient or representative, (4) provision of complete clinical information to a continuum of post-acute care providers including follow up with providers to ensure information was received and is complete, and (5) coordination of facility placements, transportation, home healthcare and other community support services that ensure a safe and appropriate patient discharge, and prevent re-hospitalization. Utilizes department tools and resources to organize and prioritize case load and completing priorities. Supports the efforts of HIM and Patient Accounts by ensuring timely, accurate, and complete data entry in multiple information systems/data bases. Brings workflow barriers or issues to the attention of the Supervisor of Case Management and or the Manager of Utilization Management in an expedient manner. Maintains excellent working relationships with payers and post-acute providers. Ensures that flow of information, including delays, to Case Managers and Social Workers is timely and accurate. Demonstrates ability to multitask and exhibits attention to detail. Responsible for performing job duties in accordance with the mission, vision, and values of Tampa General Hospital.

Qualifications
High School Diploma or GED required. Associates degree in Social Work or related field is preferred.
Two (2) years' experience in utilization management and hospital case management/ social service and/or managed care performing discharge planning, interfacing with insurance companies and/or utilization review may substitute for the degree. Medical terminology required.
Must be computer literate, have experience with internet browsers, and familiarity with Microsoft Office.

Primary Location: TampaWork Locations: TGH Corporate Center 606 w. Kennedy Blvd. Tampa 33606Job: Quality/Utilization ManagementOrganization: TGH - HospitalSchedule: Full-time Scheduled Days: Sunday, Monday, Tuesday, Wednesday, Thursday, Friday, SaturdayShift: Day JobShift Hours: 0800 - 1630Job Posting: Sep 30, 2022, 3:50:46 PM

Mindoula's teams of case and care extenders, supported by technology including a mobile engagement app, proprietary psychometrics, and predictive analytics, are the key to its success. Mindoula is expanding rapidly across multiple business lines in multiple states and is seeking an experienced Case Manager for the Suicide Prevention Program.

Mindoula provides 24/7 virtual and in-person support to members and members' families who have experienced suicide ideation and/or attempts. Our Case Managers work to improve their lives and the lives of their families by providing access to appropriate healthcare and community services.

We are seeking a Case Manager based in Las Vegas, Nevada to work with our Teen Suicide Prevention Program.
How will you contribute;

* Assistance, as needed and requested, with initial outreach and engagement to a cohort of members
* Continuous outreach and engagement to members on a regular basis (as contracted)
* Develop and coordinate community resources with emphasis on medical, behavioral, violence prevention, and social services.
* Assess members for risk, make quick evaluations for risk, and respond within the parameters outlined within the member's safety plan and perform crisis intervention that ensures the safety of all members.
* Assess a myriad of options for care including the use of benefits and community resources to develop and update the service plan
* Guide and educate members in the development of skills and/or strategies for managing problems and triggers to increase relapse prevention and reduce the risk of their young adult.
* Educate members about mental or physical illness, abuse, violence prevention, medication, and available community and social resources.
* Facilitate the scheduling of appointments and follow-up service as well as provider appointments to conduct assessments or face-to-face visits in the community as needed.
* Provide DBT training to proxy suicide awareness and prevention.
* Act as a liaison and member advocate between the member/family, physician, and facilities/agencies.
* Remind members, as needed, of upcoming appointments and/or missed appointments.
* Interact continuously with members, family, physician(s), and other providers utilizing clinical knowledge and expertise to lower over-utilization of unnecessary resources.
* Report critical incidents and information regarding the quality of care issues.
* Prepare and maintain all required records, reports, paperwork, and member's diagnostic records, maintaining the confidentiality of members at all times.
* Use clear and accurate communication skills (both verbal and written) to facilitate communication with the member, with staff, and the treatment team; produce high-quality documentation that enables the member to receive the best treatment possible.
* Maintain accurate records of all case management activities.
* Accurately complete all case notes in a professional, timely manner.

What will make you successful;

* Bachelor's degree in psychology, social work, or another applicable behavioral health discipline from an accredited college or university is required.
* Master's Degree in psychology, social work, or another applicable behavioral health discipline from an accredited college or university is required.
* Two (2) or more years of direct experience in the behavioral health field
* Experience working with families of adolescents and young adults is required.
* Experience working with at-risk adolescents and young adults is preferred
* Crisis Intervention Training / Crisis Training
* Knowledge of local resources, social determinants of health, mental health, substance abuse disorders, interpersonal violence, and social issues.

Details: Full-time Regular position. Flexibility in hours. Some evening work. This position will require the ability to work various schedules when necessary, including outside of "core" work hours, and will allow for some flexibility in scheduling as approved by the manager in order to support members' needs.

Travel: 50% (variable to change). Reliable transportation is required.

We are committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, gender identity, pregnancy (including childbirth, lactation, and related medical conditions), marital status, sexual orientation, gender identity, credit history, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed service member status, or any other status protected by federal, state, or local laws.

Come be part of the solution!

Come join a friendly and diverse clinical team that provides quality care! Community Healthlink (CHL) is looking for a full time (37.5 hrs/wk) Case Manager II in Worcester.

The BSAS School-based Program provides substance use disorder prevention services to students in their learning environment in public and private schools within Central Massachusetts. We offer assessment, social skills training, mentoring, family support, recreational activities, case management and consultation, and connection to community resources. Community Healthlink staff uses a nurturing and disciplined approach to help at-risk youth and teens deal with the issues that can distract them and prevent them from succeeding in the classroom.
Benefits:

Compensation based on education and related work experience, licensure, and other qualifications

Health and Dental insurance (available upon starting)

Generous paid sick, personal, holiday, and vacation time

CEU benefits

Life and Disability insurance

401k with agency contribution

Wellness activity discounts

Work related travel reimbursement

+ Develop, implement, and review and Individual Service Plan (ISP) to meet the identified needs of each youth in an effort to effectively and appropriately coordinate service delivery.

+ Provide regular mentoring sessions that include teaching, coaching, and supporting development of a range of skills in youth.

+ Maintain client records (including completing Intervention plans, progress notes, and discharge summaries).

+ Communicate with collaterals for the purpose of treatment planning.

+ Participate in case consultation meetings.

+ Conduct psycho-educational groups with youth and family members.

+ Ability to assess basic physical, social, educational, legal, and service needs of client and coordinate care with other inter-agency and community-based providers.

+ Attends staff supervision, meetings and trainings as required.

+ Follow CHL protocols.

+ Some evening and weekends may be required.

+ Travel is required as part of this position.

+ Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors

+ Grade 6: Case Manager II: Requires a Bachelor or Master's degree; preferably in the field of psychology or human services

+ Minimum of one to two years working with children, adolescents and families with behavioral, social and/or emotional difficulties.

+ Proven ability to effectively engage clients, successfully advocate for clients and to work well with other professionals.

+ Comfortable providing home-based and community based services

+ Demonstrated strong work ethic, ability to work independently and ability to contribute to team objectives

+ Demonstrated strong communication skills

+ Ability to use a computer-based information system.

+ Current valid US-issued driver's license and ability to provide registered, inspected and insured automobile for work-related purposes including transporting clients in a personal vehicle

+ Must be able to pass a CORI background check.

Community Healthlink is an Affirmative Action/ Equal Opportunity Employer. We do not discriminate in employment and personnel practices on the basis of race, sex, gender identity, age, ancestry, disability, religion, national origin, marital status, sexual preference, political affiliation or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.

If applicable, Community Healthlink shall also abide by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified protected veterans and qualified individuals on the basis of disability. These regulations require affirmative action by Community Healthlink to employ and advance in employment qualified protected veterans and individuals with disabilities.

PCN#: 7434

External Company URL: communityhealthlink.org

Street: 26 Queen Street