Main Areas of Responsibility:
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.
-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 (e.g., 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 time frames and requirements.
-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.