Qualifications:

• Candidate must complete at minimum a qualifying LPN program, RN preferred. Knowledge of case management philosophies and principles beneficial.
• The ability to triage patients based on their medical need and IPG protocols
• Possess knowledge of public and private social services providers within the community and programs available.
• Communicate exceptionally well orally, in writing, and over the telephone.
• Use initiative and independent judgment; organize own work, set priorities, and meet critical deadlines.
• Understanding concepts of case management: navigating healthcare system.

Responsibilities:

• Responsible for calling patients daily who visit the ER and DC from inpatient services.
• Track and case manage repeat patients.
• Address noncompliance within patient care.
• Track appointment history, follow up with repeat no shows.
• Scheduling patients on the continuum of care.
• Complete and document for transitional care, medication checks, and chronic care management for patients.
• Coordinate care with inpatient departments to ensure quality care and post discharge follow up.
• Educate patients on indigent programs for medication, equipment, and services for uninsured and underinsure patients.
• Provide ongoing case management services by phone and/or face-to-face; track client progress and well-being, evaluate treatment effectiveness, while making adjustments based on need to assigned caseload.
• Prepare complete and accurate progress notes; write correspondence, and other written materials
• Utilizes a team approach, confer with treatment team to provide quality care to patients.
• Assist in maintaining office responsibilities including but not limited to, faxing, copying, and answering phones.
• Manage basic Excel databases, inputting, and organizing data into visual presentations to administration for AfterCare outcomes.
• Assist with community outreach and events as needed.

Responsibilities are subject to change and other duties as assigned.