What are the responsibilities and job description for the Targeted Case Manager position at Grace Healthcare Services?

Summary :

The Targeted Case Manager is a care team member with unique responsibilities that touch all aspects in regard to treatment of the "whole patient" acting as an advocate to provide information, barrier identification and removal, creating options, and problem resolution . The Case Manager embraces a team-based approach and is competent to function as an integral part of the patient health care team to improve outcomes for Grace Health patients who are identified as high risk to receive support needed in order to access healthcare, social needs, education, employment, transportation, housing, legal, or other services. The scope of this role is broad and requires the ability to work independently and with knowledge of community resources available in the area.

ESSENTIAL DUTIES AND RESPONSIBILITIES :

Understands and promotes the mission, vision, and values of Grace Health both in the work place and the community
Assist patient with process of re-emergence into daily activities of living while working toward recovery to improve quality of life
Collect social, education, economic and vocational information to formulate a plan of care
Assessment, Treatment, Planning, Linking, Advocacy, and Monitoring the needs for patients identified as high risk with diagnosis of Substance Use Disorder or other Mental Health diagnosis
Create and implement treatment plans involving long and short term goals
Connect and refer client with community resources for healthcare, social needs, education, employment, transportation, housing, legal, community programs, etc. with follow up assessment
Understanding and utilization of community resources to optimize assistance and wellbeing of Grace Health patients for ideal outcomes
Education of patients, families, and staff in regards to care, prevention, and treatment enhancement techniques.
Facilitate care between Medical and Behavioral Health
Meets with the patient in intervals adhering to all company guidelines
Maintain a positive environment and open communication with patients
Establish and maintain professional rapport with patients, providers, and other team members
Build positive and productive culture in the workplace.
Motivate clients toward goal achievement
Coordinate care with community providers, hospitals and other facilities to establish continuum of care
Participates in facility training and quality meetings
Maintain accurate and timely documentation
Evaluate crisis situations and apply appropriate interventions
Actively participate in meetings that support Grace Health's integrated health care model to provide comprehensive care for clients
Assist in the detection of "at risk" patients and development of plans to prevent further psychological or physical deterioration.
Excellent knowledge of social determinants of population served
Ability to work through brief patient contacts as well as to make quick and accurate clinical assessments of mental and behavioral conditions.
Confidence and comfort with the pace of primary care, strong communication skills and the ability to work with an interdisciplinary team.
Maintain tracking of patient appointments and referrals
Strong organizational and time management skills
May require travel to other clinic sites
Other duties as assigned

OTHER ESSENTIAL DUTIES and RESPONSIBILITIES :

Grace Health recognizes that managing patient care is a team effort that involves clinical and non-clinical staff. All employees must embrace a team-based approach to patient care and understand that each role is important to our success.

Team members must demonstrate excellent team communication and coordination to provide quality patient care.

Care coordination includes communicating with community organizations, health plans, facilities, and specialists.

Care team members understand and embrace the concept of population management and proactively address the needs of patients and families served by this practice.

Team members must demonstrate skill and knowledge related to effective communication with vulnerable patient populations.

Team members must participate in Continuous Quality Improvement activities within the organization to ensure patients receive high quality care.

All team members will be involved in the process of improving quality incomes.

Team members will participate in the review and evaluation processes of practice performance and help to identify opportunities for improvement.

Team members will participate in Grace Health's advocacy program.

GENERAL DUTIES :

Provide group, individual, or family case management to clients as assigned

Follows policies and procedures of the office, including administrative, clinical, quality assurance, and personnel

Maintain good attendance (daily, meetings, and other assignment tasks)

Maintain timely documentation of all work assignments

Maintain patient confidentiality following all company and HIPAA regulations

Routinely keep supervisor informed about attendance and job assignments

Flexible in being able to multitask

Work effectively and at an efficient pace

Work cooperatively with providers, administration, and peers

QUALIFICATION REQUIREMENTS :

To perform this job successfully, an individual must be able to assist in advancing Grace Health's mission and to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

SKILLS :

Computer Skills : To perform this job successfully, an individual should have knowledge of Word Processing software.

Requirements :

Excellent working knowledge of behavioral medicine and evidence-based treatments for medical and mental health conditions.

Ability to work through brief patient contacts as well as to make quick and accurate clinical assessments of mental and behavioral conditions.

Should be comfortable with the pace of primary care, working with an interdisciplinary team, and have strong communication skills.

EDUCATION and / or EXPERIENCE :

The ideal candidate will have at least a Bachelor's Degree in of Arts / Science in Behavioral Health or related field. Three years or more of experience may substitute for education requirements.

Completion of the 12 hour Targeted Case Management training is preferred and / or will be required after hire.

Previous experience with Case Management Services

Strong knowledge of Opioid Use Disorder / Alcohol Abuse and Medicated Assisted Treatment and Mental Health.

Continuing Education as applicable

BENEFITS :

Safe harbor 401(k) with match potential

Paid time off

Family friendly work environment

Health insurance

Wellness program

Health savings account

Pharmacy benefit

Employee visits for medical services

Dental insurance

Vision insurance

Life Insurance

STD / LTD

EAP & Work life services

Voluntary benefits

Hospital indemnity

Grace Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

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