Behavioral Health Case Manager

Job Description

Job Description

The Job Description for this position is intended to present a list of the range of duties performed by the employee. The Job Description is not intended to reflect all duties performed within the job.

REPRESENTATIVE DUTIES

The following duties are typical for the Behavioral Health Case Manager. Incumbents may not perform all of the listed duties and / or may be required to perform additional or different duties from those set forth below to address business needs and changing business practices.

Care coordination :

1. Ensures Hamakua-Kohala Health is providing high quality Behavioral Health services.

2. Assists patient through the healthcare system by acting as a patient advocate and navigator.

3. Registration of patients

4. Scheduling for all Behavioral Health Providers

5. Manages all referrals coming in

6. Works in collaboration with providers and nursing staff, patients and their families to :

a. Promote timely access to appropriate care

b. Increase utilization of preventive care

c. Reduce emergency room utilization and hospital readmission

d. Connect patients to relevant community resources.

e. Facilitate transition from emergency room and hospitalization to follow up appointment at Hamakua-Kohala Health.

7. Manages databases of assigned insurance carriers to identify existing care gaps and promote patient compliance.

8. Participates as part of the team for data collection, health outcomes reporting, clinical audits, identification of gaps in care, and programmatic evaluation related to Care Coordination.

9. Participates in Patient-Centered Medical Home quality improvement initiatives.

EDUCATION, EXPERIENCE & QUALIFICATION GUIDELINES

Any combination of education and experience that would likely provide the required knowledge and abilities is qualifying.

• High school graduate or equivalent. Must possess extraordinary customer service skills. Must have excellent organizational skills and ability to multi-task. Must be able to use a computer, type and comprehend computer logic.

PERFORMANCE REQUIREMENTS

SUPERVISORY RESPONSIBILITY

This position has no supervisory responsibility

PHYSICAL DEMANDS AND WORKING ENVIRONMENT

The conditions herein are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

WORKING CONDITIONS : Medical office environment. Multi-task oriented position including direct patient care may require sitting or standing for long periods. Some bending, stooping, and lifting (up to 50lbs). Must interact with physicians, patients and other office personnel. Must possess socio-economic and cultural sensitivity. May involve contact with angry, upset or ill persons. Will involve potential exposure to blood and body fluids and other hazardous substances. Must have visual acuity and manual dexterity to assist with procedures, perform and interpret lab results, and interface with computer. Must have auditory acuity to handle phone calls and extensive patient interaction.

WORK SCHEDULE : This is a exempt position. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements and criteria considered necessary to successfully perform the job.

CONFIDENTIALITY : As an employee of Hamakua-Kohala Health Clinic, you are bound by principles of medical ethics. You have both a legal and moral obligation to protect the privacy of our patients. In the course of your work, you will have access to confidential information regarding patients, and / or the practices’ confidential business. It is essential that you refrain from any discussions regarding personal information about a patient, a patient’s condition, a patient’s finances, proprietary company information, personnel salaries, and / or the practices’ confidential business with any third person. This includes, but is not limited to, other employees, your spouse, family or friends. CONFIDENTIALITY IS SO IMPORTANT THAT ANY BREACH OF THIS POLICY WILL BE CONSIDERED GROUNDS FOR TERMINATION. Review and signature of the Agreement is a condition of employment.

EEO STATEMENT

Hamakua-Kohala Health provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Hamakua-Kohala Health complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

Hamakua-Kohala Health expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Hamakua-Kohala Health’s employees to perform their job duties may result in discipline up to and including discharge.

OTHER DUTIES

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.