Case Manager II, PAMP

Case Manager II

The Foundation of the Pennsylvania Medical Society is a nonprofit, tax-exempt public organization established in 1954 as the philanthropic affiliate of the Pennsylvania Medical Society. Its mission is to sustain the future of medicine in Pennsylvania by providing programs that support medical education, physician health, and excellence in practice.

The Case Manager II focuses on providing administrative and professional support to the Peer Assistance Monitoring Programs and assists in managing the current caseload per direction of the Director. This position takes check-in calls from participants; new referrals from physicians, hospitals, treatment centers, Bureau of Professional and Occupational Affairs, and others; completes advocacy letters; and reviews all charts for compliance. This position is more advanced in client case management and decision making due to master's training and case management experience.

The essential duties include receiving check-in calls from participants and monitors regarding the participant's compliance with agreement. Assist them with any treatment/monitoring concerns and follow through with any that need case conference discussion or attention from senior staff. Review with Director/Medical Director immediately if necessary. Notify staff via e-mail or case conference of problems with compliance or other concerns.

Receive and manage referrals of eligible healthcare professionals. Assist in planning intervention and clinical assessment process with medical director and other PAMP staff. Make referrals for clinical assessment and treatment services. Transition cases through the continuum in a timely manner (intake, evaluation, treatment and monitoring). When questions arise, discuss with PAMP staff. Assist in maintaining a visible tracking mechanism showing the status of all pending cases.

Perform reviews of participant charts to assure compliance with their agreement. These reviews occur approximately every three months. During these reviews, the case manager will: Review chart to ensure the following items are up to date. Drug testing results. Therapy reports. Workplace monitor reports. Check-in calls. Meeting attendance reports. PAMP monitor reports. Monitoring agreement and amendments have been signed. If these items are not in compliance, send letter for participant to contact the PAMP. If no response to contact, meet with PAMP staff to determine follow up. Bring any cases of charted relapse behavior to the attention of PAMP staff.

Consult with PAMP staff about case management issues as needed. Communicate with treatment centers and therapy providers to obtain status/progress reports on participants. Participate in the presentation of monitoring agreements to new participants in conjunction with the medical director and/or other PAMP staff. Review and recommend action on check-in call requests, discussing with other case managers, program director, medical director, and other staff as necessary. Participate in case conference review involving medical director and all other staff. Assist in maintaining the PAMP databases to ensure that they are up to date and suggest any corrections to facilitate data entry.

Engage in participant advocacy via telephone calls, drafting letters, and other means as needed. Participate in PHP committee meetings by presenting cases, research, and engaging with committee members and other stakeholders. Identify and pair PHP monitors for new participants and assign new monitors for participants who have relocated. Review discharge summaries and evaluation reports and initiate next steps. Review and enter into database all reports (therapy, medication management, PHP monitor, and workplace monitor). Bring concerns to case conference and complete agreement amendments as needed. Market the PHP program during external conferences and House of Delegates as assigned (this may include occasional weekend work 1-2 times a year). Safeguard participant confidentiality by following federal and state confidentiality laws. Actively assesses and improves contributions to company culture by practicing advocacy meaningfully, encouraging and respecting individuals' ideas and experiences, elevating colleagues' confidence to bring their whole and best selves to work, and navigate all communication based in active listening and thoughtful dialogue.

Assist with coordination of other PAMP, Foundation, or PAMED initiatives, as well as other duties that may be requested or assigned.

Will collaborate with: Medical Directors, Peer Assistance Monitoring Programs; Director, Peer Assistance Monitoring Programs; Case Managers, Peer Assistance Monitoring Programs; Office Manager, Peer Assistance Monitoring Programs; Sr. Director, Finance & Operations; PAMED Communications & Marketing Staff; All other Foundation staff as needed.

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential duties and responsibilities of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Sedentary work. Repetitive motion. Substantial movements (motions) of the wrists, hands, and/or fingers. The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading. Hearing and speech to communicate in person, before groups, and over the telephone. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Operation of a motor vehicle, occasionally.

Pennsylvania Medical Society