Case Manager

Case Manager

The Case Manager is responsible for enhancing the quality of patient management, maximizing satisfaction and promoting cost effectiveness. The successful candidate will be responsible for the full patient care cycle. The incumbent is expected to demonstrate a high level of professionalism, organization, implementation/evaluation of actions required to meet the patient's health and human services needed.

Job Duties & Essential Functions:

• Coordinate and provide care that is safe, timely, effective, and equitable and client centered.
• Screening of patient seeking care in or being referred to the Outpatient Department.
• Handle case assignments, draft service plans, review case progress and determine case closure.
• Help patient to achieve wellness and autonomy.
• Facilitate case coordination and information sharing.
• Assist patients in making informed decisions by acting as their advocate regarding clinical status and treatment options.
• Develop effective working relations with providers to build out the entire treatment plan, designed to get patients back into a productive, healthy place in their lives.
• Prior authorizations for medications (submit appeals if necessary)
• Submit Health Home referrals for long term case management
• Assist and complete referrals to partial hospitalization programs/inpatient/LINK program/IOP programs/PROS programs/Vocational services
• Assist with applications for patients and conduct psychosocial if necessary
• Conduct psychosocial needs assessments and individual and/or group-based psychotherapy services
• Participate in social work residency trainings
• Other duties assigned by management

Required Education and Qualifications:

• Bachelor's Degree in Social Work or related field.
• Experience in behavioral health case management.
• Strong interpersonal, organizational and time management skills with the ability to prioritize work.
• Strong written and verbal communication skills along with keen attention to detail.
• Ability to use a variety of computer applications and software with sophistication.
• Ability to listen to their client's feelings and respond with empathy.
• Strong crisis intervention skills.
• Ability to multitask and function independently.

Preferred Qualifications:

• Comprehensive knowledge of mental health disorders and the social services system.
• Case Manager Certification
• Excellent knowledge of case management principles, healthcare management and reimbursement.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to communicate with patients, staff and medical providers. The employee must be able to exchange accurate information in these situations. This position is active and requires the employee to constantly move about in the office to assist patients, staff and medical providers. Any additional physical demands will be outlined and provided by management.

The responsibilities and tasks outlined in this job description are not exhaustive and may change as determined by the needs of CPMP.