Case Manager-Mobile Primary Care

Job Description

Job Description

CREOKS Health Services is establishing a mobile primary care clinic serving rural communities under the Oklahoma State Department of Health Rural Health Transformation Program (Rural Regional Reorientation). The Case Manager II performs the functions of a clinic-based case manager in the mobile setting: intake and eligibility screening, linkage and referral, follow-up scheduling, and connection of patients to CREOKS behavioral health services and to community resources in the communities served.

This position is funded through the RRR subaward. The role is based in a mobile clinical unit rather than a fixed clinic, and requires regular travel on a scheduled route among CREOKS locations.

Duties & Responsibilities:

• Provide advocacy, linkage, and referral services on behalf of patients served by the mobile primary care clinic.
• Provide intake, screening, referral, and case management services at each mobile clinic stop.
• Conduct eligibility screening and assist patients with insurance enrollment, SoonerCare application, and sliding fee scale determination.
• Coordinate follow-up appointments at the CREOKS West Tulsa, Bristow, or Okmulgee clinics, or other appropriate locations, and confirm patient attendance.
• Assist patients in accessing community resources, including transportation, food, housing, and utility assistance, by referral, advocacy, and accompaniment as necessary.
• Coordinate and manage indigent medication and patient assistance program enrollment.
• Facilitate warm hand-offs between the mobile primary care clinic and CREOKS behavioral health and substance use services.
• Maintain an active liaison with community agencies, tribal health programs, schools, and other partners in the communities served.
• Assist with scheduling and community notification for mobile clinic stops.
• Attend and regularly present cases in treatment team meetings.
• Maintain the clinical records system in accordance with ODMHSAS, OHCA, CARF, and CREOKS rules and regulations.
• Turn in billing and associated documentation as mandated by CREOKS policy; complete billing documentation daily and clinical documentation no later than the beginning of the next work day.
• Maintain productivity averages of direct service to clientele as set by CREOKS for full time employment.
• Assist with setup and breakdown of the mobile unit at each stop as needed.
• Participate in mandatory trainings such as CAPE and CPR.
• Read and be knowledgeable of all current CREOKS policies and procedures.
• Responsible for understanding and following all administrative, clinical, and programmatic policies and procedures of the agency.
• All other duties as assigned.

Qualifications / Competencies Required:

• Minimum of Bachelor’s degree in a human services related field, or a Bachelor’s degree and at least two (2) years supervised experience in a treatment setting.
• Current Oklahoma Case Management certification, or ability to obtain within [___] days of hire.
• Valid Oklahoma driver’s license and an acceptable driving record.
• Experience with SoonerCare, Health Insurance Marketplace, or sliding fee scale eligibility determination preferred.
• Knowledge of community resources in Tulsa, Creek, Okmulgee, and Pittsburg counties preferred.
• Basic understanding of social and cultural factors influencing human behavior.
• Knowledge of various treatment modalities.
• Capability to work as part of a small team with limited on-site support.
• Core competencies in relation to individuals with co-occurring disorders.

Travel and Other Special Conditions:

• This is a mobile position. Regular travel is required among the CREOKS West Tulsa, Bristow, and Okmulgee clinic locations, with occasional travel to the McAlester area.
• Must be willing and able to work on a scheduled travel route and to work from a mobile clinical unit.
• The mobile unit is towed as a truck-and-trailer combination with a gross combination weight rating above 26,000 pounds and a towed unit rated above 10,000 pounds. Under 49 CFR 383.91, that combination may lawfully be driven only by the holder of a Class A commercial driver’s license.
• This position does not require a commercial driver’s license. The incumbent is not expected to tow, position or level the mobile unit. CREOKS assigns a qualified Class A driver for all movement and setup of the unit.
• Candidates who hold a current Class A CDL, or who are willing to complete entry-level driver training and obtain one at CREOKS’ expense, are encouraged to indicate this. CREOKS may assign tow duty to a qualified clinical staff member and compensate it accordingly. This is optional and is not a condition of employment.
• Work is performed in a mobile medical unit of limited size and at outdoor community sites. The position requires the ability to work in a confined space; to enter and exit the unit by steps or ramp; and to stand, walk, bend, reach, and lift in that environment.
• Clinic days may begin and end at a CREOKS site other than the employee’s home location.
• Travel reimbursed per CREOKS policy.

CREOKS Health Services is a non-profit organization providing comprehensive health, wellness, and social services. Our behavioral health division offers more than 40 years of quality services and program that benefit adult, adolescents, and children. We currently have 33 locations across Eastern & Southeastern Oklahoma. CREOKS’ reputation has allowed us to work with local agencies, schools, and civic organizations.

Whether you’re new to the field or a seasoned professional, joining CREOKS gives you the opportunity to affect meaningful change in people’s lives. It also means being a part of an accredited and recognized nonprofit who invests in your future. CREOKS offers a collaborative, positive work environment, free Continuing Education workshops, the NHSC Loan Repayment Program, competitive pay and a comprehensive benefits package.

Company Description

CREOKS Health Services is a non-profit organization providing comprehensive health, wellness, and social services. Our behavioral health division offers more than 40 years of quality services and program that benefit adult, adolescents, and children. We currently have 33 locations across Eastern & Southeastern Oklahoma. CREOKS’ reputation has allowed us to work with local agencies, schools, and civic organizations.\r\rWhether you’re new to the field or a seasoned professional, joining CREOKS gives you the opportunity to affect meaningful change in people’s lives. It also means being a part of an accredited and recognized nonprofit who invests in your future. CREOKS offers a collaborative, positive work environment, free Continuing Education workshops, the NHSC Loan Repayment Program, competitive pay and a comprehensive benefits package.