Clinical Case Manager

Receive 17% Weekday Nights, 26% Weekend Nights and 15% Weekend Day shift differentials Compensation Disclaimer Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations. Department: OP Care Management Svcs FTE: 1.00 Full Time Shift: Days Position Summary Supervise clinical therapy, social work, and case manager social work staff. Responsible for the initial review, triage and assignment of patients to case managers and for the coordination of all systems and services required for an organized, multidisciplinary, patient centered care team approach. Assure quality, cost effective care for the identified patient population. Provide leadership to staff in the department. Act as a resource and role model for the staff. Function as a contact person for the patient, family, health care team members, community resources and employees. Ensure adherence to Hospitals and departmental policies and procedures. Patient care assignment may include Neonate, Pediatric, Adolescent, Adult and Geriatric age groups. Detailed responsibilities PATIENT CENTERED MED - Adhere to and promote the core expectations of the Patient Centered Medical Home or Patient Centered Specialty Practice as applicable ASSIGNMENT - Oversee and assign case loads and staff hours to best suit Hospitals needs LEADERSHIP - Provide leadership through identification of problems and opportunities for improvement, program planning, implementation, and evaluation PERFORMANCE - Assist in developing standards of performance, evaluation of performance, and initiates or makes recommendations for personnel actions PLAN OF CARE - Develop comprehensive multidisciplinary plan of care effectively utilizing tools and resources DATA - Perform assessment, data collection, obtain, review, and analyze information in collaboration with the patient, family, significant others, health care team members, employers, and others as appropriate ASSESSMENT - Assess the patient's clinical, psychosocial status and current treatment plans ASSESSMENT - Conduct psychosocial assessment and review current clinical status and treatment plans NEEDS - Assess the patient/family/significant others needs in relation to the medical diagnosis and treatment and resources; provide treatment options, financial resources, psychosocial needs, and discharge planning in collaboration with appropriate resources COLLABORATION - Develop collaborative relationships with other departments/services and community health care agencies facilitating and supporting quality care in area of clinical expertise; act as a resource on complex patient care activities DISCHARGE PLANNING - Conduct timely discharge planning by anticipating patient needs in collaboration with physicians, staff RN's, and other health care team members INTERVENTIONS - Monitor and evaluate short-term and long-term patient responses to interventions in collaboration with quality assurance and utilization review, maintaining interdependent follow-up as necessary VARIANCES - Review patterns of variance from standardized protocols of care with other health care team members and implement resolution strategies EDUCATION - Ensure and/or provide instruction to the patient and family based on identified learning needs; assess patient/family knowledge, health status expectations, and locus of control INFORMATION - Assist with development of activities and methods to ensure information is articulated and disseminated to appropriate members of the health care team CONTINUITY OF CARE - Collaborate with the health care team to ensure continuity of patient care throughout all health care settings; promote effective communication among health care team members including the patient, family, and significant others RELATED WORK - Perform related duties and responsibilities as required ADMINISTRATION - Perform various administrative functions such as monitoring expenditures and preparing reports and correspondence; may participate in a variety of research projects to develop service plans; may propose changes to program policies and procedures SUPERVISION - Develop efficient organizational structure. Supervise employees and select, terminate, train, educate, correct deficiencies, perform appraisals, issue discipline, counsel, schedule work assignments; encourage staff teamwork and growth initiatives DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops STAFF - Assist in interviewing, hiring, orienting, training, coaching, evaluating, counseling, and supervising staff PATIENT SAFETY 1 - Follow patient safety-related policies, procedures and protocols PATIENT SAFETY 2 - Demonstrate proactive approach to patient safety by seeking opportunities to improve patient safety through questioning of current policies and processes PATIENT SAFETY 3 - Identify and report/correct environmental conditions and/or situations that may put a patient at undue risk PATIENT SAFETY 4 - Report potential or actual patient safety concerns, medical errors and/or near misses in a timely manner PATIENT SAFETY 5 - Encourage patients to actively participate in their own care by asking questions and reporting treatment or situations that they don't understand or may "not seem right" Qualifications Education: Essential: Master's Degree Education specialization: Essential: Related Discipline Experience: Essential: 4 years directly related experience Nonessential: Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo Credentials: Essential: LMSW or LPC Nonessential: CCM or ACMA-SW or C-ASWCM (if prior to 07/2017) Physical Conditions Physical Conditions: Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met. Working conditions No or min hazard, physical risk, office environment May be required to travel to various work sites May perform subordinate tasks in high census/vol May be required or is required to perform on-call duties May work rotating shifts, holidays and weekends Tuberculosis testing is completed upon hire and additionally as required Sign-On Bonus Available Relocation Assistance Available Department: Behavioral and Mental Health #J-18808-Ljbffr