Case Manager

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This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients families and providers within the department.

MINIMUM QUALIFICATIONS :

EDUCATION CERTIFICATION AND/OR LICENSURE:

1. Bachelors Degree in Social Work or related field.
2. State criminal background check and Federal (if applicable) as required for regulated areas.

EXPERIENCE:
1. One (1) year of experience in Social Work experience.

PREFERRED QUALIFICATIONS :

EDUCATION CERTIFICATION AND/OR LICENSURE:

1. Current West Virginia Social Work licensure.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

1. Facilitates referrals of patients to providers.
2. Takes crisis calls and works outcomes for patients.
3. Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed.
4. Maintain a working knowledge of relevant medical/legal issues that impact on patient care e.g. advance directives child and elder abuse.
5. Provide education to patients and families around issues related to adaptation to the patients diagnosis illness treatment and/or life situation.
6. Participate in multi-disciplinary health care teams.
7. Acts as a liaison with community agencies and resources.
8. Arrange procure and coordinate patient/family pre and post hospital needs.
9. Document assessment plan interactions and interventions according to departmental hospital and/or health system guidelines and standards.
10. Assisting in obtaining prior authorizations from third party carriers.
11. Working with the units in securing beds for admission.
12. Preparing or assisting in the preparation of discharge letters.
13. May schedule MRIs PETs and other imaging procedures.
14. Works with discharge planners and consult team to secure appointments.
15. Schedules new patient visits per established protocols.
16. Meets with patients face to face as needed to resolve crisis situations.
17. Assists Residents/front desk staff with resolving scheduling problems.
18. Covers messages and work ques for providers that are out of the office.

PHYSICAL REQUIREMENTS: 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. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking standing stooping kneeling reaching pushing pulling lifting grasping are necessary body movements utilized in performing duties through the work shift.
2. Ability to sit for extended periods of time.
3. When working on inpatient units must be able and willing to participate in physical restraint of patient if needed.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment & clinical environment.

SKILLS AND ABILITIES:

1. Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services ie patient assistance programs Medicaid and welfare services.
2. Must have the ability to be able to work closely with patients families physicians psychologists social workers and other members of the treatment team to develop individual and departmental treatment goals.
3. Must be knowledgeable and able to access many different types of services.
4. Must have the ability to assess and treat individuals with behavioral health and mental illnesses.

Additional Job Description:

CES

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

USC Healthy Minds

Cost Center:

3165 USC Grant Community Engagement Specialist

Address:

6 Hospital Plaza

Clarksburg

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively WVUHS) is an equal opportunity employer and complies with all applicable federal state and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees applicants or any other covered persons because of race color religion creed national origin or ancestry ethnicity sex (including gender pregnancy sexual orientation and gender identity) age physical or mental disability citizenship past current or prospective service in the uniformed services genetic information or any other characteristic protected under applicable federal state or local law. All WVUHS employees other workers and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment including but not limited to hiring training promotion discipline compensation benefits and termination of employment.

Required Experience:

Manager