Behavior Health Targeted Case Manager

Grace Health•London, KY

About The Position

The Targeted Case Manager is a member of the care team who supports the whole-patient treatment process. The role advocates for patients by providing information, identifying and removing barriers, developing options, and resolving problems. The Case Manager works independently and collaboratively as part of an integrated healthcare team, helping high-risk Grace Health patients access healthcare and social services, education, employment, transportation, housing, legal assistance, and other community resources. The position provides case management to patients with substance use disorder or other mental health diagnoses, including assessment, treatment planning, referrals, advocacy, and monitoring. The Case Manager creates treatment plans with short- and long-term goals, coordinates care among medical and behavioral health providers and community organizations, educates patients, families, and staff, and maintains accurate documentation and referral tracking. The role also supports crisis intervention, identification of at-risk patients, population management, and continuous quality improvement. Travel to other clinic sites may be required. Grace Health is a faith-based, federally qualified community health center serving underserved, underinsured, and uninsured people in southeastern Kentucky. The work environment is usually moderately noisy. Reasonable accommodations may be provided to enable individuals with disabilities to perform essential functions. Grace Health provides equal employment opportunities and prohibits discrimination and harassment on protected grounds.

Requirements

Knowledge of word-processing software.
Excellent working knowledge of behavioral medicine and evidence-based treatments for medical and mental health conditions.
Ability to make quick and accurate clinical assessments of mental and behavioral conditions during brief patient contacts.
Comfort working at the pace of primary care and with an interdisciplinary team, with strong communication skills.
At least a bachelor’s degree in behavioral health or a related field is preferred for the ideal candidate; three or more years of experience may substitute for education requirements.
Previous experience with case management services.
Strong knowledge of opioid use disorder, alcohol abuse, medication-assisted treatment, and mental health.
Continuing education as applicable.
Ability to meet the described physical demands, including occasional lifting or moving of up to 50 pounds, with reasonable accommodation where applicable.

Nice To Haves

Completion of the 12-hour Targeted Case Management training is preferred; it may be required after hire.

Responsibilities

Promote Grace Health’s mission, vision, and values in the workplace and community.
Help patients resume daily activities while working toward recovery and improved quality of life.
Collect social, educational, economic, and vocational information to develop plans of care.
Assess, plan treatment, link to resources, advocate for, and monitor high-risk patients with substance use disorder or other mental health diagnoses.
Create and implement treatment plans with short- and long-term goals.
Connect and refer patients to community resources and follow up on referrals and needs.
Educate patients, families, and staff about care, prevention, and treatment-enhancement techniques.
Facilitate care between medical and behavioral health services.
Meet with patients at intervals in accordance with company guidelines and maintain positive, professional communication and rapport.
Coordinate care with community providers, hospitals, facilities, health plans, specialists, and community organizations to support continuity of care.
Motivate clients toward goal achievement and help identify and address barriers to care.
Participate in facility training, quality meetings, integrated-care meetings, Continuous Quality Improvement activities, performance reviews, and Grace Health’s advocacy program.
Maintain accurate and timely documentation, patient appointment and referral tracking, and patient confidentiality in accordance with company and HIPAA regulations.
Evaluate crisis situations and apply appropriate interventions.
Help detect at-risk patients and develop plans to prevent further psychological or physical deterioration.
Provide group, individual, or family case management as assigned.
Follow office policies and procedures, maintain good attendance, keep the supervisor informed about attendance and assignments, and complete other assigned duties.
Work effectively, efficiently, cooperatively, and flexibly with providers, administration, peers, and interdisciplinary teams.
Travel to other clinic sites when required.