CARE MANAGER

VOLUNTEER BEHAVIORAL HEALTH•Crossville, TN

10d•Hybrid

About The Position

The Care Manager is responsible for providing care management services to adults and children, focusing on the strengths of individuals and families. These services assist individuals in gaining access to and maximizing the benefits of needed medical, social, educational, and other support services. The role involves six distinct activities aligned with the TN Health Link model: Comprehensive Care Management, Care Coordination, Referral to Social Supports, Patient and Family Support, Transitional Care, and Health Promotion. Care Management services are delivered both in the office and within the community as appropriate to the needs being addressed. The position also requires adherence to all applicable laws and regulations, including the VBHCS Code of Conduct and VBHCS Policies and Procedures, to maintain an environment of integrity and ethical conduct. Performance expectations are consistent with productivity guidelines outlined in attachments A and B of the job description.

Requirements

Must have a Bachelor’s degree in a health-related field of counseling, psychology, social work or other behavioral sciences.

Responsibilities

Initiate, complete, update, and monitor the progress of a comprehensive person-centered care plan (as needed).
Participate in the patient’s physical health treatment plan as developed by their primary care provider as necessary.
Support scheduling and reduce barriers to adherence for medical and behavioral health appointments.
Proactive outreach and follow up with primary care and behavioral health providers.
Identify and facilitate access to community supports (food, shelter, clothing, employment, legal, entitlements and all other resources).
Communicate patient needs to community partners.
Provide information and assistance in accessing services.
Provide high-touch in-person support to ensure treatment and medication adherence.
Provide caregiver counseling and training.
Identify resources to assist individuals and family supporters.
Provide additional high touch support in crisis situations.
Participate in development of discharge plan for each hospitalization.
Develop a systemic protocol to assure timely access to follow-up care post discharge.
Establish relationships with other treatment settings.
Communicate and provide education.
Educate the patient and his/her family on independent living skills with attainable increasingly aspirational goals.
Reports / Record keeping.
Engage consumers with respect as individuals.
Connect in a positive manner with consumers, family members and other natural supports.
Solicit consumer opinions and input.
Listen and respond with respect.
Actively participate in team process and utilize team resources.
Meet with team on scheduled staff meetings and discuss any concerns regarding working with consumer, etc.
Employ good communication skills (listening, reflecting, role model, etc.).
Report and share information promptly with doctor, team, and others, as appropriate.