Case Manager - Chemical Dependency Grant

Carle Health•Peoria, IL

1d•Onsite

About The Position

To provide a comprehensive approach to case management inclusive of all aspects of the patient's stay including, but not limited to the following key functions: discharge planning and execution of the discharge plan; ensuring proper utilization management requirements of payers are met.

Requirements

Basic Life Support (BLS) within 30 days - American Heart Association (AHA)
Driver's License - Illinois Secretary of State (ILSOS)
Use of usual and customary equipment used to perform essential functions of the position. Upon Hire
Must have control over personal use of all mood-altering chemicals and behaviors. Upon Hire
If recovering from an addiction, must currently have a minimum of 2 years of uninterrupted recovery. Upon Hire
Bachelor's Degree: Social Work; Nursing; Related Field
Advanced reading skills
Advanced writing skills
Advanced oral skills
Ability to respond appropriately to customer/co-worker
Interaction with a wide variety of people
Maintain confidential information
Ability to communicate only the facts to recipients or to decline to reveal information
Ability to project a professional, friendly, helpful demeanor
Basic computer knowledge: Uses word processing, spreadsheet, e-mail application, and web browser. Comfortable within a Windows OS and learning new applications.

Responsibilities

Performs and executes discharge planning
Develops sound and reliable discharge plans incorporating risk for readmission assessment in discharge needs and support structure
Includes all stakeholders in the discharge plan to ensure plan is sound and fully communicated
Participates in multidisciplinary rounding process as requested
Works collaboratively with all caregivers in the continuum of care to ensure sound and timely discharge plan
Demonstrates strong understanding and mastery of community resources
Possesses strong discharge planning assessment skills
Communicates well and frequent with patient and family
Works collaboratively with nursing and other members of the care team, to ensure issues that Case Management identifies, are included in the plan of care
Organizes and leads multidisciplinary care conferences as necessary to facilitate plan of care progression.
Ability to identify barriers to transportation and assist with getting patient transportation to appointments
Provide ongoing recovery support service to ensure patient arrives and is engaged by intake staff, and ensure that patient remains engaged in treatment overtime – helping the patient navigate stages of change and practical considerations.
Work with insurance provided transportation programs to ensure transportation
May be responsible for transporting patients to appointments
Ensures Patients receive comprehensive services: Assists the interdisciplinary treatment team in patient assessment for appropriateness of treatment services.
Is knowledgeable and capable of working with patients who present a dual problem, Co-Occurring Substance Use and Mental Health Disorder.
Provides that all patient contact and interaction is based upon inherent dignity, individuality, culture and beliefs of each patient. Patient care is provided in a compassionate, humane, and non-enabling manner.
Participates in interdisciplinary clinical staffing or ensures pertinent information is provided to team
Demonstrates Motivational Interviewing skills when working with patients.
Demonstrates ongoing assessment for next level of care and actions to move patient to appropriate level
Is knowledgeable in understanding of addiction, signs of overdose, and administration of naloxone products.
Ability to educate patient and family in opiate use and administration of naloxone products.
Ability to provide consultation with patient, family, insurance provider, and treatment providers to confirm recommended course of treatment is covered and/or affordable.
Assist in facilitation of services, based on quality initiatives and documentation in EMR.
Ensures accurate documentation
Collaborates with Certified Peer Recovery Specialist and Data Analyst to ensure documentation is present to supports warm hand off.
Documents all Discharge Planning components accurately in EMR
Assist with documentation in EMR to support quality initiatives
Assist with audits for medical necessity documents as requested