CASE MANAGER-SBHI

Premier Health • Eaton, OH

129d

About The Position

Case Manager functions as a member of a team to assist in the planning, development, and delivery of outcome-effective treatment services in various types of settings. This position maintains an ongoing working knowledge of agencies and community/emergency resources for child, adolescent, adult, and geriatric clients and uses that knowledge to coordinate services and advocate for identified clients. Case Manager acts as a resource consultant to other team members and collects resource materials regarding other agencies and services in the community. Services may be delivered by phone, face-to-face at the office, in patient’s home, at outside agencies, and/or within the community.

Requirements

• Two year degree in a relevant social science field or equivalent education and experience.
• Minimum of two (2) years’ experience in the mental health and/or drug and alcohol field.
• Working knowledge of mental health, drug and alcohol, and other community agencies and resources essential.
• Working knowledge of The Diagnostic and Statistical Manual of Mental Disorders (DSM- 5 or subsequent revisions), as related to coordination of community support services.

Responsibilities

• Demonstrate adherence to the PHP/SBHI Patient Experience philosophy, guidelines and tools.
• Demonstrate strong ethics, honesty, and adherence to PHP/SBHI Code of Conduct and PHP/SBHI Compliance Program.
• Collaborate with referral source, internal team members and external service providers to ensure appropriate client care and continuity of care.
• Complete all direct service paperwork within agency timelines or earlier if referral source or other healthcare provider necessitates.
• Provide other direct, face to face, services to clients via individual, group, and family therapies according to departmental standards and productivity expectations.
• Provide CPST services to coordinate clinical care in the form of face to face, telephone calls, report writing and case conference meetings.
• Demonstrate knowledge and skills relevant to the service method provided to clients.
• Maintain scheduled appointments and other workload activities on CareLogic schedule according to departmental standards.
• Seek medical provider consultations regarding medical needs of clients. Maintain on-going communication with medical provider for the purpose of coordinating and evaluating client care.
• Demonstrate strong customer satisfaction skills in the provision of clinical care services.
• Demonstrate knowledge of SBHI medical records and CareLogic and other paperwork standards. Apply competencies in both the provision and documentation of medical records.
• Demonstrate compliance with departmental standards for administration and reporting of outcome measures and documentation of utilization management of clinical care.
• Demonstrate knowledge of other regulatory standards. Ensure that clinical records are maintained in compliance with these standards at all times.
• Demonstrate knowledge of IT and Quality Improvement policies and procedures. Apply them to the documentation of clinical care according to medical records and other departmental standards.
• Assess current competencies. Design and implement professional development plan to improve competencies in targeted goal areas to support departmental strategies.
• Provide documentation of continuing education required for maintaining current professional licensure and competency credentials.
• Participate in assigned programs and staff meetings.
• Meet regularly with clinical director and as needed to review clinical care of patients according to licensing and agency standards.
• Ensure all annual updates are completed in CareLogic for caseload.
• Complete face-to-face CPST assessments within (5) business days after receiving referral.
• Maintain caseload list reflective of current and active clients. Review closure / discharge if no services within 90 days.

What This Job Offers

• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees