Case Manager ($3000 Sign-on Bonus!!)

Neighborhood Service Organization•Detroit, MI

12d•Hybrid

About The Position

Under the direction of the supervisor of the division assigned, the case manager works to directly provide high quality care to NSO clients by assessing, coordinating, planning, and implementing client centered care plan to achieve positive outcomes; coordinate the interdisciplinary care team (IDT) by connecting members of the team to ensure clients services and benefits are maximized while improving client satisfaction, compliance with treatment regimen, medication adherence, access to benefits, stable housing, referrals, entitlements, and reducing ER utilization, inpatient admissions, and overall cost of care.

Requirements

A bachelor’s degree in a Human Services Field
2 or more years of community based in mental health as a case manager
1+ years of recent experience with a mental health/behavioral health clinical experience
Roles that are interfacing with our children, adolescent, and teen population will require a total of 3 years working with minors or 24 hours of child-specific training (CEUs) to be certified by CMHP for MDHHS qualified provider.
Excellent typing skills and ability to navigate a Windows based environment, experience in the use and navigation of an electronic medical record (EMR)
Ability to navigate through an electronic medical record (EMR) and utilize Microsoft Products such as Outlook, Teams, Word, and Excel.
Access to secure, high-speed internet and a dedicated, ability to work remote or within a hybrid role, with ability to protect health information and maintain HIPAA
New Graduates in Social work are welcome. Limited Licensures candidates, candidates will need to be eligible to sit for licensure and pass within 24 months of employment social work, or a minimum of (5) eligible limited licensure renewals.

Nice To Haves

Limited Licensed Social Worker (LLBSW or LLMSW), Licensed Social Worker (LBSW or LMSW)
Certified Case Manager (CCM) OR the ability to obtain certification within 24 months of employment
Background in community-based care, mental health, behavioral health, homecare, or managed care case management
Experience/ knowledge of discharge planning, resolving disparities in health care, urban populations, atypical home settings, and court ordered mental health care
Experience in utilization review, concurrent review, or coding
Experience in removing gaps in care, barriers or/ other disparities in healthcare

Responsibilities

Completes case management workflow per identified process and documents timely within the electronic medical record within policy identified timeframes.
Assesses referrals to identify patient/significant others’ needs, level of intensity, insurance benefits and other patient resources.
Make in-person face -to-face encounters (visits) in the clients home, office, or virtual calls to assess members current health status and engage client
Completes all documentation including required assessments, case plans or IPOS, within required time frames, per policy and procedure.
Collaborates with appropriate key individuals to participate in the case plan or IPOS process and continues to involve and communicate as needed to ensure best possible outcomes for client.
Identifies gaps or barriers in the case plan or IPOS treatment plans
Initiates patient focused case plan or IPOS, coordinating services, appointments and care within required time frames and as needed
Make appropriate client centered referrals to outside sources as needed to resolve barriers to access, social determinants of health or benefits
Assesses the educational needs of clients, families and members of the health care team and provides, develops and implements appropriate teaching strategies or makes appropriate referrals.
Provides client education to assist with self-management as needed based on case plan or IPOS; and delivers clinical support to members across a wide array of health topics and conditions
Provides ongoing monitoring of clients progress toward treatment goals and objectives via ongoing face to face contact as directed by the Person-Centered Plan of Service
Promotes high-quality care through adherence to quality standards for documentation, case management process and client satisfaction
Collaborates with specialists, physicians, and medical/clinical directors (for both physical, behavioral health and substance abuse) to coordinate inter-disciplinary care team, and attends any necessary on or off-site meetings to ensure patients care is seamless
Reviews reporting for trends and data in compliance, medication adherence, outreach failures, er utilization, and/ but not limited to inpatient admissions, and provides ongoing monitoring of client
Ensures client is compliant with treatment plan, provider visits and medication regimen; fosters and promotes self-care management and independence in the client’s care.
Facilitates and supports client compliance with appointments with provider, clinic, and therapist interactions as needed
Maintain compliance with all company policies and procedures and applicable rules and regulations of MDHHS, DWHIN, NSO, and any other entity NSO has entered into a partnership or contracted agreement.
Coordinate with clients to ensure the correct identified resources are recommended or obtained within the client’s qualifying benefits or entitlement services
Consults when appropriate to ensure adequate client caseloads