Case Manager - Grants Healing Wings

JPS Health Network•Fort Worth, TX

12d•Onsite

About The Position

The Case Manager assists patients and their family members in obtaining services and initiating referrals to eliminate personal or environmental barriers to receiving the maximum benefits of health care. The role supports providers and the interdisciplinary team by facilitating and coordinating patient care across the continuum. The Case Manager assesses psychosocial needs, collaborates on individualized care plans, coordinates services, advocates for patients, and connects patients and families with resources within JPS Health Network and the community. The role includes helping patients manage complex psychosocial issues, life-changing diseases, disabilities, and end-of-life concerns; supporting eligibility applications; and monitoring whether services meet patients’ needs. Case management activities must be documented in accordance with Texas Department of State Health Services Ryan White Service Standards and departmental guidelines.

Requirements

Bachelor’s degree from an accredited school of professional nursing or social work.
At least 2 years of clinical experience in an acute care setting or community-based organization.
Texas social work licensure through the Texas State Board of Social Work Examiners, or current RN licensure through the Texas Board of Nursing or proof of Compact reciprocity with Texas.
Current JPS-recognized CPR certification, maintained throughout employment; it may be obtained after hire.

Nice To Haves

Master’s degree in Social Work from a program accredited by the Council on Social Work Education.
Certified Case Manager (CCM) certification through the Commission for Case Management Certification, or Accredited Case Manager (ACM) certification through the American Case Management Association.

Responsibilities

Collaborate in developing, implementing, monitoring, and evaluating the case management process.
Conduct psychosocial assessments covering health, mental health, social support, addiction, financial resources, benefits, legal needs, language and culture, and employment.
Communicate identified needs to the health care team, advocate for patients, and refer them to appropriate JPS Health Network and community resources.
Develop comprehensive, individualized care plans and goals with patients and, when appropriate, their families, significant others, and social service providers.
Review patient functioning, update care plans, and maintain patient contact according to case management needs.
Coordinate care for patients with complex psychosocial needs, educate patients and families about care options, and incorporate patient choices into care plans.
Follow up with patients and families to determine whether services are helpful, appropriate, and adequate.
Develop and maintain long-term working relationships with patients and families.
Assist patients and providers with eligibility forms for medications, social programs, funding sources, durable medical equipment, and other services.
Provide informal supportive counseling to patients and families experiencing complex issues affecting care.
Help patients and families cope with life-changing diseases, death and dying, advance directive education, and disabilities.
Identify and assess patients at high risk for repeat hospital admissions or high service utilization.
Document case management activities in accordance with Texas DSHS Ryan White Service Standards and departmental guidelines.
Participate in compliance activities, audits, meetings, and required trainings.
Perform other job-related duties as assigned.