Recovery Centers of America-posted 4 months ago
Full-time • Manager
St. Charles, IL
1,001-5,000 employees

The Manager of Case Management will provide oversight and direction to the Case Managers. The MCM has a solid understanding of the importance of documentation, communication, and patient education in the care coordination process. Primary responsibilities include overseeing and managing the case management team to ensure effective discharge planning and the development of comprehensive, patient-centered continued care plans. This includes scheduling aftercare appointments prior to discharge, addressing all patient needs, and prioritizing the RCA continuum of care and/or preferred providers, aligned with patient preferences, to meet individual needs. Additionally, the role ensures that transitions of care are designed to support patients in attending their follow-up appointments, promoting continuity of care and achieving the best possible longitudinal outcomes. The MCM ensures that patient preferences, barriers to care including access and other social determinants of health are identified and addressed in the patient's continuum of care/discharge plan to help ensure success in the patient's environment. The MCM will ensure seamless care coordination between treating providers in the community, referents, and payers, ensuring alignment with payer contractual agreements and referent expectations. This includes managing required coordination of care, facilitating timely communication, and providing clinical documentation as needed. The MCM is responsible for continuous quality improvement with identified departmental Key Performance Indicators including: Patient progressions: ensuring patients advance appropriately through full Continuum of Care. Scheduled SUD/MAT, MH and PCP appointments prior to discharge. Patient engagement optimizing patient stays to balance clinical needs and completion of treatment plan goals. Timely CM Admission Documentation and ongoing coordination of care with community resources (referents, integrated health providers, support systems, payors etc.). Timely Transitions of Care. Family Meeting Accuracy and timely completion of the patient's individual Continuing Care/Discharge Plan including linkage to resources that address Social Determinants of Health (SDOH). The MCM ensures that the CM team is responsible for confirming and or obtaining all ROIs that are required to assist the patient through the care continuum.

  • Interview/Hire/Onboard/Orient and hold accountable, the team of Case Managers
  • Knowledgeable of daily facility metrics, targets and goals and identifying and communicating opportunities to improve
  • Leads/participates in Multidisciplinary Care Team meetings and mentors Case Managers
  • Educates the CM team to ensure they understand how to manage LOS and LCD
  • Ensures case managers are meeting with patients and that admission assessment is documented in Avatar within 72 hrs. of admission
  • Assumes department oversight for the FMLA and STD application process
  • Manages the site's Discharge Calendar on a daily basis
  • Ensures team proactively communicates with referral sources
  • Facilitates at least one weekly Continuum of Care group to inform patients of aftercare options
  • Maintains a Master List of Preferred Providers in coordination with the business development for discharge planning purposes
  • Works closely with RCA OP leadership team to maximize referral potential from inpatient to outpatient care
  • Ensures all continued care/discharge plans are solidified 1 week prior to discharge
  • Confirms patient preferences and barriers to care have been identified and addressed in the aftercare plan
  • Works collaboratively with the clinical team to engage, educate, communicate, and coordinate care
  • Ensures Case Managers obtain any applicable signed Release of Information (ROI) forms
  • Conducts a comprehensive review of the CCP with the patient and their support system within one week of discharge
  • Provides weekly supervision and mentoring to all case managers
  • Bachelor's Degree in social work, counseling, nursing or other related field or equivalent combination of education, training, and/or experience preferred
  • Minimum of one (1) year experience working in a behavioral health, substance use or psychiatric field
  • Knowledge of health care, detoxification process, addiction, co-occurring disorders, DSM and ASAM Criteria, and terminology
  • Ability to read and interpret written information; write clearly and informatively; edit work for spelling and grammar
  • Ability to speak clearly and persuasively in positive or challenging situations; listens and asks for clarification
  • Working knowledge of Microsoft Word, Excel, and Outlook
  • 401k
  • health insurance
  • dental insurance
  • vision insurance
  • paid holidays
  • paid volunteer time
  • tuition reimbursement
  • professional development
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