The employee will be directly responsible for managing a caseload of individuals with chronic physical health, mental/behavioral health, and social needs. Coordinate comprehensive medical and behavioral health care for patients with chronic conditions through care coordination and integration that assures access to appropriate services and improves health outcomes. The primary goal of the employee will be to assist individuals in reducing avoidable emergency room visits and hospital admissions through the provision of care management services. Services will be provided to the individual through linkage and referral to appropriate community services. Coordinate services with community providers, hospitals, and family members. Complete comprehensive assessments, develop with the client care plan goals. Monitor and document services provided and progression of goals. Capture engagement of clients in detailed progress notes. Make referrals to community and social support services. Offering prevention and wellness support services.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Job Type
Full-time
Career Level
Mid Level