SAMHSA Case Manager

JPS Health Network•Fort Worth, TX
•Onsite

About The Position

The SAMHSA Case Manager coordinates care and services for selected patients with substance use disorders in collaboration with physicians, nurses, and other healthcare team members. The role facilitates care from admission through discharge, helps ensure patients are placed at the appropriate level of care, monitors healthcare resource utilization, and supports discharge planning to achieve clinical, financial, and resource-utilization outcomes. The Case Manager assesses medical, treatment, financial, and psychosocial needs; works with patients, families, and the healthcare team to identify and communicate needs; and helps create and implement patient-centered, multidisciplinary discharge plans. The role also supports ongoing evaluation of care goals, addresses barriers and plan variances, identifies patients at risk of repeat admissions or high utilization, and connects eligible patients with community case management and other network or community resources. The position documents case management activities according to departmental guidelines and contributes to cost-effective care.

Requirements

  • Bachelor’s degree from an accredited school.
  • More than five years of clinical experience in an acute care setting or community-based organization.
  • Current JPS-recognized CPR certification, maintained throughout employment; it may be obtained after hire.
  • Licensed Chemical Dependency Counselor (LCDC).

Nice To Haves

  • Registered Nurse licensure or certification.

Responsibilities

  • Collaborate in developing, implementing, monitoring, and evaluating the case management process.
  • Consult with others on decision-making and problem-solving related to patients’ disease processes.
  • Assess patient needs related to medical diagnoses, treatment plans, financial resources, and psychosocial issues.
  • Collect and analyze information with patients, families, and the healthcare team, and communicate identified needs to team members.
  • Use tools and resources to contribute to a patient-centered multidisciplinary discharge plan.
  • Intervene and collaborate with the healthcare team when variances occur in the discharge plan.
  • Participate in collaborative efforts to evaluate ongoing goal attainment.
  • Develop, coordinate, and implement patient-specific discharge plans, and work with unit team leaders to reduce discharge barriers.
  • Identify and assess patients at high risk for repeat admissions or high utilization.
  • Complete Community Case Management referrals for patients who meet the stated criteria.
  • Document case management processes and related activities according to departmental guidelines.
  • Contribute to cost-effectiveness and efficiency, including awareness of benefit systems and cost-benefit analysis.
  • Serve in a consultative or advisory role to healthcare team members assessing, planning, implementing, monitoring, and evaluating case management plans.
  • Advocate for patients and use problem-solving and collaborative referrals to facilitate access to network and community resources.
  • Perform other related duties as assigned.
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