TITLE: Case Manager, Behavioral Health RESPONSIBLE TO:Regional Leadership WORK AREA:Outpatient sites and Community
SUMMARY:The Case Managers primary role, under the direction of Regional Leadership and the Case Manager Supervisor, is to provide support and coordinating services based on client needs and treatment plans. The case manager will actively engage in a professional, collaborative process to support our clients' mental and physical health needs. As a Case Manager, you will assess, plan, implement,coordinate,monitor,advocate,andevaluatetheoptionsandservicesrequiredtopromote health, quality, and cost-effective outcomes for our clients, ensuring patient safety and adherence to quality care standards.
Inthisrole,youwillworkcloselywithothercareteammemberstoplan,link,advocate,coordinate, and monitor client care. This collaboration will help clients access a wide range of resources, including but not limited to health services, financial assistance, housing, employment, education, and social services. The Case Manager is also responsible for successfully managing their caseload and communicating with the treatment team as it relates to Case Management across various disciplines.
BLOODBORNE PATHOGEN CATEGORY I:Taskswithactualblood/bodyfluidexposureare not included in this position’s duties as the job requires therapeutic counseling only.
DUTIESANDRESPONSIBILITIES Day-To-Day Responsibilities
- Actasaliaisonbetweenthetherapist,othercareteammembers,client,andclient'sfamily to coordinate the best care.
- Arrangefamilyvisits,coordinatetransportation,andensureclients'needsaremet.
- Maintainclearandongoingcommunicationbetweenthefamily,referralsource,andPath Behavioral Healthcare.
- Attendcourthearingsasappropriate.
- Ensuredocumentationandbillingadheretopolicy,PathBehavioralHealthcarestandardsof practice, and all applicable compliance standards within the EHR system.
- Maintaincompliancewithchart/documentationauditcriteria,billingreviews,andPhase System of Care requirements.
- Attendsupervisoryandteammeetings;presentaccuratecasemanagementreportsreflecting services provided and clients' responses to treatment.
- Facilitateindividualandgroupmeetingsasassigned.
- Serveonagency qualityassurance orothercommitteesasassigned.
- Facilitatethefurtherdevelopmentofdailylivingskillsifidentifiedbytheclientand/or parent or guardian.
- Addressandresolveclient/guardianconcernsinatimelymanner.
- Oversee the implementation of the individual plan of service, supporting the client's aspirations,goals,anddesiresforoptimizingindependence,promotingrecovery,and developing and maintaining natural support systems.
- Ensureongoingclientparticipationindiscussionsoftheirplans,goals,andstatus.
- Identifyandaddressgapsinservice,aswellasmonitorunderandover-utilizationof authorized services.
- Identifyandassistinbusinessdevelopment/referralsourcecommunicationandcollaboration efforts.
- Coordinateandassisttheclientincrisisinterventionanddischargeplanning,including community support systems following hospitalization.
- Maintainanorganizedpracticeandschedule,beatworkontimeandreadytowork,and leave work at the completion of client care responsibilities.
- Reduceclientreschedulingbyinformingtheappropriatepersonoftimeoffwork.
- MaintainstrictcompliancewithHIPAAguidelines,confidentialityagreements,billingand coding guidelines, and company policy.
- Maintainademeanorofpositiveprofessionalismandserveasamodelforothersto exemplify the mission and vision of Path Behavioral Healthcare.
