Job Title: Case Manager
Location: Detroit- In Person
Salaried
Full Time- 8:30am-5pm
Overview of Responsibilities:
Under the direction of the supervisor of the division assigned, the case manager works to directly provide high quality care to NSO clients by assessing, coordinating, planning, and implementing client centered care plan to achieve positive outcomes; coordinate the interdisciplinary care team (IDT) by connecting members of the team to ensure clients services and benefits are maximized while improving client satisfaction, compliance with treatment regimen, medication adherence, access to benefits, stable housing, referrals, entitlements, and reducing ER utilization, inpatient admissions, and overall cost of care.
Education, Licensure and Experience Requirements:
Required Qualifications:
- A bachelor’s degree in a Human Services Field
- 2 or more years of community based in mental health as a licensed professional, case manager, or community psych nurse
- 1+ years of recent experience with a mental health/behavioral health clinical experience
- New Graduates in Social work are welcome. Limited Licensures candidates, candidates will need to be eligible to sit for licensure and pass within 24 months of employment social work, or a minimum of (5) eligible limited licensure renewals.
Essential Job Duties:
Case manager is defined based on division assigned. Based on area assigned, the case manager may create a case plan, or a patient centered care plan known as an Individualized Plan of Service (IPOS). Regardless of the area assigned, case managers are expected to support a diverse client population through an interdisciplinary approach to ensure clients receive appropriate treatment, education, advocacy, housing, supports and referrals to resources they need to achieve positive physical and mental health outcomes as follows:
- Completes case management workflow per identified process and documents timely within the electronic medical record within policy identified timeframes.
- Assesses referrals to identify patient/significant others’ needs, level of intensity, insurance benefits and other patient resources.
- Make in-person face -to-face encounters (visits) in the clients home, office, or virtual calls to assess members current health status and engage client
- Completes all documentation including required assessments, case plans or IPOS, within required time frames, per policy and procedure.
- Collaborates with appropriate key individuals to participate in the case plan or IPOS process and continues to involve and communicate as needed to ensure best possible outcomes for client.
- Identifies gaps or barriers in the case plan or IPOS treatment plans
- Initiates patient focused case plan or IPOS, coordinating services, appointments and care within required time frames and as needed
- Make appropriate client centered referrals to outside sources as needed to resolve barriers to access, social determinants of health or benefits
- Assesses the educational needs of clients, families and members of the health care team and provides, develops and implements appropriate teaching strategies or makes appropriate referrals.
- Provides client education to assist with self-management as needed based on case plan or IPOS; and delivers clinical support to members across a wide array of health topics and conditions
- Provides ongoing monitoring of clients progress toward treatment goals and objectives via ongoing face to face contact as directed by the Person-Centered Plan of Service
- Promotes high-quality care through adherence to quality standards for documentation, case management process and client satisfaction
- Collaborates with specialists, physicians, and medical/clinical directors (for both physical, behavioral health and substance abuse) to coordinate inter-disciplinary care team, and attends any necessary on or off-site meetings to ensure patients care is seamless
- Reviews reporting for trends and data in compliance, medication adherence, outreach failures, er utilization, and/ but not limited to inpatient admissions, and provides ongoing monitoring of client
- Ensures client is compliant with treatment plan, provider visits and medication regimen; fosters and promotes self-care management and independence in the client’s care.
- Facilitates and supports client compliance with appointments with provider, clinic, and therapist interactions as needed
- Maintains updates and contact with client following inpatient admission and/or ER visit to reduce risk for readmission and further ER utilization
DISCLAIMER MESSAGE: The above elements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities and duties of personnel so classified, or a contractual commitment, and NSO retains the right to amend or revise this job description at any time.
NSO is an Equal Opportunity Employer and is committed to excellence through diversity and considers candidates without regard to sex (including pregnancy related conditions) genetic information, race, color, weight, height, religion, nation, origin, citizenship, age, disability, martial or veteran status, misdemeanor arrest record, sexual orientation, transgender status or gender identity or any other legally protected status
