% of Time

Essential Function

50%

Provides Case Management services. Under the direction of the Supervisor, Case Management Department, the Behavioral Health Case Manager will:

·        Collaborate with other members of the Case Management team to provide information and support for members in addressing barriers to health.  Examples of consultative areas include but are not limited to benefit assessment and linkage, psychosocial assessments and linkage and assisting and advocating for staff, members and families with community resources and planning case conferences.

·        Provide case management support to members with high risk or complex psychosocial problems through community and home-based visits and telephonic support.

·        Support members with Mental Health or Chemical Dependency inpatient hospitalizations in obtaining outpatient follow up care.

·        Provide linkage to appropriate community resources, referral to appropriate care services, and communicate with providers in order to reduce health disparities and improve health care outcomes.

·        Acts as an advocate for members to assure access and service delivery across the continuum of care and community resources.

·        Develops and implements targeted initiatives based on knowledge and expertise.

·        Meet regulatory and agency policy and procedures related to the practice and documentation of case management activities.

·        Demonstrate strong interpersonal skills in order to handle difficult situations in a professional and courteous manner.

·        Handles confidential information in accordance with HIPPA, state and federal confidentiality rules.

·        Provide oversight of outreach staff related to provision of support to members on a case by case basis.

20%

Consultation

·        Collaborate with Health Home Care Managers and member to review Plan of Care and guide the implementation of Home and Community Based Services for the member.

·        Collaborate with providers as needed for the coordination of needed care and services

20%

Communication

·        Interacts, as appropriate, with other internal and external agency staff.  Attends team meetings, trainings, and other functions, as assigned by manager.

·        Presents and expresses information in an organized, understandable and complete manner. 

·        Able to positively influence others.

10%

Reporting and Back Up

·        On a monthly basis, review charts for regulatory compliance and address errors/omissions.

·        Assist supervisor in the collection and reporting of metrics for reporting to internal/external entities, as needed.