Job Description
Job Description
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Base Pay : $21.50 - $32.25 / hourJOB SUMMARY
Provide case management services for patients with complex health and social issues. Including individuals who are unsheltered, have a substance use or mental health diagnosis or are high utilizing Medi-Cal and Medi-Medi beneficiaries. The Enhanced Patient Services Case Manager will support accessing and linking patients to resources in the community. The Case Manager is responsible for enrolling appropriate participants, assessment, making appropriate referrals, appointment setting, and monitoring / reporting patients’ progress and needs, patient empowerment and utilization review and fieldwork The Case Manager will work closely with the patient’s medical team, community non-profits, hospitals and health clinics to coordinate access to primary health care. The Case Manager will also be responsible for following SCHC protocol and practices around billing, documenting case notes, and entering data regarding patient’s progress in required Case Management system. This position is responsible for working with individuals with complex health and psychosocial needs. This position is responsible for working with patients in housed and unhoused settings and in a variety of program settings, including Medical Respite.
JOB DUTIES AND RESPONSIBILITIES
- Performs a variety of services related to the case management of patients
- Reviews daily referrals; meet with clients in order to obtain program consent, administer required assessments, and review client’s care plan, medical follow-up and psychosocial needs.
- Work collaboratively with patient’s medical team
- Identifies needs of patients and draws from a comprehensive bank of community resources
- Follows an assessment protocol in order to assess the needs of patients
- Respects and values the patients in showing sensitivity to issues of diversity, ethnicity, gender, sexual orientation, age and disability
- Engages the patient in the development of a service plan tailored to meet the patient’s unique needs, circumstances, and preferences as determined through assessment
- Assist client in establishing individualized health goals, identifying potential problems / barriers; provide health education resources. Provide advocacy for client and monitor client’s progress.
- Coordinate logistics for health goal adherence
- Supports patient with creating a continuum of care plan to meet their physical and social needs.
- Educates the patient to make informed choices; maintains client records that include assessment plans, and case notes that are comprehensive and up-to-date
- Coordinate with Community and County Agencies involved with the homeless population
- Participates in interdisciplinary treatment team and supports patient’s ability to communicate his / her needs effectively
- Attend community meetings, as approved by supervisor
- Supports patients with transitions of care
- Document all clinical support tasks to meet data collection requirements
- Participates in Street Medicine as part of a multidisciplinary team
- If current on Medical Assistant Certification, may perform clinical duties within scope of practice.
- Other duties as assigned
KNOWLEDGE, SKILLS, AND ABILITIES
Knowledge of mental illness issues and sensitivity towards issues of diversityAbility to work independently and as part of a teamCan express the mission of the Medical Respite program to other staff, patients, and to the broader communityKnowledge of adult learning theories and group dynamicsAbility to work in a variety of settings, including fieldwork in the community.Ability to manage a complex case loadExcellent verbal and written communication skillsComputer literacyStrong organizational skillsAbility to effectively present information, respond to questions, and generally communicate clearly and respectfully with participants, coworkers, other agencies and companiesComfortable discussing sensitive health issues with clientsStrong interpersonal skills. Ability to work with people with a variety of backgrounds and educational levels both in person and on the phoneGood judgment, problem solving and decision-making skillsAbility to uphold client confidentiality with the utmost professionalismAbility to travel to other offices and community locationsSupport patients in a non-judgmental way.Ability to complete CPR certificationEDUCATION & EXPERIENCE
High school diploma or equivalentCurrent CA Driver’s LicensePREFERRED QUALIFICATIONS
Two-Year Associate Degree or equivalent experience in Case ManagementExperience working with the homeless populationPrevious experience working in an outpatient clinic, doctor’s office, or programs for mentally ill, SUD clientsKnowledge of harm reduction practices or theoriesKnowledge of Housing First principlesCurrent CPR CertificationBENEFITS
Competitive WagesMedical InsuranceDental InsuranceVision Insurance403 (b) Retirement Plan with matching employer contributionLong-term Disability coverageAccidental Death and DismembermentLife InsuranceFlexible Spending AccountPaid VacationPaid HolidaysCME with stipendEmployee Assistance ProgramJury Duty PayBereavement PayHealth Club Membership DiscountsPrescription Discount Program529 College Savings PlanEducational ReimbursementFree subscription based App for Meditation and SleepFree Teledoc service for benefit eligible employees