Case Manager

MINIMUM QUALIFICATIONS:

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Current West Virginia Social Work licensure.

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Facilitates referrals of patients to providers.
2. Takes crisis calls and works outcomes for patients.
3. Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed.
4. Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse.
5. Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation.
6. Participate in multi-disciplinary health care teams.
7. Acts as a liaison with community agencies and resources.
8. Arrange, procure, and coordinate patient/family pre and post hospital needs.
9. Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards.
10. Assisting in obtaining prior authorizations from third party carriers.
11. Working with the units in securing beds for admission.
12. Preparing or assisting in the preparation of discharge letters.
13. May schedule MRI’s, PET’s, and other imaging procedures.
14. Works with discharge planners and consult team to secure appointments.
15. Schedules new patient visits per established protocols.
16. Meets with patients face to face as needed to resolve crisis situations.
17. Assists Residents/front desk staff with resolving scheduling problems.
18. Covers messages and work ques for providers that are out of the office.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift.
2. Ability to sit for extended periods of time.
3. When working on inpatient units must be able and willing to participate in physical restraint of patient if needed.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Standard office environment & clinical environment.

SKILLS AND ABILITIES:

1. Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services, ie patient assistance programs, Medicaid, and welfare services.
2. Must have the ability to be able to work closely with patients, families, physicians, psychologists, social workers and other members of the treatment team to develop individual and departmental treatment goals.
3. Must be knowledgeable and able to access many different types of services.
4. Must have the ability to assess and treat individuals with behavioral health and mental illnesses.