Job Details

Job Description

JOB SUMMARY:
To provide a comprehensive approach to case management inclusive of all aspects of the patient's stay including, but not limited to the following key functions: discharge planning and execution of the discharge plan; ensuring proper utilization management requirements of payers are met.

CERTIFICATION & LICENSURE REQUIREMENTS
Driver's License upon hire.

ADDITIONAL REQUIREMENTS

• Use of usual and customary equipment used to perform essential functions of the position.
• Must have control over personal use of all mood altering chemicals and behaviors.
• If recovering from an addiction, must currently have a minimum of 2 years of uninterrupted recovery

SKILLS AND KNOWLEDGE
Required English Skills Advanced reading skills Advanced writing skills Advanced oral skills Communication Skills Ability to respond appropriately to customer/co-worker Interaction with a wide variety of people Maintain confidential information Ability to communicate only the facts to recipients or to decline to reveal information Ability to project a professional, friendly, helpful demeanor Computer Skills Basic computer knowledge: Uses word processing, spreadsheet, e-mail application, and web browser. Comfortable within a Windows OS and learning new applications.

ESSENTIAL FUNCTIONS:

• Performs and executes discharge planning * Develops sound and reliable discharge plans incorporating risk for readmission assessment in discharge needs and support structure* Includes all stakeholders in the discharge plan to ensure plan is sound and fully communicated* Participates in multidisciplinary rounding process as requested* Works collaboratively with all caregivers in the continuum of care to ensure sound and timely discharge plan* Demonstrates strong understanding and mastery of community resources* Possesses strong discharge planning assessment skills* Communicates well and frequent with patient and family* Works collaboratively with nursing and other members of the care team, to ensure issues that Case Management identifies, are included in the plan of care* Organizes and leads multidisciplinary care conferences as necessary to facilitate plan of care progression.* Ability to identify barriers to transportation and assist with getting patient transportation to appointments* Provide ongoing recovery support service to ensure patient arrives and is engaged by intake staff, and ensure that patient remains engaged in treatment overtime - helping the patient navigate stages of change and practical considerations.* Work with insurance provided transportation programs to ensure transportation* May be responsible for transporting patients to appointments
• Ensures Patients receive comprehensive services: Assists the interdisciplinary treatment team in patient assessment for appropriateness of treatment services. * Is knowledgeable and capable of working with patients who present a dual problem, Co-Occurring Substance Use and Mental Health Disorder. * Provides that all patient contact and interaction is based upon inherent dignity, individuality, culture and beliefs of each patient. Patient care is provided in a compassionate, humane, and non-enabling manner.* Participates in interdisciplinary clinical staffing or ensures pertinent information is provided to team* Demonstrates Motivational Interviewing skills when working with patients. * Demonstrates ongoing assessment for next level of care and actions to move patient to appropriate level * Is knowledgeable in understanding of addiction, signs of overdose, and administration of naloxone products.* Ability to educate patient and family in opiate use and administration of naloxone products.* Ability to provide consultation with patient, family, insurance provider, and treatment providers to confirm recommended course of treatment is covered and/or affordable.
• Assist in facilitation of services, based on quality initiatives and documentation in EMR.* Ensures accurate documentation* Collaborates with Certified Peer Recovery Specialist and Data Analyst to ensure documentation is present to supports warm hand off.* Documents all Discharge Planning components accurately in EMR* Assist with documentation in EMR to support quality initiatives* Assist with audits for medical necessity documents as requested.

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