Kansas Works Veterans Jobs

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/13145653

Job Purpose:

The Case Manager is responsible for assessing patients needs and working with counselors and other care providers to design treatment plans, set up referrals and choose the most suitable resources for a patients specific mental health needs. The case manager will also be responsible for follow up and documenting progress on each patient. This position will also develop and provide behavioral health education to individuals, groups and the surrounding communities and conducts limited community assessments.

Patient-Centered Medical Home Essential Functions:

Patient Population Management:

• Prepares patients reports in a timely objective manner, documenting all activity and communication by providing a comprehensive written report as required by company guidelines.
• Reviews reports daily (Manage Clinic Schedule to help coordinate care for the patients coming in for various services).
• Contacts all unreached patients to confirm that the patient will be present at his/her appointment.
• Assists patients in navigating the health care system. Coordinates specialty care, follows-up on test results and other care coordination needs.
• Evaluates ongoing patient progress and documents in EMR.
• Maintains and coordinates data with our Quality Department to support the various Behavioral Health Programs (BHC/Integrated Care, MAT, and Psychiatry).
• Works closely with the entire Behavioral Health team, providers (PCPs, LMSWs/LSCSWs, BHCs), medical assistants and other departmental care coordinators to provide the best care for the patient.
• Reviews data reports and reporting to the various department meetings on various measures\ \

Care Coordination:

• Reviews the initial evaluation/assessment of client to determine rehabilitation plan and goals. Initial evaluation to include medical history, vocational/educational history, behavioral/psychosocial/motivational status, financial status, with plan/recommendations for rehabilitation services to reach suitable goals.
• Develops, implements and carries out comprehensive case management plans through a collaborative process of assessment, planning, facilitating and advocacy (in conjunction with the clients physician) that are specific and tailored to a clients individual needs.
• May assists in developing effective therapeutic approaches to client care.
• Provides case management services as indicated by the circumstances of the case. Such services include meeting or corresponding with physicians and treatment providers as necessary to obtain medical recommendations, making appropriate recommendations to facilitate and coordinate treatment plan as indicated.
• Monitors ongoing client needs through the continuum of care including additional local, regional, and national resources as needed and updates/modifies case management plans appropriately.
• Reviews care plans and adds this information to huddle sheets as needed to support the BHC.
• Refers patients to necessary outside resources to help support his or her various needs. Help enroll Kansans in Medicaid, Medicaid CHIP, and SSA benefits, as needed.
• Complies with all applicable federal, state, local and clinic rules, regulations, protocols and procedures.
• Complete all required documents for Early Detection Works (EDW)
• Obtain appropriate signed consent forms from client to protect clients confidentiality.
• Provide an overview to client of program goals/objectives for client care and program rules and client obligations.
• Define specific goals and objectives for each group session.
• See that treatment plans have specific meas rable goals and objectives and are individualized foreachclient that meets that persons own needs and personal goals.
• Coordinate with treatment team the referrals to 12-step groups/sponsors, other self-help groups, placement with therapist, MD, etc., for follow-up care/evaluation when necessary.
• Assists with group therapy and other tasks as directed by the Director of Behavioral Health.\ \

Self-Management Support:

Provide self-management support to patients by providing self-management tools and encouraging patients to self-manage and promote healthy behavior changes.

Documents when self-management support tools are used or provided to patient.

Conduct public education outreach activities, in the form of health fairs or otherwise, to raise awareness about services at HealthCore Clinic.

Helps support and market various Behavioral Health Program groups such SFP (Strengthening Family parenting classes, Psycho/social therapy groups, Anger Management, Drug and alcohol use education courses, and other integral key components.

Completes and keeps an updated binder of all