Case Manager (TRO)

SUMMARY:

The Case Manager is a front-line health worker who helps connect substance use disorder (SUD) patients to other recovery support services within their community.

This role will work directly with patients and as an advocate, to support their treatment goals and address Social Determinants of Health (SDoH) before completing their treatment program. Case Managers will help get patients connected with local resources during and after treatment.

ESSENTIAL RESPONSIBILITIES AND TASKS:

• Work with a team of health professionals to support patients during treatment and coordinate resources before completion of their treatment program.
• Conduct non-clinical assessments to identify barriers to recovery (including, but not limited to housing, legal, food, transportation, employment, etc.) and support patients in setting goals and action plans using motivational interviewing.
• Identify early warning signs of psychosocial crises related to certain behaviors, emotions, or situations that may cause distress to the patient.
• Coordinate and attend patient care meetings to review progress and next steps when intervention is needed.
• Coordinate with clinical and medical staff for appropriate interventions and referrals.
• Act as a liaison between the patient, internal, and external healthcare team and providers.
• Assist patients with accessing and maintaining public benefits (including, but not limited to insurance, SNAP, SSI, state ID, etc.), and track application progress attaining these benefits.
• Keep an updated list of local community services and resources.
• Develop and update personalized service plans that align with counselor treatment goals, and include comprehensive discharge and aftercare planning.
• Support and coordinate smooth transitions for patients requiring different levels of care within internal programs or external agencies.
• Coordinate care by communicating with other service providers (including, but not limited to primary care provider (PCP), mental/behavior health, dental, urgent care, court dates, job interviews, counseling, etc.), and assist with setting up outpatient or telehealth appointments.
• Ability to travel between work locations as needed.
• Conduct services with cultural humility and trauma-informed care principles.

• Build and maintain positive working relationships with individuals and organizations in the recovery community.
• Participate in team meetings, case conferences, work groups, committees, trainings, and applicable community organized events.
• Accurately document all patient interactions in agency systems and support data collection for program reporting.
• Consistent attendance and punctuality are required of this position.
• Achieve outcomes using methods that align with CODA’s mission and values:

• Communicate accurately and positively about recovery and the use of evidence-based treatments.
• Use data and science to identify barriers, overcome obstacles, and inform decisions.
• Be financially responsible; avoid waste, document accurately, seek new opportunities to serve.
• Demonstrate compassion and respect for others

REQUIRED EDUCATION AND EXPERIENCE:

• High School Diploma / GED
• A minimum of 1 year experience in a similar or closely-related role preferred.

COMPETENCIES AND SKILLS:

• Adhere to regulatory requirements and maintain professional, ethical and behavioral standards of conduct.
• Ability to be attentive to and identify high risk situations, communicating with the appropriate channels in a timely manner.
• Ability to intervene in such a way that demonstrates sensitivity and respect while keeping a clear line of communication between supervisor and treatment team.
• Ability to demonstrate a non-judgmental and respectful attitude with patients at all times.
• Ability to establish rapport quickly, maintain appropriate boundaries, and remain nonjudgmental to patients.
• Ability to utilize both oral and written communications skills to effectively communicate with patients, co-workers, community resources, supervisors, and various other individuals encountered in the course of performing work while maintaining patient confidentiality and establishing professional rapport.
• Ability to maintain professional communications and boundaries while managing complex situations and interacting with individuals diagnosed with substance use or co-occurring conditions.
• Ability to operate a computer, utilize basic MS Office programs, and effectively navigate and maintain patient records in an electronic medical records system.

REQUIRED CERTIFICATIONS AND LICENSES:

• Peer Support Specialist (PSS) certification within 30 days of hire.
• May be required to attain a Basic Life Support (BLS) certification or ability to acquire within 90 days of hire.
• Crisis prevention certification (such as CPI) within 90 days of hire.
• A current Oregon or Washington driver’s license.

PHYSICAL DEMANDS:

• If BLS Is required, must be able to perform Basic Life Support for 15 minutes continuously and maintain BLS certification.
• Must be able to lift up to 25 lbs.
• Must be able to follow infection control practices and safely work in patient-focused environment.
• Must be able to negotiate a staircase, reach, and handle objects.
• Must be able to sit for extended periods of time
• Must be able to operate a personal computer for extended periods of time

OTHER REQUIREMENTS:

• A negative result on all pre-employment, reasonable basis, and post-accident drug screens.
• An acceptable criminal record as determined by DHS, the Oregon Administrative Rules, and the Oregon Revised Statutes.
• An acceptable driving record and automobile insurance coverage as recommended by CODA’s automobile insurance provider.