health care manager

AllHealth Choice

Role OverviewThe Care Manager (LPN) will work under the direct supervision of the Chief Nursing OfficerUnder general supervision and medical oversight, the Care Manager is a licensed clinician responsible for their populations health management to improve individual overall health, reduce risk for significant events, and reduce claims utilization. The Care Manager will focus on relationship building with their members, to establish shared goals and care action plans, identify care gaps, and encourage and coordinate preventative and maintenance care measures, including healthy lifestyle behaviors. The Care Manager will also work with our Enrollment Team to get new members enrolled and onboarded. This is a hybrid position- some remote work and some office work.Key Responsibilities&middot; Shift flexibility required, including evenings, weekend, and holiday work based on business need. Must be able to work independently and be self- motivated. Exceptional assessment skills are essential.&middot; Travel may be required.&middot; Develops rapport with member to establish health and wellness goals and provide custom education, based on level of readiness, biometric data, and health assessment results.&middot; Utilizes assessment skills, health assessment, and claims data to identify preventative and maintenance care gaps and follows Care Paths to develop a Care Action Plan specific to the chronic disease.&middot; Educates and encourages healthy lifestyle behaviors that will improve overall member health.&middot; Triages calls and requests from clients, families, and care givers according to established procedures and coordinates care with providers, other internal departments, and outside agencies.&middot; Provide clinical and basic technical support for telehealth devices and platform.&middot; Coordinates care for an inter-professional, multi-disciplinary approach with providers, pharmacist, registered dieticians, disease-specific experts, and support departments as appropriate, both internal and external.&middot; Effectively communicate with members and families in diverse cultural and age groups to discern deviations/changes in client's condition and activate appropriate measures based on Care Paths, including engaging and referring to providers.&middot; Engages clients through motivational interviewing and health coaching techniques to evoke change behaviors according to approved Care Pathways, company policies and procedures, and standard nursing practice guidelines.&middot; Advocates as a contact person for client, family, healthcare team members, and outside agencies to assure continuity of care and optimal clinical and resource outcomes.&middot; Documents the course of care and all communications in appropriate instances according company policies and procedures.&middot; Adheres to all other company policies and procedures.&middot; Adherence to and compliance with Information Systems security policies and procedures and attends all Information Systems security trainings. Reports information systems security problems according to company policy and as appropriate.&middot; Demonstrates and articulates clear understanding of AHC product offerings, applications, and client differences. Provides clinical support based on assigned level of care, and client specific processes.&middot; Participates in routine productivity and performance reviews, revising workflows as indicated and appropriate.&middot; Must be able to work independently and be self- motivated. Exceptional assessment skills are essential.&middot; Remote working is allowed. A space should be available that allows for absolutely no distractions. Mandatory office days will be required.&middot; Must successfully pass the company technical skills assessment.&middot; Performs other duties as assigned$1000.00 signing bonus after completion of 90 day introductory period.Required Skills and QualificationsEducation/Licensing/Certification:&middot; Current State License and Multistate License as a Licensed Vocational Nurse or Licensed Practical Nurse&middot; Must remain in good standing to be eligible for other state licenses&middot; Must not be on the Medicare OIG exclusion list, verified annually&middot; Current State Driver&rsquo;s LicenseRequired Experience:&middot; Experience in clinical assessment and triage.&middot; EMR (Electronic Medical Record) experience.Knowledge, Skills, and Behavioral Competencies:&middot; Accountability, Optimization, and Execution- Juggles many priorities and competing demands for one's time.- Acts resourcefully to ensure that work is completed within specified time and quality parameters.- Removes obstacles to move the work forward and/or get efforts back on track.- Surfaces problems and issues before projects get derailed.- Demonstrates a &quot;can-do&quot; spirit, a sense of optimism, ownership, and commitment.&middot; Maintains a consistent, high level of productivity.&middot; Takes personal responsibility to make decisions and act.&middot; Does not easily give up in the face of unexpected obstacles.&middot; Projects a positive image and serves as a role model for others&middot; Effective written and oral communications&middot; Proficiency with Microsoft office programs&middot; Maintains proficiency in AHC applicationsJob Type: Full-timePay: From $21.00 per hourBenefits:<ul><li>401(k) matching</li><li>Dental insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: Hybrid remote in Tifton, GA 31794

Care Manager (LPN)

KINGS VIEW

<div>Description 
 
Care Manager (Peer or Paraprofessional 
Location: Hanford, CA 
Position Type: Full-Time | Non-Exempt 
Salary Range: $23.19 &ndash; $24.60 per hour 
 
Join Our Mission 
At Kings View, every role contributes to something bigger &mdash; improving lives and strengthening communities. We are committed to providing behavioral health and social services to those with limited resources, guided by compassion, excellence, and respect. 
 
Position Overview: 
Kings View is seeking a Care Manager (Peer or Paraprofessional) to support Enhanced Care Management (ECM) and Community Supports (CS) programs. This role works directly with members and their support systems to coordinate care, address gaps in services, and promote whole-person wellness. 
 
The Care Manager partners with a multidisciplinary care team to ensure members receive coordinated services across medical, behavioral health, and social support systems, including addressing social determinants of health. 
 
Key Responsibilities: 
 
Care Coordination &amp; Case Management: 
<ul><li>Conduct outreach, engagement, and care coordination for members</li><li>Complete assessments and develop individualized care plans</li><li>Implement and monitor care plans to ensure member needs are met</li><li>Coordinate with healthcare providers, social services, and community resources</li><li>Prevent duplication of services and ensure seamless care delivery</li></ul> 
Member Support &amp; Advocacy: 
<ul><li>Engage members in services and support their recovery and wellness goals</li><li>Advocate for members with healthcare providers and service agencies</li><li>Accompany members to appointments as needed</li><li>Provide education on health promotion and self-management</li><li>Monitor treatment adherence, including medications</li></ul> 
Community &amp; Resource Navigation: 
<ul><li>Connect members to housing, transportation, benefits, and other supports</li><li>Assist with access to services such as SSI, medical care, and veteran benefits</li><li>Coordinate discharge planning with hospitals and providers</li><li>Support members in accessing appropriate levels of care</li></ul> 
Crisis Awareness &amp; Safety: 
<ul><li>Utilize trauma-informed care, motivational interviewing, and harm reduction approaches</li><li>Respond appropriately to high-risk situations and behavioral health crises</li><li>Follow protocols and coordinate with emergency services when needed</li></ul> 
General Duties: 
<ul><li>Maintain accurate documentation and case records</li><li>Collaborate with multidisciplinary teams</li><li>Work flexible hours including occasional evenings and weekends</li><li>Perform other duties as assigned</li></ul> 

What You&rsquo;ll Bring: 
 
Required Qualifications: 
<ul><li>High School Diploma or equivalent</li><li>One (1) year of relevant experience</li><li>Valid California Driver&rsquo;s License (Class C)</li></ul> 

Required Experience: 
<ul><li>Experience working with one or more of the following populations:</li></ul>
 homeless individuals, individuals with serious mental illness (SMI), 
 substance use disorders (SUD), or involvement in the criminal justice system 
 
Required Skills: 
<ul><li>Strong communication and interpersonal skills</li><li>Ability to conduct assessments and develop care plans</li><li>Ability to coordinate services and navigate community resources</li><li>Strong organizational and documentation skills</li><li>Ability to work independently and collaboratively</li></ul> 

Preferred Qualifications: 
<ul><li>Bachelor&rsquo;s Degree (BA/BS)</li><li>Bilingual English/Spanish</li><li>CNA or Medical Assistant experience</li></ul> 

Professional Attributes: 
<ul><li>Compassionate and empathetic</li><li>Adaptable and resourceful</li><li>Strong problem-solving skills</li><li>Ability to work in challenging environments</li><li>Commitment to serving vulnerable populations</li></ul> 

Additional Requirements: 
<ul><li>Must meet insurability requirements if applicable</li><li>Must be authorized to work in the United States</li></ul> 

Pre-Employment Requirements: 
<ul><li>Background check</li><li>Drug screening</li><li>Live Scan (DOJ fingerprinting)</li></ul> 

Work Environment: 
This role involves field-based work and may include travel to homes, community locations, and healthcare settings. Work may occur in varying environmental conditions and requires flexibility, professionalism, and resilience. 
 
Equal Opportunity Employer: 
Kings View is an Equal Opportunity Employer. 
 
ADA Statement: 
Reasonable accommodations will be provided in accordance with applicable laws.</div>

Care Manager (Peer or Paraprofessional)

Volunteer Behavioral Health Care System

Care Manager (Full-Time) &ndash; Cookeville CampusLocation: Cookeville, TN Schedule: Monday to Friday 8am-5pmEducation Required: Bachelor&rsquo;s degree in counseling, psychology, social work, behavioral sciences, or related field.Salary scale based on experience.Job SummaryWe are hiring a full-time Care Manager to provide person-centered support to adults and children. This role helps individuals access medical, behavioral health, social, and community resources following the TN Health Link model. Services are delivered in the office and community.Key ResponsibilitiesDevelop and monitor individualized care plans.Coordinate medical and behavioral health appointments.Connect individuals to community resources (housing, food, employment, legal, etc.).Provide in-person support for treatment and medication adherence.Assist with hospital discharge planning and crisis support.Educate patients and families on independent living skills.Maintain accurate documentation and reports.Work collaboratively with team members, families, and providers.QualificationsBachelor&rsquo;s degree behavioral sciences required (Counseling, Psychology, Social Work, or another related health field).Strong communication, organizational, and interpersonal skills.Ability to work both independently and as part of a multidisciplinary team.Must demonstrate empathy, professionalism, and reliability.Why Join Us?Meaningful work that impacts individuals and families in the community.Supportive team environment.Opportunities for professional growth.Competitive benefits and full-time stability.Job Type: Full-timeBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Health savings account</li><li>Life insurance</li><li>Loan forgiveness</li><li>Paid time off</li><li>Professional development assistance</li><li>Vision insurance</li></ul>Application Question(s):<ul><li>Do you have a bachelor&rsquo;s degree in behavioral sciences (Counseling, Psychology, Social Work, or another related health field)?</li></ul>Education:<ul><li>Bachelor's (Required)</li></ul>Experience:<ul><li>Case management: 1 year (Required)</li></ul>Work Location: In person

Care Manager

Pair Team

<div><h2 class="jobSectionHeader">About Pair Team</h2> 


At Pair Team, we're an innovative, mission-driven company reimagining how Medicaid and Medicare serves the most underserved populations. As a tech-enabled medical group, we deliver whole-person care - clinical, behavioral, and social - by partnering with organizations deeply connected to the communities we serve.

We're building a care model that empowers clinicians and care teams to do what they do best: provide compassionate, high-impact care. At Pair Team, we leverage AI and automation to reduce administrative burden, streamline coordination, and ensure patients receive timely, personalized support.

Our work is powered by a deeply collaborative team of nurses, social workers, community health workers, and medical professionals working alongside product, technology, and operations to close care gaps and improve outcomes for high-need patients.

We're one of the largest Enhanced Care Management providers in California and are on track to build the nation's largest clinically integrated network supporting high-need patients. Our model has demonstrated real impact, including a 58% reduction in emergency department visits and a 29% reduction in hospital admissions.

At Pair Team, were not just delivering care - we're building the future of more equitable, community-driven healthcare. 


Our Values
<ul>
<li>Lead with integrity: We keep our commitments and take responsibility for our actions. We are dependable and choose authenticity over perfection.</li>
<li>Embrace challenges: We leave our egos at the door and step forward into discomfort instead of back into safety. We help each other to learn and provide feedback using candor and kindness.</li>
<li>Break through walls: We go the extra mile for our patients, partners and one another, and we run toward hard things. We are resilient in our push for consistent improvement and challenge the status quo.</li>
<li>Act beyond yourself: We build each other up and respect boundaries. We seek first to understand and assume positive intent.</li>
<li>Care comes first: We hold ourselves to the highest standards for our patients. We are relentless in the pursuit of our mission, and ensure that we are taking care of ourselves in order to care for others.</li>
</ul><h3 class="jobSectionHeader">In the News</h3>
<ul><li>Forbes: For Pair Team, Accessibility Is About Delivering Healthcare To Those Who Need It The Most</li>
<li>TechCrunch: Building for Medicaid's regulatory moment with Neil Batlivala from Pair Team</li>
<li>Axios: Pair Team collects $9M for Medicaid-based care</li>
</ul>
<h2 class="jobSectionHeader"> 
About the Opportunity</h2>

Pair Team is building a team of deeply passionate individuals ready to change primary care operations for those who need it most. We are looking for a highly motivated full-time Lead Care Manager who is willing to think creatively and empathically to help our team change the way people access healthcare.

We seek a full-time Lead Care Manager to play a critical role in our whole-person, interdisciplinary care model, responsible for directly outreaching and engaging with individuals living with Serious Mental Illness/ Substance Use Disorder, experiencing homelessness, and/or those who have high medical needs. We believe in the power of trust and relationships to successfully engage those who may have never received the kind of whole-health care that Pair Team can provide. 

This position primarily allows for remote work; however, it includes 2-3 times a month on-site visits in the community alongside a fellow PairMate. You can expect to engage in these in-person activities 2-3 times per month, close to your city, while the majority of your duties, approximately 90%, will be performed from your home 

<h3 class="jobSectionHeader">
What You'll Do</h3>
<ul><li>Maintain ongoing caseload of individuals through the utilization of evidence based approaches to promote engagement and achievement of health goals</li>
<li>Use relationship-based strategies to support members with social support navigation, understanding that many may have lived personal experiences causing them to be initially hesitant or distrusting of the health care system</li>
<li>Conducts periodic telephonic and SMS outreach to ensure timely follow-up to members</li>
<li>Work with member to identify health/wellness goals and incorporate goals into Health Action Plan/Shared Care Plan</li>
<li>Supports nurse care manager, behavioral health care manager, nurse practitioner and Community Engagement Specialist with delegated tasks</li>
<li>Collaborates on care issues with Enhanced Care Management team by participating in systematic case reviews and consulting with nurse care manager, behavioral health care manager, and nurse practitioner before taking clinical actions</li>
<li>Consistently meet monthly encounter metrics to ensure compliance with health plan regulations</li>
<li>Identify and break down barriers ensuring individuals' continuation with the program</li>
<li>Assists individuals in securing connection to community supports by scheduling appointments, managing referrals, and ensuring timely follow-ups</li>
<li>Coordinate physical care management appointments through collaboration with external and internal providers</li>
<li>Utilize external and internal online platforms to collaborate with team members and carry out daily tasks</li></ul> 

<h3 class="jobSectionHeader">
What You'll Need</h3>
<ul><li>1+ years of general work experience (Case Management preferred)</li>
<li>You are physically located in California
<ul><li>Field Ops requires you to maintain reliable transportation for engagement at clinic, community based organization, and health system partner locations</li>
<li>Virtual Ops requires a quiet, HIPAA compliant and internet connected space</li>
</ul></li><li>Bilingual &ndash; English/Spanish</li>
<li>Strong understanding of cultural fluency</li>
<li>High degree of empathy</li>
<li>Ability to work collaboratively in a multidisciplinary team</li>
<li>An eye for optimization</li>
<li>Organizational skills</li>
<li>Ability to remain patient when faced with adversity</li>
<li>Strong technical skills and comfort with technology innovation, past experience with CRM databases, basic Excel, Word, email, and video conferencing</li>
<li>A valid driver's license and auto liability insurance</li>
</ul><h3 class="jobSectionHeader">Preferred Qualifications:</h3>
<ul><li>Demonstrated professional or personal lived experience working closely with individuals experiencing complex chronic needs, homelessness, or Severe Mental Illness/Substance Use Disorder</li>
<li>2+ years of case management experience</li>
<li>Experience with motivational interviewing</li>
<li>Knowledge of medical terminology</li>
<li>Zest for problem solving, seeking answers, and thinking outside the box</li>
<li>Detail-oriented and organized self-starter who is a rockstar multitasker</li>
<li>Reliable and comfortable in an ever-changing environment</li></ul> 

<h3 class="jobSectionHeader">
Because We Value You</h3>
<ul><li>Salary: $22-$25/hour</li>
<li>Comprehensive health, vision &amp; dental insurance</li>
<li>401k</li>
<li>Monthly $100 work from home expense stipend for your WFH days</li>
<li>Gas reimbursements for your on-site engagement days</li>
Flexible vacation policy <li>- take the time you need to recharge!</li>
<li>We provide all of the equipment needed for the role</li>
<li>Opportunity for rapid career progression with plenty of room for personal growth!</li></ul><div> 
Pair Team is an Equal Opportunity Employer. At Pair Team, we value diversity and strive to provide an inclusive environment for all applicants and employees. All applicants will be considered without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, marital status, age, disability, political affiliation, military service, genetic information, or any other characteristic covered by federal, state, or local law.

Pair Team participates in E-Verify to verify employment eligibility for new hires. 
 
Any offer of employment at Pair Team is conditioned upon passing a pre-employment background check. Following a conditional job offer, candidates will undergo comprehensive employment background checks, including; criminal history, reference checks, and driving records if a role requires vehicle use.

We do not conduct any TA business outside of our @pairteam.com emails. If you're ever concerned about spam or fraudulent activity, please reach out to recruiting@pairteam.com.

Note: Please be aware that while we sincerely appreciate your interest, due to the high volume of requests, we're unable to respond to general position inquiries via email. To apply for a position with us, please submit your application for the role you are interested in. Our team regularly reviews applications and will reach out to candidates whose qualifications align with our current openings listed below. Thank you!</div></div>

Bilingual Case Manager (Remote Flexible, Spanish Speaking)

SECUR Health Plan

<div>
 
 It&rsquo;s inspiring to work with a company where people truly BELIEVE in what they&rsquo;re doing!
 
 
 
 
 When you become part of the SECUR Team, you&rsquo;ll realize it&rsquo;s more than a job. It&rsquo;s a mission. We&rsquo;re committed to providing groundbreaking solutions for our clients' unique needs offering a wide variety of compassionate healthcare choices. Our employees make all the difference in our success!
 
 
 
 Job Summary: The Health Services Member Care Manager is responsible for coordinating and managing the care of members enrolled in SECUR Health Plan. This role involves developing individualized care plans, conducting follow-up member visits, and ensuring members receive appropriate and timely care. The Member Care Manager will work closely with an interdisciplinary team, including the member&rsquo;s Primary Care Provider, to provide comprehensive care and support to members of SECUR Health Plan. The role is member-facing, and the candidate will spend 90-95% of their work time in the field, directly interacting with members to provide care and support. In this role, the Health Services Member Care Manager must assess and make appropriate recommendations regarding the types of care and services that the member requires to improve their health and quality of life. Thorough communication with the interdisciplinary care team is crucial to ensure that all member needs are met, and that care is coordinated effectively to achieve the best possible health outcomes.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Health Risk Assessment (HRA): Completes initial and annual Health Risk Assessment (HRA) meeting all regulatory timeline requirements. Conducts comprehensive evaluation of potential health risks identifying exposure factors, analyzing data, and developing mitigation strategies to minimize health hazards in conjunction with the interdisciplinary team. This requires the RN to utilize their clinical expertise to identify subtle health risks and make informed decisions about the necessary interventions.
 </li>
 <li>
 Care Plan Development: Develops and updates Individualized Care Plans (ICP) based on HRA results and changes in members' medical needs. Incorporates the member's stated goals and desires to ensure that the care plan is personalized and aligns with their preferences and aspirations. The RN must use critical thinking skills to assess the member's condition, anticipate potential complications, and adjust the care plan accordingly.
 </li>
 <li>
 Member Follow-Up Visits: Conducts follow-up visits for members who have recently experienced post-acute discharges, falls, or have been assigned a risk score based on their most recent HRA. Conducts comprehensive assessments that include evaluating the member's clinical history, current medications, physical examination findings, psychosocial needs, functional status, and social determinants of health. The RN must make complex decisions regarding the member's care, considering multiple factors and potential outcomes.
 </li>
 <li>
 Care Coordination: Coordinates follow-up appointments, specialist visits, and other outpatient services for members. Partners with other members of the Health Services Department to stay knowledgeable of the latest member information. The RN must use their clinical judgment to prioritize care needs and ensure timely access to necessary services.
 </li>
 <li>
 Member Engagement: Conducts face-to-face visits with members to discuss care plans, assess progress towards goals, provide education, and ensure adherence to treatment. The RN must use their communication skills to effectively educate members and motivate them to adhere to their care plans.
 </li>
 <li>
 Collaboration: Works with the interdisciplinary team to address members' health concerns and ensure access to quality care. The RN must collaborate with other healthcare professionals, leveraging their expertise to provide comprehensive care.
 </li>
 <li>
 Documentation: Maintains accurate and timely documentation of all member interactions, care plans, and follow-up activities. The RN must ensure that documentation is thorough and reflects the member's condition and care plan accurately.
 </li>
 <li>
 Community Engagement: Engages with community partners and stakeholders to implement comprehensive health program initiatives. The RN must use their knowledge of community resources to connect members with additional support services.
 </li>
 <li>
 Preventative Health Initiatives: Assists in the design and implementation of preventative health initiatives and chronic care improvement programs (CCIP). The RN must use their clinical expertise to identify effective preventative measures and contribute to program development.
 </li>
 <li>
 Educational Materials: Assists in the design and distribution of educational materials and trainings for members and partners within the community to raise awareness regarding health risks and preventative measures. The RN must use their knowledge to create accurate and informative educational content that is consistent with the latest approved clinical best practices and industry standards.
 </li>
 <li>
 Compliance: Adheres to all federal, state, and accrediting body regulations, as well as SECUR Health Plan policies and procedures. Stays up to date on current compliance standards in terms of health and safety regulations, industry standards, and organizational policies. The RN must ensure that all care provided meets regulatory requirements and standards.
 </li>
 <li>
 Audits and Inspections: Assists in periodic audits and inspections to identify potential member non-compliance issues in facilities and promptly reports to leadership and members of the Interdisciplinary Care Team (ICT) for intervention. The RN must use their attention to detail to identify compliance issues and take appropriate action.
 </li>
 <li>
 Care Management and Chronic Condition Management Programs: Identifies, suggests, and collaborates with the interdisciplinary care team (ICT) on appropriate care management and chronic condition management programs that might benefit the member offered through SECUR Health Plan. The RN must use critical thinking and assessment skills to piece together data from various sources, aligning recommendations with the member's needs and ensuring they are enrolled in the most suitable care management program. This involves analyzing the member's health status, identifying potential gaps in care, and recommending programs that will enhance their overall health outcomes.
 </li>
 <li>
 Collaboration with Primary Care Physician: Collaborates with the Primary Care Physician on HCC gap closures, essential charting components, and the overall clinical picture of the member. The RN must use high-level problem-solving skills to understand and address HCC codes, ensuring that all gaps in care are closed and the member's clinical picture is accurately documented.
 </li>
 <li>
 All Other Duties as Assigned
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 <ul>
 <li>
 Licensure: Active, unencumbered, unrestricted Registered Nurse (RN) license.
 </li>
 <li>
 Experience: Minimum of 2 years of experience in case management, care coordination, or a related field. This includes bedside and hands-on nursing experience with geriatrics, high-risk conditions, and other complex medical needs. The candidate must demonstrate proficiency in managing the care of elderly patients and those with chronic or high-risk conditions, utilizing their clinical skills to provide effective and compassionate care.
 </li>
 <li>
 Skills: Excellent communication skills, both written and oral. Strong organizational skills and the ability to manage time effectively. Ability to critically evaluate data, interpret findings, and draw meaningful conclusions.
 </li>
 <li>
 Team Collaboration: Ability to work collaboratively with an interdisciplinary team to provide comprehensive care.
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Certifications: Certified Case Manager (CCM) or equivalent certification.
 </li>
 <li>
 Experience: Experience working with diverse populations, including those with chronic health conditions.
 </li>
 <li>
 Technology: Proficiency in using electronic health records (EHR) and care management software.
 </li>
 <li>
 Bilingual: Spanish fluency is preferred. The ability to communicate effectively with Spanish-speaking members is highly valued and will enhance the quality of care provided.
 
 
 </li>
 </ul>
 
 Reports To: Director of Health Services
 
 
 
 
 Compensation Pay Range
 
 
 
 $76,133.58 - $118,958.71
 
 
 
 This position requires consent to drug and/or alcohol testing after a conditional offer of employment is made, as well as on-going compliance with the Drug-Free Workplace Policy.
 
</div>

Health Services Member Care Manager SECUR

The University of Kansas Health System

<div><div><div><div><div><div><div><div><h1 class="jobSectionHeader">Position Title
</h1></div></div></div></div></div></div></div>PRN Behavioral Health Case Manager
Strawberry Hill Campus
<h2 class="jobSectionHeader">Position Summary / Career Interest:
</h2>The Behavioral Health Case Manager is responsible to provide care/service safely and efficiently for a full range of services to patients of all ages and their families. Primary role is to collaborate, communicate and facilitate coordination of services during and post-hospitalization as established by the behavioral health care team and executed by the case manager.
Responsibilities and Essential Job Functions
<ul><li>Must be able to perform the professional, clinical and/or technical competencies of the assigned unit or department.
</li><li>Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice. Follows policies, procedures, and standards. Assumes responsibility for risk and safety issues associated with the position. Takes call as required by the department expectations. Performs job specific responsibilities and demonstrates accountability for own actions and decisions.
</li><li>Acquires and maintains knowledge and competence related to the expectations of their position and practices within their scope. Brings ideas and concerns to supervisor, participates in department decision making. Maintains current licensure.
</li><li>Initiates and participates in family conferences to determine psychosocial and discharge planning needs.
</li><li>Completes psychosocial assessments of patient/family situations including social, psychological, emotional, financial and other related factors to facilitate patients return to the community.
</li><li>Utilizes social work assessment and input from other team members to formulate realistic recommendations for social work action plan while patient is hospitalized and formulate and execute an appropriate discharge plan.
</li><li>Locates community resources and connects patient with resources to assist in their living situation
</li><li>Assists in determining financial concerns including insurance and assists in application for social security benefits (such as SSD, SSI or any other applicable social security benefits) as well as application for Medicaid/Medicare if appropriate.
</li><li>Responsible for understanding various State Waivers, qualifications for each waiver and how to assist patients in determining eligibility and obtainment of waiver services.
</li><li>Connects patient with Community Mental Health or other agencies or private providers to provide:Psychiatry follow-up appointments
</li><li>Psychotherapy and Expressive Arts therapy appointments,
</li><li>Intensive Case Management (Outpatient)
</li><li>Other social services such as substance abuse treatment, support groups (various subjects), etc.
</li><li>Coordinates community placement for appropriate post-hospital discharge planning and coordination if patient needs a community placement such as a group home, sober living arrangement, Mental Health Nursing Home or other placement that would be deemed most appropriate to the patient&rsquo;s needs and safety.
</li><li>Advocates on behalf of patients and caregivers for identification and access to services. Advocates for the protection of the patient's health, safety and rights. Ensures patient choice and consistently supports a patient centered environment.
</li><li>Documents appropriate information in the patient&rsquo;s medical record to ensure communication of patients&rsquo; psychosocial needs during inpatient stay and post discharge care
</li><li>Documentation includes initial contact note
</li><li>Documentation includes psychosocial assessment of patient/family including previous living situations.
</li><li>Documentation includes daily telephone calls and meetings with significant others and allied professionals.
</li><li>Documentation includes all family and/or discharge planning conferences.
</li><li>Documentation of all patient encounters shall be completed within 24 hours of the date of service.Contributes to the financial viability of hospitals.
</li><li>Works in partnership with the treatment team to ensure timely patient discharge.
</li><li>Utilizes established procedures and appropriate resources in working with third party payors to ensure safe and timely discharge.
</li><li>Participates in the case management activities at assigned site/service.
</li><li>Demonstrates flexibility and teamwork among case management staff members.
</li><li>Assists peers in the event of fluctuating census.
</li><li>Provides coverage to other services as needed or as requested by Manager
</li><li>Participates in interdisciplinary team meetings as needed
</li><li>Other duties as assigned by Clinical Manager.
</li><li>Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
</li>These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required. 
<li>
</li></ul> 
Required Education and Experience
Master's Degree 
<ul><li>
</li></ul> 
Required Licensure and Certification
<ul><li>Master&rsquo;s level Licensure with the Behavioral Sciences Regulatory Board as one of the following:
 
Licensed Professional Counselor (KS)
 
Licensed Master Social Worker (KS)
 
Licensed Marriage and Family Therapist (KS)
</li>State of Kansas Social Work license 
<li>
</li></ul> 
Knowledge Requirements
<ul><li>Ability to proficiently read and document in electronic medical record required.
</li></ul><h2 class="jobSectionHeader">Time Type:
</h2>Part time
<h2 class="jobSectionHeader">Job Requisition ID:
</h2>R-51434
<h3 class="jobSectionHeader">Important information for you to know as you apply:
</h3><ul><li>The health system is an equal employment opportunity employer. Qualified applicants are considered for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, ancestry, age, disability, veteran status, genetic information, or any other legally-protected status. See also Diversity, Equity &amp; Inclusion .
</li><li>The health system provides reasonable accommodations to qualified individuals with disabilities. If you need to request reasonable accommodations for your disability as you navigate the recruitment process, please let our recruiters know by requesting an Accommodation Request form using this link asktalentacquisition@kumc.edu .
</li><li>Employment with the health system is contingent upon, among other things, agreeing to the health-system-dispute-resolution-program.pdf and signing the agreement to the DRP.
</li></ul><h2 class="jobSectionHeader">Need help finding the right job?
</h2>We can recommend jobs specifically for you! Create a custom Job Alert by selecting criteria that suit your career interests.</div>

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