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CASE MANAGER

  • Nursing - CMA - Care Manager
  • Poplar Bluff

MISSOURI HIGHLANDS HEALTH CARE

CASE MANAGER (Non-Exempt)

JOB DESCRIPTION

 

POSITION IDENTIFICATION

The Case Manager will be directly supervised by the Clinic Manager.

 

GENERAL DESCRIPTION

The case manager is responsible for providing referrals of patients for testing and further care by specialist. Purpose of this position is to track and follow up in a timely manner on patient referrals to outside agencies. Provide care coordination and health education to patients who receive primary, dental, and/or behavioral health care at MHHC, including but not limited to eligibility assistance.

 

QUALIFICATIONS

  • BLS – Basic Life Support, required.
  • Two years’ experience in an ambulatory setting with at-risk patients, preferred.
  • Knowledge of available community resources and the ability to evaluate resources and make appropriate referrals.
  • Knowledge of obtaining authorization forms from insurance companies.
  • Knowledge of health-related financial assistance, including Medicare and Medicaid.
  • Ability to interpret and comply with federal, state, and local laws and regulations.
  • Ability to deal effectively with a diverse patient population.
  • Ability to prepare reports and communicates effectively orally and in writing.
  • Previous experience in operation of office machinery: personal computer, copier, FAX, postage machine, printers.
  • Adequate vision. Ability to reach, stoop, walk, and lift 25 pounds.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

Provide the following case management services in accordance with the policies and procedures:

  1. Obtain authorization, if required from insurance for services ordered.
  2. Notify patient of referral and appointment details. Follow up.
  3. Aid with assessment of individual/family needs and strengths and develop and monitor a plan for assistance.
  4. Provide direction, support, guidance, education, and training for the recipient of services by providing advocacy, information, referral, and follow-up services to verify the promotion of the welfare of the patient.
  5. Maintain current documentation for the assigned cases according to policies and procedures, identifying the service delivery and progress toward outcomes.
  6. Familiarize and reference with Delta Regional and Show Me Health Women programs, and other programs as needed.
  7. Assemble and maintain charts and files for case management.
  8. Maintain daily, monthly, quarterly, and annual paperwork requirements.
  9. Make referrals to community agencies on behalf of patient, if applicable.
  10. Gather and update resource information as needed.
  11. Collaborate with other provider to offer services such as support groups, educations experiences, etc.
  12. Adapt to change as needed.
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I authorize investigation of all statements contained in this application for employment, as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time, not to exceed 45 days. Any applicant wishing to be considered for employment after this time period should inquired as to whether or not application(s) are being accepted at this time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an ‘at will’ nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand that I am required to abide by all rules and regulations of the employer.