Assistant Case Manager, PAMP

Description

ORGANIZATION BACKGROUND

The Foundation of the Pennsylvania Medical Society is a nonprofit, tax-exempt public organization established in 1954 as the philanthropic affiliate of the Pennsylvania Medical Society. Its mission is to sustain the future of medicine in Pennsylvania by providing programs that support medical education, physician health, and excellence in practice. The purpose of the Peer Assistance Monitoring Programs (PAMP), Physicians' Health Program (PHP) and Nurses’ Health Program (NHP), is to provide education and information about impairment issues, intervention, triage and referral, and monitored recovery to all eligible healthcare professionals. The Peer Assistance Monitoring Programs handle a high volume of telephone calls and digital material, which can take priority over the primary position responsibilities outlined here. 

POSITION SUMMARY:

The Assistant Case Manager takes check-in calls from participants, facilitates the set-up and approval of drug testing monitoring for new referrals, new participants or participants who have moved or changed positions, reviews drug testing reports, enters and assists in tracking prescriptions, enters monitoring agreement amendments, and updates database with changes, assists with billing, and reviews all charts for compliance.

Requirements

QUALIFICATIONS: Required Skills/Education/Knowledge

• 3 years’ experience in similar role 
• Bachelor’s degree in a Human Service-related field preferred or equivalent experience
• Knowledge of substance use disorders, mental health disorders, and behavioral health conditions
• Strong organizational skills and ability to work effectively in a multi-tasking, fast-paced and team-oriented environment
• Ability to maintain information that is highly sensitive and strictly confidential
• Knowledge of suicide risk assessment, motivational interviewing, and drug testing preferred
• Strong oral, written, and digital communication skills required
• Possess database operations and data entry skills 
• Proficient in Microsoft Word, Excel, and Outlook 
• Valid state issued drivers’ license

SPECIAL REQUIREMENTS:  

This position requires the ability to communicate with and work cooperatively with many different people internally and externally, and the ability to adjust to constant change. 

ESSENTIAL DUTIES: 

1. Facilitate the set-up and approval of drug testing monitoring for new referrals, new participants or participants who have moved or changed positions. Be available to review procedures of testing with participants.
2. Review drug testing reports:

         a. Bring to case managers’ attention any positive or questionable screens.

               *Verify cases are reviewed by medical directors and case management staff.

          b. Discuss different types of testing procedures with Third Party Administrator of testing.

          c. Monitors for randomness of screens and adherence to frequency.

          d. Schedule and verify monitoring interruptions. 

3. Enter all prescriptions and medical reports into participant files for medical director review. Assist in tracking monthly prescriptions required by participant monitoring agreement.

4. Receive check-in calls from participants regarding compliance with agreement. Assist them with any treatment/monitoring concerns and follow through with any that need case management discussion or attention from senior staff.

5. Perform review of participant charts to ensure their compliance with their agreement. These reviews occur approximately every three months. During these reviews, the case manager will:

   a. Review chart to ensure the following items are up to date:

• Urine test results
• Therapy reports
• Workplace monitor reports
• Check-in calls
• Meeting attendance reports
• PAMP monitor reports, and
• Advocacy letter requests have been sent

    b. If these items are not in compliance, send letter or postcard for participant to contact the PAMP.

    c. Bring any cases of charted relapse behavior to the attention of PAMP staff.

6. Assist in maintaining the CMS database to ensure that it is up to date and suggest any corrections to facilitate data entry.

7. Assists in maintaining a visible tracking mechanism showing current status of all pending cases.

8. Enter demographic changes into the CMS. Verify contact information for participants is always up to date.

9. Consult with case management team, program director, medical director and PAMP staff about case management issues as needed.

10. Review and recommend action on check-in call requests, discussing with other case managers, program