Case Manager (Behavioral Health/Medical) - El Pueblo - Behavioral Health Services

Schedule: Monday - Friday
Pay Range: $25.72 - $38.58 Depending on years of experience


JOB PURPOSE: The Behavioral Health Case Manager, as part of the patient care team, provides direct case management of all assigned patients; thereby contributing to the improvement of patient care, their quality of life, and treatment compliance by the patient. The Behavioral Health Case Manager serves as a liaison and advocate for the patient and family, ensuring the delivery of quality and timely services to the patient from the patient care team and collaboration with community agencies.

Essential Job Functions:
• Provides supportive case management to patients actively enrolled in behavioral health services. Case managers are responsible for monitoring the patient’s current needs, services required to address those needs, and progress in achieving goals or desired outcomes through regular and ongoing contact with patients. Provides optimal patient care by effectively utilizing case management services to coordinate with clinical team members and ensure that effective patient care services are provided to patients with behavioral health needs.
• Depending on the assigned primary duties, case managers will have an expected amount of daily encounters with patients providing case management activities such as the following but not limited to:
◦ Assistance in identifying, implementing, maintaining, monitoring, and/or modifying behavioral health services on a routine basis.
◦ Providing necessary resources that support activities of daily living and/or respond to the needs of other Social Determinants of Health (SDOH) other than behavioral health services.
◦ Coordination of care activities related to ensuring continuity of care between levels of care, community resources, other natural support systems and health plans.
◦ Outreach and follow-up care to patients after reporting of a crisis event and/or a missed appointment.
◦ Participation and engagement in formal and informal case staffing, case conferences, and other meetings as needed for the patient.
◦ Cultivates advocacy in the delivery of integrated care to patients.
• Utilize internal and external resources to include government social services, community agencies, program requirements, policies, and procedures to effectively support the recruitment, registration, enrollment, and retention of consumers to the Affordable Care Act (ACA) Marketplace, Arizona Health Care Cost Containment System (AHCCCS), or discount programs.
• Receive clinical oversight and supervision by a Behavioral Health Professional at least once every two weeks as specified by regulatory requirements.
• Initiates referrals and supports transitions to requested services in the community or internally as needed.
• Provides triage and navigation to specialized behavioral health resources both internal and external to the organization, in a safe and appropriate manner, staffing cases as necessary with licensed behavioral health professionals and/or with supervisors when needed.
• Performs duties, tasks, assignments, and supports the delivery of quality comprehensive case management and patient care within established time frames; meeting established rates of performance for the quality and quantity of work for the position; demonstrating a level of quality, efficiency, and accuracy in the employee’s job performance that ensures the highest standards of excellence.
• Always maintains patient confidentiality by controlling the information being disclosed to authorized individuals ensuring compliance with all Health Insurance Portability and Accountability Act (HIPAA) and corporate compliance standards, as well as generally accepted confidentiality standards.
• Provides a continuum of professional case management services including comprehensive intake/annual assessments, symptom screening, treatment goal planning, collaborating with care teams, implementing, monitoring, and identifying patient needs for any risks resulting in crisis interventions.
• Upon any new patient assignments, the case manager will complete all required documentation and will continually audit patient charts to ensure all required forms and clinical documents are completed and remain in compliance.
• Coordinates a collaborative and thorough intake service resulting in effective utilization of behavioral health and integrated services.
• Provides on-going supportive case management functions in accordance with the patient’s presenting problems, needs, and strategies identified within the service plan in order to help the patient to achieve the stated goals and objectives.
• Provides treatment adherence support and education for patients that are currently receiving medication management services from behavioral health medical providers.