Essential Duties and Responsibilities:

• Determines the patient’s need for Plan of Care (POC) assessing needs.
• Assist the LCSW and patient in identifying and meeting establish goals.
• Based on identified needs, assist the patient with acquiring necessary community resources.
• Maintain an EHR record of the patient’s progress by documenting patient/Case Manager interaction and profess or lack of.
• Develop a therapeutic relationship with patient and caregivers to foster positive patient outcomes.
• Coordinates & executes activities resulting in assisting Viemed patients with compliance with respiratory equipment.
• Works with Clinical Team of differing states to assist patient with identified needs.
• Refers to appropriate reporting agencies for protection of patients.
• Attends meetings to provide education on options available for patients and provides updates.
• Attends mandatory staff meetings.
• Attends clinical trainings to enhance knowledge base for providing services.
• Assists patients with navigating medical options within the medical system.
• Monitors 02 escalations, prevoid, and pick up reports to identify needs and provide support.
• Assists patient with scheduling transport and setting up medical appointments.
• Maintain operations by following policies and procedures, participating in quality reviews and reporting needed changes.
• Provides social services needed for transitioning patients from in patient care to a home setting.
• Some travel required.
• Other responsibilities and projects as assigned.

Qualifications:

• Associates or Bachelors Degree
• Provide license number if licensed.
• Confirmed State Licensed or certification to practice or equivalent.
• Experience working with medical insurance plans.
• Preferred- Medical experience with Geriatric Patients or those with Chronic Illness.
• Valid Driver’s License.
• Preferred- Telehealth & Telephonic Experience.
• Good listening and people skills.