What are the responsibilities and job description for the Case Manager position at Amoskeag Health?
Make a difference every day at Amoskeag Health, where we believe strong healthcare begins with strong human connections!
Who You Are:
Amoskeag Health is seeking a dedicated Case Manager. You provide comprehensive case management, crisis services, and care coordination to children, families and adults served by Amoskeag Health. You thrive in working directly within the medical clinic as part of a multi-disciplinary team, providing ongoing case management services on-site, in the community, and in the home.
What You'll Do:
- Completes initial social assessment, annual health risk assessment and SBIRT screenings with all families and individuals served by Amoskeag Health.
- Develops care plans with patient-centered goals for individuals and families, addressing risk and protective factors. Ensures that treatment goals are culturally competent, strength based, realistic and attainable.
- Provides case management and care coordination as part of a multi-disciplinary team requiring effective and on-going communication and collaboration.
- Provides care coordination for clients by acting as a liaison between various members of the team and as an advocate for patients with other service providers in the community.
- Initiates crisis intervention and case management support services for patients where health, safety, social or emotional issues require assistance.
- Regularly perceives potential problem situations and intervenes to offset adverse impact, demonstrates proactive attitude.
- Acting as a mandated reporter, provides assessment and follow-up support to include protective services reports cases to appropriate agencies/authorities.
- Documents all activities in patients records according to guidelines on quality and timeliness. This includes the completion of updates, CHAP plans and associated billing documented in the EMR.
- Attends Team Huddle to collaborate with the integrated primary and behavioral healthcare team to assess and anticipate the needs of patients coming into the clinic.
- Provide interventions to individuals as stated by their current care plan or in response to the daily needs of individuals identified through the Team Huddle process.
- Assist clients and families in making informed decisions about program options and services provided by Medicaid, Medicare and insurance. Directs and assists clients with the resources to gain access to existing services such as public benefits, nutrition, housing, legal services, etc.
- Demonstrates flexibility and creativity in identifying resources to meet patient/family needs.
- Represents Amoskeag Health on selected community coalitions and at selected community meetings.