Case Manager, Medical - 815 Residential Detox

HealthRIGHT 360 gives hope, builds health, and changes lives for people in need by providing comprehensive, integrated, compassionate care that includes primary medical care, mental health services, and substance use disorder treatment.

HealthRIGHT 360 offers residential treatment services designed to serve individuals and families with substance use disorders and co-occurring mental health disorders. Our program helps clients address addiction and related issues, increase skills, manage stressors, connect to supportive service, and build a foundation for lasting recovery. Residential programs run 24/7 and Individual and group therapy, family therapy, individualized case management, treatment planning, drug and alcohol counseling, Medication support services, and crisis intervention.

Benefits And Perks

• HR360 offers a robust benefits package, including PTO, 15 paid holidays, commuter benefits, retirement plans, and more!
• Employees qualify for public loan forgiveness programs
• Training and professional development opportunities
• Work with mission driven, compassionate colleagues and make a difference every day in the work that you do.
• This is a union eligible position.
• JOB SUMMARY
  
  

Reporting directly to the Director of Nursing, the Case Manager, Medical (Medical Case Manager, MCM) primary focus is to address the specialized medication case management and treatment authorization needs of participants in a social model substance use detoxification program. The MCM works in coordination with internal and external stakeholders to address the broad array of client needs through coordinating funding, and in obtaining critical medications required for safe Withdrawal Management (WM). The MCM acts primarily as a care coordinator and treatment case manager, and may perform duties that include crisis intervention, health education, referral to providers of necessary services, and benefits counseling. The MCM works with an interdisciplinary team, ensures accurate and timely flow of documentation to support appropriate treatment length episodes and maintains quality assurance of files. As part of the MCM routine duties they will interact with other governmental, non-profit service agencies, and local businesses for client services.

• KEY RESPONSIBILITIES
  
  

Case Management: Prepares extended treatment episode authorization requests and routes to medical leadership for review. Forwards finalized document to Department of Public Health for authorization and, if received, ensures the authorization information is relayed to internal stakeholders. Facilitates the confidential exchange of client’s protected health information (PHI) between Admissions and WM to adequately evaluate unit appropriateness for client’s needs. Monitors, coordinates, and resolves obstacles between prescribing providers, payors, and retail pharmacies to make certain that clients receive critical Medication Assisted Therapies (MAT) with few to no lapses in treatment days.

Outreach and Relationship Management: Collaboratively work and communicate with other agencies and local pharmacies to provide information regarding resources and service opportunities.

Leadership Responsibilities: Works collaboratively with all invested staff. Provides administrative leadership for client medication support, and within the quality improvement infrastructure of the healthcare and residential program. Participates in matters related to performance and quality improvement, planning, protocols, and goal setting. Comfortable in changing systems, and champions change.

Organizational Responsibilities: Accurately and consistently documents required information on records and reports. Keeps up to date with operational and procedural requirements. In conjunction with WM Nurse Manager, Behavioral Health Nurse Director, and/or Director of Addiction Medicine, assures organizational readiness for accreditation surveys and ongoing monitoring and reporting of conformance to quality within the program. Provides direct care coordination support for clients to access all aspects of HR360 healthcare services.

And perform other duties as assigned.

• QUALIFICATIONS
  
  

Education, Certification, and Experience

Required

Possess a minimum of an AA degree in a related field; or 3-5 years related experience.

BLS and First Aid Certification must be obtained within 30 days of hire.

Experience and interest in working with safety-net populations and in treating substance use disorders.

Experience working successfully with issues of mental health, criminal background, and other potential barriers to economic self-sufficiency.

Must complete background check and livescan clearance.

We will consider for employment qualified applicants with arrest and conviction records.