What are the responsibilities and job description for the Case Manager- San Miguel County position at Roadrunner Health Services?
The Case Manager serves as the primary liaison between patients, medical staff, and external healthcare providers. The role ensures that detainees receive timely, appropriate, and compliant medical care, while addressing special health needs, coordinating referrals, and supporting safe release planning.
Supervisory Responsibilities:
None
Duties/Responsibilities:
Evaluate patients' medical and mental health needs through interviews, clinical reviews, and record analysis. Develop and monitor individualized care plans, including treatment goals, service referrals, and discharge planning.
- Liaise with in-house medical staff, external hospitals, and specialty providers to ensure continuity of care. Review and determine medical necessity of referrals and requests. Arrange continuity of care and safe release planning.
Advocate for patients' health needs, ensuring access to necessary services and resources. Provide education to patients and staff on health conditions, treatment options, and self-care.
Maintain accurate, confidential medical records and case files. Prepare and submit reports to facility leadership, oversight agencies, and stakeholders. Ensure compliance with healthcare regulations, facility policies, and legal requirements.
Deliver training to facility staff on mental health, safe release, and special vulnerabilities. Collaborate with probation/parole officers, social workers, and community organizations for reintegration support.
- Performs other related duties as required.
Position Core Competencies:
Problem Solving: Acts collaboratively in resolving problems. Ability to present solutions rather than just identifying problems. Can acknowledge when one does not know something and is willing to take personal responsibility for finding a solution.
Team Building: Works well with others and helps build a cohesive working environment. Helps others learn and shares knowledge. Respects diversity of the workplace and individuals' unique characteristics.
Communication: Able to appropriately express opinions in written and verbal form. Clear and articulate when speaking with an individual or group and using audience-appropriate language. Listens to others.
Documentation: Written documentation is completed on required forms or using required formats without omissions.
Effective Time Management: Organizes and prioritizes work by devoting adequate time and attention to individual tasks. Effectively plans meetings/keep appointments and multitask effectively.
Attentive to Detail: Able to provide accurate and consistent work on a timely basis. Documents important to detail to ensure miscommunications are minimized.
Accountability: Follows through on commitments and agreements. Demonstrated dependability. Taked responsibility for mistakes and missed deadlines. Communicated about progress on commitments.
Stress Tolerance: Must be able to effectively handle stressful or adverse situations and work effectively under difficult conditions. Remains focused in spite of distractions and interruptions.
Safety Consciousness: Maintains awareness of and acts to minimize the safety risk in one's environment.
Required Skills/Abilities:
Strong interpersonal and communication skills for working with diverse populations.- Knowledge of healthcare systems, community resources, and correctional procedures.
- Excellent organizational, attention to detail, problem-solving, and crisis intervention abilities.
- Proficiency in electronic health record systems and reporting tools
- Excellent written and verbal communication skills.
- Proficient in Microsoft Office Suite or similar software.
- Ability to work under pressure, and teamwork orientation.
Education, Credentials, and Experience:
High school diploma or equivalent- One year experience in medical case management, correctional healthcare, or similar high-security environments. Demonstrates ability to work under pressure, manage multiple cases, and maintain confidentiality.
- BLS/First AidCPR Certified
Physical Requirements:
May be required to travel between multiple facilities and work Monday-Friday.- Involves working with diverse populations and handling emotionally challenging situations.
- Collaboration with internal staff, external agencies, and legal entities is common.
- Must be able to lift a minimum of 20 pounds at a time.
- Must be able to react quickly and appropriately in emergency situation.
- Must be able to identify and minimize safety risks within the environment whenever possible.
Salary : $44,975 - $62,081