What are the responsibilities and job description for the Case Manager, Saint Francis position at Tulsa Health Department?
The Center for Community Health (CCH) represents an exciting opportunity for Tulsa. The goal is to improve health disparities in the Tulsa community, decrease re-admission rates and inappropriate emergency room usage, and increase the use of primary care providers to improve patient health outcomes. The Case Manager (CM) is a team member to help the CCH attain its program success and to improve the health of patients.Provides case management services for Center for Community Health clients coordinate referrals to community agencies for additional assistance, treatment, and continuity of care. Completes electronic documentation of each patient contact. CMs will work closely with medical providers and primary case management teams at SFHS and other agencies to improve patient care and outcomes. CMs will primarily work out of SHFS patient rooms and have office space at SFHS. CMs will implement effective strategies for linking high risk uninsured and underinsured clients to primary care/medical homes; increase access to appropriate health care and community-based services; assist individuals in improving health status; and promote behavior change in using the health care delivery system.
The following functions represent most of the duties performed by the position but is not meant to be all-inclusive or prevent other duties from being assigned when necessary.
ESSENTIAL JOB FUNCTIONS (95% of Time):
1. Create a trusting, comfortable, and respectful environment that fosters partnership and engagement with high risk clients from all backgrounds.
2. Provide focused case management by linking clients to the most appropriate venue for entry into the health care delivery system to include addressing the social determinants of health: transportation, primary care provider, food, utilities, health insurance, medications, housing, domestic violence, and access to internet, phone, and identity.
3. Coordinates care with SFHS physicians, case management, and other staff to provide coordinated care for patients. Works with a multidisciplinary health care provider team. Participate in weekly meetings and visit identified patients in the hospital before discharge. Must have ability to work quietly and respectfully in a shared workspace.
4. Coordinates as needed with Tulsa Health Department services and community partner resources.
5. Participates and attend regularly scheduled supervision meetings; be prepared to share both successes and pitfalls of case management.
6. Provide culturally and linguistically appropriate services to assigned clients.
7. Maintain complete and accurate documentation of all activities and reports through
computerized data entry in accordance with program standards, guidelines and THD
requirements. This includes preparing and submitting paperwork, such as, Workflow List,
Enrollment Questionnaires, Patient Summaries, and Weekly Patient List.
8. Attend regular peer group meetings for networking and information sharing for optimal care
management and navigation.
9. Other duties as assigned including those required to fulfill activities in support of public health
emergency operations.
SECONDARY JOB FUNCTIONS (5% of Time):
1. Participates in staff meetings, quality assurance activities, and in-service trainings.
2. Completes monthly time sheet and mileage forms.Education: Bachelor’s degree required. Health care, social work, or public health background or
education preferred.
Experience: One-year experience in health care, social work, or public health preferred. Previous
experience with low-income families and engaging culturally diverse families in health
and social services is preferred.
Knowledge and Skills:
• Excellent interpersonal and good communication skills are required to provide effective client
counseling and obtain cooperation from clients who come from a wide range of economic, social,
and ethnic backgrounds.
• Skill in operating a personal computer and smart phone applications.
• Understanding of healthcare delivery processes.
• Skills in obtaining and protecting personal health information (PHI).
• Effective interpersonal skills in working with personnel at all organizational levels.
Location:
Saint Francis Health System, 6161 S Yale Ave, Tulsa, OK 74136
Licenses/Certification:
• Valid Oklahoma driver’s license.
INTERNAL AND EXTERNAL WORKING RELATIONSHIPS:
• Regular internal contact with various nurses and case managers to coordinate care or referrals for
patients.
• External contact with community partners for the coordination of care and referrals for clients.
PHYSICAL EFFORT:
• Must be able to walk between the CM floor to patient rooms.
• Must be psychologically able to tolerate difficult patients.
SUPERVISORY RESPONSIBILITY/ACCOUNTABILITY:
Direct Supervision – None.
Indirect Supervision – None.
Budget/Money/Material – Responsible for assigned computer hardware and software.
Reports to – Manager, Center for Community Health
WORKING CONDITIONS:
High pace, high volume hospital.
SPECIAL REQUIREMENTS:
• Must maintain THD record confidentiality according to HIPAA regulations.
• Must possess ability and willingness to perform job-related travel
FLSA Status: Non-Exempt
The following functions represent most of the duties performed by the position but is not meant to be all-inclusive or prevent other duties from being assigned when necessary.
ESSENTIAL JOB FUNCTIONS (95% of Time):
1. Create a trusting, comfortable, and respectful environment that fosters partnership and engagement with high risk clients from all backgrounds.
2. Provide focused case management by linking clients to the most appropriate venue for entry into the health care delivery system to include addressing the social determinants of health: transportation, primary care provider, food, utilities, health insurance, medications, housing, domestic violence, and access to internet, phone, and identity.
3. Coordinates care with SFHS physicians, case management, and other staff to provide coordinated care for patients. Works with a multidisciplinary health care provider team. Participate in weekly meetings and visit identified patients in the hospital before discharge. Must have ability to work quietly and respectfully in a shared workspace.
4. Coordinates as needed with Tulsa Health Department services and community partner resources.
5. Participates and attend regularly scheduled supervision meetings; be prepared to share both successes and pitfalls of case management.
6. Provide culturally and linguistically appropriate services to assigned clients.
7. Maintain complete and accurate documentation of all activities and reports through
computerized data entry in accordance with program standards, guidelines and THD
requirements. This includes preparing and submitting paperwork, such as, Workflow List,
Enrollment Questionnaires, Patient Summaries, and Weekly Patient List.
8. Attend regular peer group meetings for networking and information sharing for optimal care
management and navigation.
9. Other duties as assigned including those required to fulfill activities in support of public health
emergency operations.
SECONDARY JOB FUNCTIONS (5% of Time):
1. Participates in staff meetings, quality assurance activities, and in-service trainings.
2. Completes monthly time sheet and mileage forms.Education: Bachelor’s degree required. Health care, social work, or public health background or
education preferred.
Experience: One-year experience in health care, social work, or public health preferred. Previous
experience with low-income families and engaging culturally diverse families in health
and social services is preferred.
Knowledge and Skills:
• Excellent interpersonal and good communication skills are required to provide effective client
counseling and obtain cooperation from clients who come from a wide range of economic, social,
and ethnic backgrounds.
• Skill in operating a personal computer and smart phone applications.
• Understanding of healthcare delivery processes.
• Skills in obtaining and protecting personal health information (PHI).
• Effective interpersonal skills in working with personnel at all organizational levels.
Location:
Saint Francis Health System, 6161 S Yale Ave, Tulsa, OK 74136
Licenses/Certification:
• Valid Oklahoma driver’s license.
INTERNAL AND EXTERNAL WORKING RELATIONSHIPS:
• Regular internal contact with various nurses and case managers to coordinate care or referrals for
patients.
• External contact with community partners for the coordination of care and referrals for clients.
PHYSICAL EFFORT:
• Must be able to walk between the CM floor to patient rooms.
• Must be psychologically able to tolerate difficult patients.
SUPERVISORY RESPONSIBILITY/ACCOUNTABILITY:
Direct Supervision – None.
Indirect Supervision – None.
Budget/Money/Material – Responsible for assigned computer hardware and software.
Reports to – Manager, Center for Community Health
WORKING CONDITIONS:
High pace, high volume hospital.
SPECIAL REQUIREMENTS:
• Must maintain THD record confidentiality according to HIPAA regulations.
• Must possess ability and willingness to perform job-related travel
FLSA Status: Non-Exempt