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Case Manager

Company: Confidential
Location: Pendleton
Posted on: May 3, 2021

Job Description:

Behavioral Health Case Manager (QMHP) REMOTE Pendleton, OR ( Work-from-Home) Social Worker Job Summary: Provides care management services to pediatric, juvenile, and adult SPMI population eligible for services. Provides information, referrals, consultation and/or care management on health and psychosocial issues. This position works with substantial independence in the field, with consultation available from Team Lead and/or Supervisor, as needed. Receives referrals of members for services from internal and external sources. Contacts referral within appropriate timeframe, addresses any urgent /emergent issues and conducts a thorough intake utilizing LOCUS, the LSI, and review of records. Coordinates services through communication with all identified health and community providers/agencies connected to the member. Develops a Person Centered Plan of Care with the member and involved providers. Disseminates this information to all individuals who are involved in members care, as approved by member. Interviews referrals and their families to collect data, disseminate pre-approved health education information, and administer satisfaction surveys and related evaluative inventories Determines need and makes recommendations for continuation of or change in services Seeks out consultation/information for complex medical, behavioral health or psycho-social, as needed. Completes, reviews and updates of assessments, as mandated by regulations Maintains documentation that is thorough, clearly written and reflective of members plan of care activities. Collaborate with other members of team related to member needs, barriers to care and outcome enhancement strategies. Ability to manage conflict to support a positive outcome. Demonstrates listening skills to support member engagement and development of a person centered plan of care. Provides advocacy to individuals(and authorized representatives and supports) regarding assessment, patient-centered service planning, service coordination, and transition planning Performs prior authorizations for services. Follow all determinations, appeals and hearings policies, processes, and contract requirements. Social Worker Background: QMHP-R or QMHP-C eligibility required Graduate degree in social work, psychology, behavioral science field; recreational, art or music therapy, OR Bachelors degree in nursing and licensed by the State of Oregon (with competencies required for this position), OR Bachelors degree in occupational therapy and licensed by the State of Oregon. Demonstrates ability to respect individual/family diversity and maintain confidentiality. Demonstrates ability to work as a team member. Knowledge of and ability to work collaboratively with providers and county/community health and human services. Ability to demonstrate excellent communication skills both oral and written as well as strong interpersonal skills. Proven ability to work independently and to be able to manage time appropriately. Strong organizational skills. Candidates will need a drivers license and to own or have access to reliable transportation that enables them to fulfill travel requirements of the job including but not limited to, daily visits to members homes. #CLINICAL Associated topics: case manager, case management, development manager, liaison, manage, office manager, plan, program development, project development, project management

Keywords: Confidential, Yakima , Case Manager, Other , Pendleton, Washington

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