Case Manager - ID

General job description

The Case Manager for ID assists in the full implementation of social program needs with a special focus on resolving barriers to engagement in services, ensuring linkage to medical and behavioral health care, with overall goal of increasing client’s ability to self-manage while facilitating integration of care for those individuals and families working within a multiple services systems. The ID Case Manager will assess all new and existing clients for grant program eligibility, answer and respond to inquiry calls, and provide program information and referrals for new and existing clients.

Duties

• & responsibilites
• Provides advocacy and linkage to care that will help clients increase personal and family stability, and achieve personalized sustainable care plan goals
• Assists in development, implementation, and revision of individual treatment plans. Assures that services provided are specified in the Treatment Plan and monitors progress toward treatment goals when necessary
• Serves as a liaison between the patient and the care team as appropriate
• Facilitates social, peer, and community support
• Follows up on no show appointments to ensure clients are not lost to care
• Helps and empowers clients to develop and utilize independent living skills and strategies
• Receives documentation from providers and follows up with patients to assist in linking patients to resources.
• Reviews grant program eligibility with clients and assists with appropriate applications and deliverables
• Provides recommendations for appropriate grant assistance programs
• Schedules and attends meetings with providers and patients as needed
• Informs all parties involved in processes that used to treat and/or link patients to services
• Maintains patient confidentiality in treatment plans and reporting as appropriate. Understands and abides by HIPAA guidelines
• Communicates with patients regularly via phone or in person to monitor their well-being, address their concerns, and connect them with various resources
• Provides for face-to-face meetings or phone contact and home visits as determined by client need
• Maintains patient’s electronic health records and hard copy forms in accordance with applicable standards and regulations, grant requirements, etc.