Case Manager (Grant Funded)

Integrative Emergency Services, LLC (“IES”) is looking for a Case Manager who will provide case management services to patients with substance use disorder and have familiarity with populations’ cultures. Will coordinate project service and activities, including training, communication, and information dissemination for patients serviced under SAMHSA (Substance Abuse and Mental Health Services Administration) ED-ALT Grant TI-23-010 from Beta to Alpha in affiliation with our clinical partner(s). Will work with participants to help them meet their individual goals. The Case Manager will have a minimal caseload of 25 patients.

IES is dedicated to cultivating best practices in emergency care, providing comprehensive acute care services, creating value, and supporting patients, employees, clients, providers, and physicians in pursuit of the highest quality health care.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Include the following.  Others may be assigned.

• Utilize advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process while utilizing EMR (Electronic Medical Record).
• Act as a consultant to others for decision-making and problem-solving related to the patient’s disease process.
• Assess the patient’s needs related to the medical diagnosis, treatment plan, financial resources, and psychosocial issues. Collect and analyze information in collaboration with the patient’s family, health care team, etc. Communicate these identified needs to other members of the health care team.
• Intervene and collaborate with the healthcare team when variances occur in the multidisciplinary discharge plan. Initiate and/or participate in collaborative efforts that provide ongoing evaluation of goal attainment.
• Identify and assess patients at high risk for repeat admissions and/or high utilization.
• Complete Community Case Management referrals on patients that meet the stated criteria.
• Document each component of the case management process and related activities in accordance with departmental guidelines. Meet minimal caseload expectations.
• Apply standard utilization (InterQual and/or Milliman) criteria for clinical reviews to determine medical necessity including intensity of service, severity of illness and discharge screens.
• Serve in consultative/advisory role to other members of the healthcare team assessing, planning, implementing, monitoring, and evaluating the case management plan.
• Serve as a patient advocate, using problem-solving techniques and collaborative referrals to facilitate Network and community resources access.

QUALIFICATIONS

Knowledge, Skills, Abilities:  To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Skill in interviewing, assessment, organizational, and problem-solving skills.
• Skill in interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team to achieve desired patient outcomes.
• Skill in analytical, data management and computers.
• Ability to assess, plan, implement, monitor, and evaluate cases for case management intervention and serve in a consulting capacity for other healthcare providers.
• Ability to demonstrate working knowledge of human behavior.
• Ability to communicate effectively verbally and in writing.
• Ability to interact with others in a courteous, tactful manner using outstanding customer service principles.
• Ability to deal with highly stressful, difficult, and emotional situations.
• Ability to evaluate data collected on each patient and help determine programs and set priorities.
• Ability to manage time effectively while analyzing data, drawing conclusions, and making recommendations.
• Ability to remain organized while using time management skills, as evidenced by capacity to prioritize multiple tasks and role components.
• Ability to demonstrate a working knowledge of crisis intervention.
• Ability to work with people of all social, economic, and cultural backgrounds.
• Ability to demonstrate flexibility, open-mindedness, and adaptability to change.
• Ability to demonstrate patience and tact when dealing with patients, families, and other staff.
• Ability to work independently and exercise sound judgement in interactions with physicians and patients and their families.

Education / Experience:  Include minimum education, technical training, and/or experience preferred to perform the job.

Required:

• RN, LCSW, LMSW, or LPC license that is active and in good standing.
• Minimum 2 years of clinical experience in an acute care setting or community-based organization.

Preferred:

• Master’s Degree from an accredited school of professional nursing or social work.

PHYSICAL DEMANDS:  The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Frequently required to stand, walk, sit, use hands to feel, and reach with hands and arms. Includes ability to walk through hospital-based departments across broad campus settings, including Emergency Department environments
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to:  remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Occasionally lift and/or move up to 20-25 pounds 
• Fine hand manipulation (keyboarding)

WORK ENVIRONMENT:  The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Office environment
• May visit hospital locations and vendors
• The noise level in the work environment is usually low

TRAVEL

• Work will primarily be done at or near Baylor All Saints Medical Center in Fort Worth (76104)
• Future travel to Irving and Grapevine locations may also be required
• Some travel including overnight stays may be required. 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

The company is committed to creating a diverse, inclusive, and equitable environment and is proud to be an equal opportunity employer. Qualified applicants of any age, race, religion, nationality, sexual orientation, gender identity or expression, disability, or veteran status will receive equal consideration for positions. We welcome people of diverse backgrounds, experiences, and abilities and believe that the unique experiences of our team drive our success.