Social Services Case Manager

• Location 2137 E 22nd St,Brownsville, TX, 78521,United States
• Job Category Social Services, Case Manager
• Employee Type FT Exempt
• Required Degree 4 Year Degree
• Manage Others No

• Name Human Resources
• Phone  Ext 1022

POSITION DESCRIPTION

FUNCTIONAL

TITLE:

Case Manager

REPORTS TO: Director of Social Services

JOB CATEGORY III: Tasks that involve no exposure to blood, body fluids or tissues, and Category I tasks are not a condition for employment.

GENERAL DESCRIPTION

The Case Manager is selected by and is responsible to the Director of Social Services. The Case Manager is responsible for the following established operational procedures of the Social Services section. The Case Manager works under general supervision to establish communications with referred individuals, obtains pertinent information on patients as to the nature of their situations, consults with the immediate supervisor and/or provider to patient progress, facilitates financial assistance, travel provisions, home/hospital visitation and referrals to other agencies or individuals as requested, works closely with administrators, providers and staff to productively serve the user, patient and general public, processes NHHC outside referrals and related duties as assigned to achieve organizational goals and program objectives.

Case Managers function as a member of a collaborative health care team to create and maintain a Patient Centered Medical Home where emphasis is on excellent communication; support of the patient is provided and tracked in a culturally competent, behaviorally enhanced setting supported by information technology.

Due to the nature of NHHC services, it may become necessary to require employees to work extended hours or other variations of the usual shift to ensure adequate care of patients and provide services to the community.

CRITICAL JOB ELEMENTS/PERFORMANCE STANDARDS

I. Must be professional in dealing with patients and the public via personal and telephone contacts. Must use good listening skills at all times. Demonstrate positive attitude towards patients with good eye contact, pleasant voice, attentive and responsive to their needs.

II. Interviews the patient for (public assistance, etc.) counsels patients with emotional/economical and medical problems, and accurately documents utilizing the SOAP subjective, objective, assessment and planning.

1. Allowing for no more than zero to two inaccurate errors during the appraisal period as documented by the monthly department quality assurance audit.

III. Completes screenings for Social Drivers of Health, enters data into electronic medical records, and makes necessary referrals to community organizations that will assist patients meet their non-medical needs.

IV. Processes NHHC referrals out to physicians by NHHC physicians and processing social services referrals to other agencies when necessary.

1. Processes NHHC physician’s referrals to outside physician/hospitals.

a. Maintains ninety percent follow-up ratio of NHHC referrals to outside physicians/hospitals.

b. Ensures that the patient shows up for consultation and orientates the patient on the case, etc.

c. Referrals are monitored through random audit of the Social Services Referral forms allowing for no more than zero to three errors during the appraisal period.

d. As part of the expanded roles and duties in PCMH, the Case Manager will track the referrals generated by the Provider assigned to Case Manager’s care team on a weekly basis to meet PCMH requirements.

V. Provides information with any available transportation assistance to patients referred to outside hospitals. When transportation funds are not available, the case manager will explore social agencies for possible funding assistance if deemed necessary.

VI. Serves as a Care Coordinator of all referral functions, ensuring proper coordination between providers and any applicable specialty service referrals provided to patients. The Care Coordinator will be responsible for patient appointment scheduling and follow up on referrals, as well as the development of an individualized care plans to support patients in accessing all needed family planning…