Intensive Case Management—Case Manager (LCSW)
About the JobSummary:
Facilitates a team approach, including the Intensive Case Management (ICM) team, to ensure appropriate interventions, cost effective delivery of quality care and services across the continuum. Collaborates with the interdisciplinary care team which may include member, caregivers, member’s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services. Coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes.
JOB REQUIREMENTS: Primary Responsibilities:

• Facilitates a team approach, including the Intensive Case Management (ICM) team, to ensure appropriate interventions and community resources, cost effective delivery of quality care and services across the continuum. Collaborates with the Interdisciplinary Care Team which may include member, caregivers, member’s legal representative, physician, care providers, and ancillary support services to address care issues, specific member needs and disease processes whether, medical, behavioral, social, community based or long term care services.
• Conducts in depth assessments and/or comprehensive needs assessment which include, but not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.
• Provides care coordination to members with chronic or complex conditions which require intensive interventions and oversight including multiple, clinical, social and community resources. Implements, coordinates, and monitors strategies for members and families to improve health and quality of life outcomes. Develops, documents and implements a plan which provides appropriate resources to address social, physical, mental, emotional, spiritual and supportive needs. Acts as an advocate for member’s care needs by identifying and addressing gaps in care. Performs ongoing monitoring of the plan of care to evaluate effectiveness. Measures the effectiveness of interventions as identified in the member’s care plan.
• Develops and communicates plan for authorization of services, and serves as point of contact to ensure services are rendered appropriately, (i.e. during transition to home care, back up plans, community based services).
• Conducts face to face home visits, as required,
• Assesses and reviews plan of care regularly to identify gaps in care, trends to improve health and quality of life outcomes; works with members and the interdisciplinary care plan team to adjust plan of care, when necessary.
• Promotes the appropriate use of clinical and financial resources in order to improve the quality of care and member satisfaction. Generates reports in accordance with care coordination goals.
• Educates providers, support staff, members and families regarding care coordination role and health strategies with a focus on member-focused approach to care. Facilitates a team approach to the coordination and cost effective delivery to quality care and services.
• Provides assistance to members with questions and concerns regarding care, providers or delivery system.
• Maintains professional relationship with external stakeholders, such as inpatient, outpatient and community resources.
• Complies with Case Management Society of America Standards for Case Management Practice and with CCMC code of Professional Conduct for Case Managers.
• Participates in Interdisciplinary Care Team (ICPT) meetings.
• May assist with orientation and continued mentoring of team members as appropriate.
• Performs other functions as required.

Supervision Received:

Direct supervision is received weekly.
QUALIFICATIONS, EDUCATION AND EXPERIENCE
Education:

Education: Bachelors or higher

Essential:

Bachelor’s Degree, Master’s preferred

Essential:

Bachelor’s in applicable field of study, LCSW preferred

Certified Case Manager Preferred

Certification or Conditions of Employment:

Pre-employment background check

Competencies, Skills, and Attributes:

• Critical thinking and attention to detail
• Effective communication
• ICD 10 familiarity
• Microsoft Office
• Demonstration of high degree of independent problem solving and critical thinking skills.
• Ability to deal with all levels of staff and management within the organization, board members, as well as the public, under highly stressful conditions.
• Demonstrated ability to communicate effectively in person and via telephone with members, employer groups, brokers, physicians, and physician office staff using strong dialogue and customer service competencies.
• Written communication

I have read and accepted the above job description and agree to the responsibilities as listed above. I realize that this job description is not intended to be all inclusive and that I may be asked to perform other related duties as to meet the ongoing needs of the practice.

Employee Signature Human Resources Signature

Date Date

Position Title: Intensive Case Management, Case Manager

Department: WVP Medical Group

Reports to: Director of Nursing

Job Type: Full-time

Pay: $32.00 - $125.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Disability insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Parental leave
• Tuition reimbursement
• Vision insurance

Schedule:

• 10 hour shift
• 8 hour shift

Supplemental pay types:

• Bonus pay

This Job Is Ideal for Someone Who Is:

• People-oriented -- enjoys interacting with people and working on group projects
• Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
• Autonomous/Independent -- enjoys working with little direction

This Company Describes Its Culture as:

• Innovative -- innovative and risk-taking
• Aggressive -- competitive and growth-oriented
• People-oriented -- supportive and fairness-focused

This Job Is:

• A job for which military experienced candidates are encouraged to apply
• A good fit for applicants with gaps in their resume, or who have been out of the workforce for the past 6 months or more
• A good job for someone just entering the workforce or returning to the workforce with limited experience and education

Company's website:

• www.wvphealth.org

Benefit Conditions:

• Waiting period may apply

Work Remotely:

• Temporarily due to COVID-19

COVID-19 Precaution(s):

• Remote interview process
• Personal protective equipment provided or required
• Social distancing guidelines in place
• Virtual meetings
• Sanitizing, disinfecting, or cleaning procedures in place

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