Job description
Supplemental Information
Please note that this is a contract position offering no benefits.
Care Manager Statement of Work:
Contractor will provide services and otherwise do all things necessary for or incidental to the performance of work, as set forth below:
Service Provisions/Operational Requirements:
Contractor shall make contact with clients in the clinic and/or via tele mental health, including family members as agreed and authorized by the client, provide follow up via routine phone calls, and visit at employment sites as needed, if in vocational programming. Contractor shall provide supportive correspondence and outreach activities to clients per plan of services as identified with client. At no time may a client be discharged or closed from care management services without further collaboration and approval from social service coordinator. Max caseload at any given time shall not exceed 60.
Contractor shall utilize equipment assigned by social service coordinator at the assigned office. In the event that a wait list is warranted, Contractor shall maintain the wait list as designated by Clinical Services as follows:
• Inputting client name, client ID, date of placement on list, and identified needs of the client • Reviewing and updating the list on an ongoing basis
Contractor shall implement the Care Management assessment tool in the first meeting with all clients receiving care management services to identify needs and establish the level of care needed.
Initial involvement will be frequent and intense to allow for a beneficial working relationship to be established and to link the individual with necessary resources and supports.
Contractor shall provide at least one hour of care management services within 30 days of admission and at least 5 additional hours of care management services within 90 days of admission. After the first 90 days, service will be delivered as appropriate, in conjunction with level of need and the service plan. This will consist of no less than one service each month and one face to face/telehealth contact at least once every month. Any missed appointments or lack of contact in response to outreach from the Contractor will be documented in the Electronic Medical Record (EMR).
Contractor shall confer with the referring clinicians at least once monthly to provide updates and collaborate on services needed and provided to each client.
INTEGRATED SERVICE DELIVERY
Contractor shall utilize the designated referral form to make referrals to service providers in the integrated care network AND outside the network. Referrals shall be documented in the participant’s electronic medical record. Referrals shall include, but not limited to:
Contractor shall provide in-service training to clinic staff and other service provider staff within the integrated care system as needed with a minimum of bi-annual completion. In-service training shall be coordinated with clinics and other service providers. Contractor shall also participate in an annual Contractor meeting and evaluation session as scheduled by the Clinical Services Program.
RECORD KEEPING
Contractor shall maintain the EMR for each clients that documents all activities and services provided to the client included but not limited to care management, telephone contacts, referrals, case consultation and collaboration, any critical incident reports as well as discharge and aftercare services. Contractor shall ensure that all rules of confidentiality pertaining to medical records are observed.
For further information about this vacancy contact:
Ms. Janesia Raybon, MPA
Human Resources Specialist
Northeast Delta Human Services Authority
2513 Ferrand Street
Monroe, LA 71201
318-362-4237 (office)
318-362-3268 (fax)
Care Manager Statement of Work:
Contractor will provide services and otherwise do all things necessary for or incidental to the performance of work, as set forth below:
- Serve as care manager and shall act as an advocate for high-risk/ at-risk clients to aid in the recovery and stabilization of those clients served.
- Meet with clients regularly based on established level of need to coordinate services and continue with service planning with other agencies and providers involved with the individual.
- Enhance treatment services provision, community integration by contacting other entities to arrange community access and involvement, including opportunities to learn community living skills, and use vocational and recreational services.
- Make collateral contacts with significant others and assists the person in identifying existing supports.
- Monitor progress and service delivery.
- Provide education, supportive counseling, and psychoeducation which guides the client and develops a supportive relationship that promotes the treatment services being provided.
Service Provisions/Operational Requirements:
Contractor shall make contact with clients in the clinic and/or via tele mental health, including family members as agreed and authorized by the client, provide follow up via routine phone calls, and visit at employment sites as needed, if in vocational programming. Contractor shall provide supportive correspondence and outreach activities to clients per plan of services as identified with client. At no time may a client be discharged or closed from care management services without further collaboration and approval from social service coordinator. Max caseload at any given time shall not exceed 60.
Contractor shall utilize equipment assigned by social service coordinator at the assigned office. In the event that a wait list is warranted, Contractor shall maintain the wait list as designated by Clinical Services as follows:
• Inputting client name, client ID, date of placement on list, and identified needs of the client • Reviewing and updating the list on an ongoing basis
- Document all contact with persons on the wait list
Contractor shall implement the Care Management assessment tool in the first meeting with all clients receiving care management services to identify needs and establish the level of care needed.
Initial involvement will be frequent and intense to allow for a beneficial working relationship to be established and to link the individual with necessary resources and supports.
Contractor shall provide at least one hour of care management services within 30 days of admission and at least 5 additional hours of care management services within 90 days of admission. After the first 90 days, service will be delivered as appropriate, in conjunction with level of need and the service plan. This will consist of no less than one service each month and one face to face/telehealth contact at least once every month. Any missed appointments or lack of contact in response to outreach from the Contractor will be documented in the Electronic Medical Record (EMR).
Contractor shall confer with the referring clinicians at least once monthly to provide updates and collaborate on services needed and provided to each client.
INTEGRATED SERVICE DELIVERY
Contractor shall utilize the designated referral form to make referrals to service providers in the integrated care network AND outside the network. Referrals shall be documented in the participant’s electronic medical record. Referrals shall include, but not limited to:
- Primary care provider
- Mental health services
- Addiction services/treatment
- Employment
- Education/vocational programs
- Dental services
- Housing
Contractor shall provide in-service training to clinic staff and other service provider staff within the integrated care system as needed with a minimum of bi-annual completion. In-service training shall be coordinated with clinics and other service providers. Contractor shall also participate in an annual Contractor meeting and evaluation session as scheduled by the Clinical Services Program.
RECORD KEEPING
Contractor shall maintain the EMR for each clients that documents all activities and services provided to the client included but not limited to care management, telephone contacts, referrals, case consultation and collaboration, any critical incident reports as well as discharge and aftercare services. Contractor shall ensure that all rules of confidentiality pertaining to medical records are observed.
For further information about this vacancy contact:
Ms. Janesia Raybon, MPA
Human Resources Specialist
Northeast Delta Human Services Authority
2513 Ferrand Street
Monroe, LA 71201
318-362-4237 (office)
318-362-3268 (fax)
Qualifications
A baccalaureate degree.
SUBSTITUTIONS:
Six years of full-time work experience in any field may be substituted for the required baccalaureate degree.
Candidates without a baccalaureate degree may combine work experience and college credit to substitute for the baccalaureate degree as follows:
A maximum of 120 semester hours may be combined with experience to substitute for the baccalaureate degree.
30 to 59 semester hours credit will substitute for one year of experience towards the baccalaureate degree.
60 to 89 semester hours credit will substitute for two years of experience towards the baccalaureate degree.
90 to 119 semester hours credit will substitute for three years of experience towards the baccalaureate degree.
120 or more semester hours credit will substitute for four years of experience towards the baccalaureate degree.
College credit earned without obtaining a baccalaureate degree may be substituted for a maximum of four years full-time work experience towards the baccalaureate degree. Candidates with 120 or more semester hours of credit, but without a degree, must also have at least two years of full-time work experience to substitute for the baccalaureate degree.
NOTE:
Any college hours or degree must be from a school accredited by one of the following regional accrediting bodies: the Middle States Commission on Higher Education; the New England Commission of Higher Education; the Higher Learning Commission; the Northwest Commission on Colleges and Universities; the Southern Association of Colleges and Schools; and the Western Association of Schools and Colleges.
Examples of Work
- Provide support resources and establish community links to services.
- Respond to client barriers/changes in need by completing and submitting appropriate paperwork 90% of the time as evidenced by record review.
- Researches, accesses, and links services to the patient 90% of the time as evidenced by record review.
- Assists in research/development of new or improved care management processes as part of quality improvement initiatives as assigned by contract coordinator as evidenced by monthly spreadsheet maintenance.
- Communicates and works with providers to ensure coordinate appropriate service provision 90% of the time as evidenced by record review.
- Meets with social services coordinator for weekly supervision, consultation, and discussion of client needs.
- Follow-up on attendance to community appointments scheduled by the client.
- Provides needed assistance to complete service applications and outside program enrollment.
- Identify social supports.
- Assist the individual with effectively responding to or avoiding identified precursors or triggers that would risk their remaining in the community including assisting the individual and family members and others with identifying self-stressors and risks for potential crisis and/or relapse.
- Support to develop skills to locate, rent/buy or keep a home, landlord/tenant negotiations, selecting a roommate and understanding renter’s rights and responsibilities.
- Assist individuals to develop and/or increase daily living skills related to independent living, money management, correct self-administered medications and using accessing community resources 90% of the time as evidenced by record review.
- Teach/model negotiation skills to secure appropriate services necessary to meet the patient’s integrated healthcare needs.
- Help patient achieve wellness goals 80% of the time as evidenced by record review.
- Provide supportive services in a culturally responsive and nonjudgmental manner.
- Collaborate with other providers, staff and community resources to enhance coordination, quality and efficiency in care.
- Assist individuals with enrollment into all NEDHSA integrated care network services/programs.
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