CoCM Collaborative Care Case Manager

CoCM Collaborative Care Case Manager

26Health, Orlando, FL, US

TO COCM COLLABORATIVE CARE CASE MANAGER

Salary Range: $70,000.00 To 78000.00 Annually

About Us:

      Founded in April 2011, 26Health (formerly known as Two Spirit Services, Inc.) is a non-profit, 501c3 corporation providing mental health, behavioral, substance abuse, primary medical care, family practice medicine, transgender health and related services to individuals in the LGBT community. We pride ourselves on having a diverse staff that promotes optimum health and wellness. We provide a broad variety of integrated and culturally competent services for the Mind, Body and Spirit, regardless of insurance. We focus on the LGBTQ and Ally community, including all members of the sexual orientation and gender identity spectrum.

Collaborative Care Case Manager Job purpose

     The collaborative care case manager is a core member of the collaborative care team, including the patient’s medical provider and psychiatric consultant, as well as the larger primary care team or medical team. The case manager is responsible for supporting and coordinating the mental and physical health care of patients on an assigned patient caseload with the patient’s medical provider and, when appropriate, other health providers.

Collaborative Care Case Manager Duties and responsibilities

• Support the mental and physical health care of patients on an assigned patient caseload. Closely coordinate care with the patient’s medical provider and, when appropriate, other health providers.
• Screen and assess patients for common mental health and substance misuse disorders. Facilitate patient engagement and follow-up care.
• Provide patient education about common mental health and substance misuse disorders and the available treatment options.
• Systematically track treatment response and monitor patients (in person or by telephone) for changes in clinical symptoms and treatment side effects or complications.
• Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment.
• Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate.
• Provide or facilitate in-clinic or outside referrals to evidence-based psychosocial treatments (e.g. problem-solving treatment or behavioral activation) as clinically indicated.
• Participate in regularly scheduled (usually weekly) caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient’s medical provider. Consultations will focus on patients new to the caseload and those who are not improving as expected under the current treatment plan. Case reviews may be conducted by telephone, video, or in person.
• Track patient follow up and clinical outcomes using a registry. Document in-person and telephone encounters in the registry and use the system to identify and re-engage patients. Registry functions can be accomplished through a care track registry spreadsheet used in conjunction with the electronic health record system that may or may not be linked to an EHR.
• Document patient progress and treatment recommendations in electronic health records and other required systems so as to be shared with medical providers, psychiatric consultant, and other treating providers.
• Facilitate treatment plan changes for patients who are not improving as expected in consultation with the medical provider and the psychiatric consultant and who may need more intensive or more specialized mental health care.
• Facilitate referrals for clinically indicated services outside of the organization (e.g., social services such as housing assistance, vocational rehabilitation, mental health specialty care, substance abuse treatment).
• Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload.
• Demonstrated ability to collaborate and communicate effectively in a team setting.
• Ability to maintain effective and professional relationships with patient and other members of the care team.
• Experience with screening for common mental health and/or substance misuse disorders.
• Working knowledge of differential diagnosis of common mental health and/or substance misuse disorders, when appropriate.
• Ability to effectively engage patients in a therapeutic relationship, when appropriate.
• Ability to work with patients by telephone and/or telehealth, as well as in person.
• Experience with assessment and treatment planning for common mental health and/or substance misuse disorders.
• Working knowledge of evidence-based psychosocial treatments and brief behavioral interventions for common mental health disorders, when appropriate (e.g., motivational interviewing, problem-solving treatment, behavioral activation).
• Basic knowledge of psychopharmacology for common mental health disorders that is within appropriate scope of practice for type of provider filling role.
• Experience with evidence-based counseling techniques.

Equality and diversity

• Identify patterns of discrimination and act to overcome this and promote diversity and equality of opportunity
• Enable others to promote equality and diversity in a non-discriminatory culture
• Support people who need assistance in exercising their rights
• Act as a role model in the observance of equality and diversity good practice
• Assist patients from marginalized groups to access quality care 

Collaborative Care Case Manager Qualifications

• Licensed Social Worker (Medical and/or Behavioral Health), or Licensed Mental Health Counselor
• Registered Nurse Case Manager (Certified Case Manager preferred)

The Collaborative Care Case Manager will be thoroughly committed to the organization’s mission. This person should consider themselves integral to espousing the 26Health Services brand and ensure all patients are receiving concierge-level patient care. All candidates should possess or can master Microsoft Office Platforms, E-Clinical Works Electronic Medical Record and attention to detail.  Strong written and verbal communications skills.  Work as a self-starter and under little direction on tasks provided by leaders.   Be forward thinking on tasks and proactive in dealing/managing challenges and/or obstacles.

Collaborative Care Case Manager Working conditions

Ability to work in an office setting.  Ability to sit for extended periods.  Ability to work at a computer for extended periods of time.  

Collaborative Care Case Manager Physical requirements

There are no extreme physical requirements for this position.  

Collaborative Care Case Manager Direct reports

None

Additional Information:

Background screens will be performed, and education will be verified prior to employment. Please be prepared to provide required information and/or documentation. 

26Health is a smoke-free workplace, and smoking is prohibited in all enclosed areas of the property.

26Health is an equal opportunity, affirmative action employer.