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About the Role

The Targeted Case Manager is a care team member responsible for advocating for patients, identifying and removing barriers to care, and creating options and solutions. This role functions as an integral part of the patient healthcare team to improve outcomes for high-risk Grace Health patients by connecting them with necessary services such as healthcare, social needs, education, employment, transportation, housing, and legal assistance. The position requires independence and knowledge of community resources.

Responsibilities

Understands and promotes the mission, vision, and values of Grace Health.
Assists patients with re-emergence into daily activities toward recovery to improve quality of life.
Collects social, educational, economic, and vocational information to formulate a plan of care.
Performs assessment, treatment, planning, linking, advocacy, and monitoring for high-risk patients with substance use disorder or other mental health diagnoses.
Creates and implements treatment plans with long and short-term goals.
Connects and refers clients with community resources for various needs, with follow-up assessment.
Educates patients, families, and staff about care, prevention, and treatment enhancement techniques.
Facilitates care between Medical and Behavioral Health.
Meets with patients at intervals, adhering to company guidelines.
Maintains a positive environment and open communication with patients.
Establishes and maintains professional rapport with patients, providers, and team members.
Builds a positive and productive culture in the workplace.
Motivates clients toward goal achievement.
Coordinates care with community providers, hospitals, and other facilities.
Participates in facility training and quality meetings.
Maintains accurate and timely documentation.
Evaluates crisis situations and applies appropriate interventions.
Actively participates in meetings supporting Grace Health’s integrated healthcare model.
Assists in detecting "at risk" patients and developing plans to prevent further deterioration.
Provides group, individual, or family case management to clients as assigned.
Follows office policies and procedures, including administrative, clinical, quality assurance, and personnel.
Maintains good attendance.
Maintains timely documentation of all work assignments.
Maintains patient confidentiality following company and HIPAA regulations.
Keeps supervisor informed about attendance and job assignments.
Demonstrates flexibility in multitasking.
Works effectively and at an efficient pace.
Works cooperatively with providers, administration, and peers.

Requirements

Ability to work through brief patient contacts and make quick and accurate clinical assessments of mental and behavioral conditions.
Comfortable with the pace of primary care.
Strong communication skills.
Ability to work with an interdisciplinary team.
Strong organizational and time management skills.
May require travel to other clinic sites.
Ability to assist in advancing Grace Health’s mission.
Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions.

Skills

Knowledge of Word Processing software.
Excellent working knowledge of behavioral medicine and evidence-based treatments for medical and mental health conditions.
Strong knowledge of Opioid Use Disorder/Alcohol Abuse and Medicated Assisted Treatment and Mental Health.
Excellent team communication and coordination.
Skill and knowledge related to effective communication with vulnerable patient populations.

Location

Southeastern Kentucky region

Work Type

Full-time

Experience Level

Three years or more of experience may substitute for education requirements.

Education Level

Bachelor’s degree in arts/science in Behavioral Health or a related field.
Completion of the 12-hour Targeted Case Management training is preferred and/or will be required after hire.
Previous experience with Case Management Services.
Continuing Education as applicable.

About the Company

Grace Health is a faith-based, federally qualified community health center (FQHC).
Provides primary health services to underserved, underinsured, and uninsured individuals.
Mission: “to show the love and share the truth of Jesus Christ to southeastern Kentucky, through access to compassionate, high quality, primary health care for the whole person.”
Manages patient care as a team effort involving clinical and non-clinical staff.
Embraces a team-based approach to patient care.
Understands the importance of each role to success.
Understands and embraces the concept of population management.
Proactively addresses the needs of patients and families served.
Participates in Continuous Quality Improvement activities.
Participates in the review and evaluation processes of practice performance.
Participates in Grace Health's advocacy program.

Equal Opportunity

Grace Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.