Case Manager

Case Manager I (2 Positions)

Department: Case Management

Location: WRR

Reports to: Program Manager

Status: Full-time

Pay Range: $24.90 - $32.37/hr

FLSA: Non-exempt

Organization Information

WellSpace's mission is "achieving regional health through high quality comprehensive care." We believe that everyone deserves to be seen, no matter who you are, where you come from, where you work or what place you call home. At WellSpace, we see you!

We are driven to serve the whole person through comprehensive, integrated care, spanning medical, dental, behavioral health, and supportive services across the region. We do this by building a team of exceptional colleagues who are dedicated to our mission and becoming part of the communities we serve.

As the region's largest Community Health System, WellSpace utilizes a Confluence Model to integrate an internal network of healthcare modalities, including Federally Qualified Health Centers (FQHC), Certified Community Behavioral Health Center (CCBHC), Drug Medi-Cal and Specialty Mental Health programs, California's second largest 988 Suicide and Crisis Lifeline Center, an independent Risk Bearing Organization (WellSpace Nexus), and more into a seamless confluence of care.

To ensure the highest quality of care, WellSpace is accredited by the Joint Commission for Ambulatory Care, Behavioral Health and as a CCBHC. Further, it is certified by the Joint Commission as a Primary Care Medical Home and a Behavioral Health Home. WellSpace's crisis programs are accredited by the American Association of Suicidology and the International Council for Helplines.

Position Summary

The Case Manager I supports the program by providing case management services. The ultimate goal is to assist the patient with obtaining income, insurance, and housing. These services include assistance with co-occurring disorders (mental health and substance abuse) with the expectation of improving current functioning level and skills acquisition through assessment, engagement, assistance with access to treatment including medical care with a primary care provider, rehabilitation, and goals.

Required Qualifications

• High School Diploma or GED required. Lived experience sufficient to successfully perform the essential duties of case management which includes servicing populations of focus including but not limited to, unhoused, serious mental illness, substance use disorder and/or chronically ill patients. Associates Degree preferred.

• Ability to work collaboratively with others in a team environment, respecting and valuing the perspectives and experiences of others.

• Maintain and understand appropriate roles, and boundaries among patients, peers, and WellSpace partners/stakeholders.
• Able to function effectively in a fast paced environment.
• Demonstrate a commitment to the provision of services for the underserved.
• Communicate clearly and concisely, both verbally and in writing and demonstrate a high level of listening skills.
• Computer (PC) literate in Microsoft Word, Excel, and Outlook email.
• Current CPR and First Aid certificate or willingness to be trained required within first (90) ninety days of employment.
• Ability to abide by standards of professional ethics and maintain HIPAA rules of confidentiality.
• Adherence to infection control procedures, including but not limited to, standard precautions of temperature monitoring, hand washing, symptom self-monitoring, masking and social distancing.
• Assist and support the Center/Department/Program to meet standards of High Reliability.
• Must have a valid driver’s license with an insurable driving record that meets the organization’s insurance policy.
• Must be willing to transport patients using personal vehicle.
• Must be willing to successfully complete the credentialing process.

Essential Responsibilities

• Meet with each patient individually to conduct an intake needs assessment.
• Manage a minimum of 50 patient caseload.
• Write and enter progress notes daily into EHR systems to maintain patient files.
• Incorporate a patient-focused approach to ensure the delivery of measurable outcomes.
• Perform 30% of duties in office and 70% of duties traveling to conduct in-person member visits.
• Maintain a daily 80% utilization of billable patient services.

• Manage work schedule when meeting with members.

• Transport patients to schedule appointments and community resources.
• Participate in care coordination meetings with various partners as deemed appropriate.
• Represent and/or advocate for and with patients in obtaining identification, housing, benefits services, and entitlements from governmental and private agencies and organizations.
• Coordinate linkage to various community resource programs and supports.
• Collaborate with the patient in the development of their individual SMART treatment plan.
• Rotate after hours on-call phone duties for a week at a time including weekends.
• Participate and complete all job related training, certification, renewals.
• Willingness to work flexbile work location, tasks may vary based on the needs of the program.
• Attend regular meetings with management and team.
• Other duties as assigned.

Benefits

Successful candidate will receive regionally competitive salary, above average health benefits at reduced costs, company paid life insurance & long-term disability insurance, additional voluntary retirement plan with company match and no vesting schedule requirement.

• Paid bereavement and jury duty leave
• 11 paid holidays per year
• Paid time off
• Paid sick leave
• Flexible Spending Program
• Company paid malpractice insurance for all providers
• Professional development hours offered annually

Physical Demands and Work Environment

The work environment is characteristic of a typical office environment. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit; use hands and arms to reach. The employee is also required to stand; walk; and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually quiet.

The employee may be in contact with individuals and families in crisis who may be ill, using substances and/or not attentive to personal health and safety for themselves or their homes. The employee may experience a number of unpleasant sensory demands associated with the client’s use of alcohol and drugs, and the lack of personal care. The employee may also be exposed to bodily fluids (blood, urine) and hazardous chemicals.

WellSpace Health is committed to the principals of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is the intent of WellSpace Health to maintain a work environment free of harassment, discrimination, or retaliation because of age, race, religious creed, color, national origin, ancestry, physical disability, medical condition, genetic information, marital status, sex (including pregnancy, childbirth, breastfeeding and/or related medical conditions), gender, gender identity, gender expression, sexual orientation, military or veteran status, or any other status protected by federal, state or local laws. WellSpace Health is dedicated to the fulfillment of this policy in regard to all aspects of employment, including but not limited to recruiting, hiring, placement transfer, training, promotion, rates of pay, and other compensation, termination, and all other terms, conditions, and privileges of employment.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

WellSpace Health is an Equal Opportunity Employer