Case Manager

To effectively coordinate Community Long Term Services (CLTC) to assigned participants in accordance with SCDHHS / CLTC area offices.

Provide CLTC case management services to CLTC participants face to face and over the phone during initial, monthly, quarterly and annual visits.

Develop relationships and work collaboratively with providers, public and private, and division leaders within FamilyTIES and SCDHHS to provide clients with the most appropriate and effective care possible.

Comply with federal, state, and third party payor regulations in the delivery of covered services ensuring these are appropriate and that documentation requirements are met as indicated by FamilyTIES and SCDHHS.

Case manager duties include assessing, planning, implementing, monitoring and evaluating actions required to meet the client’s health and human services needed.

Responsibilities include the following :

• Coordinate and provide care that is safe, timely, effective, efficient, equitable, and client-centered Handle case assignments, draft service plans, review case progress and determine case closure Help clients achieve wellness and autonomy Facilitate multiple care aspects (case coordination, information sharing, etc) Help patients make informed decisions by acting as their advocate regarding their clinical status and treatment options Develop effective working relationships and cooperate with medical team throughout the entire case management process Record cases information, complete accurately all necessary forms and produce statistical reports Promote quality and cost-effective interventions and outcomes Assess and address motivational and psychosocial issues Adhere to professional standards as outlined by protocols, rules and regulations Skills Proven work experience in case management, including but not limited to, nursing, medical, mental health, care management or a related job Excellent knowledge of case management principles, healthcare management and reimbursement Previous experience with psychological aspects of care Effective communication skills Excellent organizational and time management skills Professional and technical skills Problem solving skills and ability to multi-task Compassionate with teamwork skills Preferred Qualifications : A bachelor degree from an accredited college or university in a health or human services field that promotes the physical, psychosocial and / or vocational well-being of the individual being served and documentation of at least two (2) years' experience providing case management services.
• A certified case manager is a plus.

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