Medical Case Manager (Centro Outpatient Clinic)

Location: Phoenix, AZ

PRIMARY FUNCTIONS
The Medical Case Manager is responsible for facilitating client care, in collaboration with the medical team, client, pharmacies, AHCCCS, health plans and the RBHA. The Prescriber Liaison works collaboratively with the Nurse Practitioner/Clinical Supervisor/Program Director to guide the treatment team in implementing services and coordination of care. The Medical Case Manager provides direct services and medical assistance with client needs, activities, or services in the daily operation of the site or program.

JOB RESPONSIBILITIES:

• Performs comprehensive intake and ongoing assessments, when applicable.
• Works with individual and families that present with a range of behavioral health presentations, including co-occurring disorders.
• Ability to understand and screen for serious mental illness, and complete requests for determination.
• Ability to demonstrate education and verbalization of information in a culturally competent and sensitive manner.
• Collaborates, coordinates, and consults with other involved service providers and treatment team members.
• Manage and monitor individually assigned caseload.
• Accurately documents progress notes same day as service, not to exceed 24 hours; crisis documentation completed same day as service.
• Follow-up to service commitments, engagement, re-engagement for missed appointments, letters of intent, welfare checks, and appropriate discharge functions completed within required time periods.
• Assist in working with clients with medication and case management services.
• Consults and coordinates with prescriber, laboratories, medical providers, pharmacies, and assists with eligibility and access to prescription services when needed.
• Complete Prior Authorizations, assist with medication refill requests, and other administrative duties.
• Coordinates care between clients mental health care and clients primary care physician.
• Monitors Vital signs, height, and weight of client as requested by the medical prescriber.
• Greet and collect vitals, verify patient information, complete warm handoff to provider.
• Educate on identifying side effects to medications and assist the members in communicating their side effects to provider if needed.
• Consults on initial and ongoing psychiatric evaluation requests.
• Provide translation services for clients during psychiatric appointments, as needed.
• Achieve assigned weekly/monthly productivity expectations as set for the position throughout the fiscal year.
• Collaborate with clinic support staff as needed.
• Perform other duties as assigned.

KEY DUTIES:

• Follows all CPLCs policies, procedures and protocols.
• Must maintain confidentiality and integrity.
• Maintain satisfactory punctuality and attendance as set on the work schedule.
• Must be a collaborator and work as a team.

MINIMUM QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor's degree in a behavioral health related field, or has a bachelor's degree and at least one year of full-time behavioral health work experience; or has an associate's degree and at least two years of full time behavioral health work experience; or has a high school diploma or high school equivalency diploma and 18 credit hours of post-high school education in a field related to behavioral health completed no more than four years before the date the individual begins providing behavioral health services and two years of full-time behavioral health work experience; or four years of full time behavioral health work experience.
• Preferred: Be a certified Medical Assistant or a Patient Care Technician prior to the year 2000.
• Preferred generalist knowledge in general mental health, substance abuse, co-occurring disorders, and serious mental illness.
• Preferred generalist knowledge in psychotropic medication, potential side effects, and purposes of utilization.
• Preferred familiarity with application of behavioral principles in youth treatment, understanding of the Arizona Child and Family Team model.
• Possess a valid driver's license and ability to be insured under automobile insurance policy.
• Able to work a flexible schedule as needed per program requirements.
• Must successfully complete the agency's orientation and demonstrate competence regarding skills and knowledge
• Have basic typing/computer skills.
• Have excellent verbal and written communication skills
• Have good organization and time management skills
• Ability to obtain fingerprint clearance card, CPR and First Aid.
• Must be at least 21 years of age
• Must be bilingual in English and Spanish.

Computer Skills: Microsoft Office, Internet, Outlook, Electronic Medical Record

Licenses, Certification, etc: Medical Assistant Certification or equivalent

PHYSICAL REQUIREMENTS:
Sitting for long periods

Bend Stoop

Standing for long periods

Kneel

Lifting 0-30 lbs.

Typing

Working on a computer 4-6 hours per day

Ability to communicate clearly and effectively both verbally and in writing.

CONTINUOUS EDUCATION
Employee will be expected to participate in continuous learning, competency building and maintenance of competency skills.

TYPICAL WORKING CONDITIONS
Work is performed in structured environments.

ACCOUNTABILITY
Reports to and is supervised directly by the Program Director. Employee is also accountable for understanding and complying with CPLC policies and procedures.