Care Management Specialist (CMS) Department: Behavioral Services
Reports to: Director of Behavioral Services
POSITION OVERVIEW:
Under the supervision of the Director of Behavioral Services, Care Management Specialists (CMS) serve as care coordinators and managers. They evaluate and identify clients' needs to create personalized care plans. CMS is responsible for delivering case management services to individuals with breast cancer and related conditions.
Their duties include providing information and referrals, making decisions and acting on behalf of clients, coordinating services for those requiring financial assistance, and navigating various benefits, social services, medical care, and mental health support. CMS strives to empower clients toward self-sufficiency.
Additionally, CMS assists clients in identifying barriers to their recovery and engages in care planning that connects them to available resources and essential skills, alleviating stressful life circumstances to enhance their quality of life and overall well-being. CMS is also expected to evaluate the effectiveness of the care plan and the services provided monthly or as needed.
This position is subject to criminal background checks and may require pre-employment drug screening for abuse.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
1. Demonstrate professional responsibility in the role of Care Management Specialist (CMS).
2. Comply with all applicable federal, state, and local laws, regulations, and requirements, as well as best practice guidelines, nationally recognized care guidelines, and JFSA's policies and procedures.
3. Maintain confidentiality when interacting with clients, families, personnel, and the public.
4. Approach clients with understanding and compassion.
5. Provide services through methods, at locations, and during times that are accessible to clients who may be working, have children, or have limited transportation options.
6. Utilize nationally recognized care guidelines when considering program acceptance, follow-up care, and discharge plans.
7. Complete the needs assessment, individualized care plan (ICP), discharge plan, and other required paperwork within the timeframe set by JFSA: Behavioral Services' policies and procedures.
8. Review immediate client needs, including triage based on urgency, and connect clients to appropriate resources.
9. Provide, coordinate, and assist clients in maximizing community resources and addressing needs as indicated in the ICP.
10. Serve as a liaison between clients and social, financial, health, community, and legal services when appropriate.
11. Support clients in making informed decisions about their medical status, healthcare, mental health care, and treatment options when needed.
12. Provide ongoing case management services to help clients obtain social services, mainstream benefits, and emotional support as assigned by the Director of Behavioral Services.
13. When appropriate, initiate referrals to proper providers, including psychotherapy and psychiatric services for symptom and medication management.
14. Educate clients and their families about community resources and help them maintain their current eligible benefits. Work collaboratively with team members and other community personnel to ensure the best possible care for clients.
15. Assess clients' potential risk of harm when necessary and develop crisis plans through appropriate interventions and referrals.
16. Provide adequate follow-up, including home visits at least once a week, to assess progress, determine additional needs, and ensure quality care and services.
17. Work independently, assuming responsibility for daily workflows, targeting appropriate cases, and adhering to a schedule of client contacts and visits determined by the Director of Behavioral Services.
18. Function as a contributing member of a multidisciplinary team alongside the
organization's employees, deployed staff, volunteers, and community agencies.
19. Ensure that all relevant client information is promptly shared with the appropriate staff members.
20. Adhere to all requirements of the client's medical insurance and other eligible benefits.
21. Review and modify the ICP as the client's medical and mental status change. Assist clients in achieving their goals through encouragement, action plan development, and resource accessibility.
22. Maintain accurate progress notes, the ICP, client data, and other pertinent records in
accordance with HIPAA, PHI, and JFSA: Behavioral Services' policies and procedures.
23. Respond promptly to inquiries from the public, healthcare providers, families, and other community agencies.
24. Meet and consult with other community and agency personnel as appropriate.
25. Maintain positive relationships and networks with community partners, medical and mental health providers, clients served, caregivers, family members, and others involved in the client's care plan.
26. Provide follow-up and support to volunteers of JFSA: Behavioral Services.
27. Participate in staff meetings and training as directed by the Director of Behavioral Services.
28. Take responsibility for meeting your own learning needs.
29. Report any problems, issues, and concerns to the Director of Behavioral Services in a timely manner.
30. Utilize work time efficiently to maximize productivity.
31. Perform additional duties as assigned by the Director of Behavioral Services.
32. Be flexible to perform additional duties in different areas of the Behavioral Services department when needed.
Required Qualifications:
Bachelor's Degree in Psychology, Social Work, or related field.
Minimum of two (2) years of case management experience or one (1) year of case management experience and one (1) year of experience working in a social service environment.
Valid driver's license in the state of Nevada.
Must have reliable transportation.
CPR, CPI, and first aid certification within 30 days of hire.
The ideal candidate will embody:
Strong written and verbal communication skills.
Ability to effectively communicate with clients and their families at all levels of the JFSA organization.
Working knowledge of licensing and accreditation standards relevant to the case management process.
Proficient in Microsoft Office, Outlook, PowerPoint, and Excel.
Commitment to serving those in need.
Excellent problem-solving abilities.
Ability to maintain a sense of humor in high-pressure environments.
Capability to work with a culturally diverse staff and client base.
Exceptional organizational skills with the ability to prioritize multiple requests.
Knowledge of ADA standards and guidelines.
Familiarity with Care Guidelines.
Experience working with clients who have medical conditions and disabilities is beneficial.
Ability to maintain confidentiality.
Committed to upholding high moral standards both at work and in the community.
HOURS:
40 hours per week, typically Monday to Friday, from 9 AM to 5 PM, with some flexibility required.
PHYSICAL DEMANDS:
Ability to drive, sit, stand, and walk for prolonged periods. Ability to perform push/pull movements and lift no more than 15 lbs., occasionally lifting and carrying items such as ledgers, files, and small to medium boxes and objects.
Job Type: Full-time
Pay: From $23.47 per hour
Expected hours: 39 per week
Benefits:
Health insurance
Paid time off
Work Location: In person
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