Find & Apply For Clinical Case Manager Jobs in Rancho Santa Fe, California

Additional Counselor Job Duties Responsible for completing and coordinating utilization reviews (URs) for all clients assigned to their caseload. Monitor upcoming authorization expiration dates and ensure reviews are completed and submitted within required deadlines. Prepare accurate, detailed clinical documentation supporting the client's continued medical necessity for treatment. Document treatment progress, ongoing symptoms, barriers to discharge, relapse risks, and continued treatment needs. Collaborate with the clinical team and utilization review department to ensure necessary information is available. Respond promptly to requests for additional documentation from insurance providers or the UR department. Maintain accurate records of authorization requests, review dates, and outcomes. Immediately notify management of authorization concerns, denials, or potential lapses in coverage. Complete UR responsibilities within the employee's qualifications, training, and authorized scope of practice. Group Counseling Responsibilities Facilitate 1-2 scheduled therapeutic or psychoeducational groups per workday , as assigned. Prepare appropriate group topics, activities, and educational materials. Utilize evidence-based counseling approaches, including CBT-informed interventions, motivational interviewing, relapse prevention, and coping-skills development. Encourage appropriate client participation and maintain a structured, therapeutic group environment. Monitor and address disruptive behaviors or concerns during group sessions. Document attendance, participation, significant behaviors, and relevant client responses. Complete all group documentation within established facility deadlines. Communicate significant client concerns or behavioral changes to the clinical team. Medication Observation & Vital Signs Demonstrate familiarity with facility medication observation procedures and applicable policies. Understand the importance of medication safety, proper documentation, and reporting medication-related concerns. Observe and promptly report potential medication-related issues, including reported side effects, missed doses, or client concerns. Demonstrate familiarity with basic vital signs, including blood pressure, pulse, temperature, respiratory rate, and oxygen saturation. Assist with obtaining and documenting vital signs when appropriately trained, authorized, and assigned. Recognize when observed symptoms or vital signs require prompt notification of nursing or medical personnel. Follow established procedures for medical concerns and emergencies. Do not administer medications, make independent medical decisions, or perform duties outside the employee's training, authorization, or legal scope of practice. Weekly Medical Follow-Up Coordination Assist in scheduling required weekly medical follow-up appointments for assigned clients. Coordinate with medical providers, nursing staff, and other authorized personnel to ensure appointments are scheduled. Maintain awareness of upcoming medical appointments for assigned clients. Notify clients and appropriate staff of scheduled appointments. Assist with coordinating transportation or telehealth arrangements when necessary. Follow up on missed or rescheduled appointments. Communicate client-reported medical concerns to the appropriate medical staff. Document scheduling, appointment coordination, and relevant follow-up activities in the appropriate client record. Ensure continuity of communication between the counseling team and medical providers while maintaining client confidentiality. Caseload Management & Accountability The CADC is responsible for managing assigned clients and ensuring required services and documentation are completed in a timely manner.

This includes:

Conducting at least one individual case management meeting weekly with each assigned client. Completing or coordinating required utilization reviews for assigned clients. Facilitating 1-2 groups per scheduled workday . Assisting clients with disability, FMLA, and approved treatment verification or completion letters. Coordinating aftercare, discharge planning, and transfers to lower levels of care. Assisting with scheduling weekly medical follow-up appointments. Maintaining familiarity with medication observation and vital sign procedures. Completing required individual, group, case management, UR, and discharge-related documentation. Communicating significant changes in client behavior, treatment participation, or clinical concerns to appropriate staff. Maintaining organized records and meeting all facility documentation deadlines.

Schedule:

Monday-Friday 7am-3:30pm

Pay:

$23.00 - $25.00 per hour

Benefits:

401(k) Dental insurance Employee assistance program Health insurance Life insurance Paid time off Vision insurance

Work Location:

In person