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Case Manager
Career Insights for Clinical Case Manager
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Based on Missouri data
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What they do
A Clinical Case Manager coordinates medical care and provides advocacy to help people get the best and most affordable care. Helps patients navigate insurance and hospital bureaucracies and access information. May work with patients who have chronic illnesses or other complex medical needs. Works at a hospital or other healthcare facility; may follow patients throughout the span of their treatment and travel to different doctors' offices, hospitals or a patient's home.
$67,107 / year median in Missouri
+6% projected growth
Job Description
PURPOSE STATEMENT
Manage the client's/patient's/resident's cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents.ESSENTIAL FUNCTIONS
- Provide case management and care coordination services for clients/patients/residents in the facility.
- Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements.
- Responsible for psychosocial assessment and for conducting individual, family and group sessions.
- Conduct various duties related to coordinating treatment and discharge activities, as needed.
- Provide quality care through developing, implementing, managing and evaluating client/patient care plans.
- Collect, correlate and provide clinical data to the treatment team.
- Convey medical criteria and clinical information between the insurance provider and treatment team as warranted.
- May also correlate clinical data for business office as required.
- Coordinate in a timely manner, issues or activities relevant to the treatment team.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS
- Bachelor's degree in Social Work, Counseling or related human service field required.
- One or more years' experience working in a behavioral health setting preferred.
- Previous experience with the patient population served by the facility preferred.
- Previous experience in case management and/or utilization review preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS
- Current license required within the state the facility is operating in if required.
- CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
- First aid may be required based on state or facility.