Behavioral Health Case Manager & Care Navigator

Great Plains Tribal Leaders Health Board; Rapid City (SD); On-site; USD 60,000 - 85,000; Full time

Job summary

Great Plains Tribal Leaders Health Board’s Oyate Health Center in Rapid City, SD seeks a Case Manager. This full-time professional position coordinates care, develops care plans, and advocates for patients to promote quality, cost-effective outcomes.

You will assess needs, create short- and long-term health goals, manage high-risk patient registries, and work with care teams to ensure timely services and appropriate referrals.

Qualifications

• Bachelor’s degree or associate’s degree and three years’ experience.
• Licensed as a Registered Nurse.
• Documented case management and/or administrative experience preferred.

Responsibilities

• Understands key concepts including same-day access, continuity of care, empanelment, and integrated care.
• Works effectively in a rapidly changing and innovative health care system.
• Identify cases with potential for high-risk complications; act as an advocate for an individual's health care needs; Understand methods for assessing an individual's present level of physical/mental impairment; Assist individuals with the development of short-and long-term health goals; Understand the psychological characteristics of wellness.
• Manage OHC high-risk patient registry; Oversee systems for identifying high risk patients through electronic health records and referrals; Ensure validity of registry and collaborate with Information Technology on registry functionality.
• Maintain a tracking system for patient care coordination and care management across the continuum, including transitional care management, tracking referred patients for admission to other healthcare facilities; performs chart reviews to determine timeliness of requested service to facilitate the discharge of patients currently admitted to outside facilities.
• Monitor CHEF program for CHS department and other programs, including case reviews and assures documentation is prepared and submitted timely for reimbursement.
• Conduct a comprehensive assessment of patients’ physical, mental, and psychosocial needs; Collect in-depth information about a person's situation and function to identify needs to develop a comprehensive Case Management plan that will address those needs.

Skills

Registered Nurse

Case management

Healthcare coordination

Education

Bachelor’s degree

Associate’s degree

Job description

Great Plains Tribal Leaders Health Board’s Oyate Health Center in Rapid City, SD seeks a Case Manager. This full-time professional position coordinates care, develops care plans, and advocates for patients to promote quality, cost-effective outcomes.

You will assess needs, create short- and long-term health goals, manage high-risk patient registries, and work with care teams to ensure timely services and appropriate referrals.