Behavioral Health Case Manager - Outpatient

Vail Health; Edwards (CO); On-site; USD 64,000 - 88,000; Full time

Benefits offered by this job

Parental leave (4 weeks paid)

Housing programs

Childcare reimbursement

Medical insurance

Dental insurance

Vision insurance

403(b) Retirement plan with immediate

Job summary

Vail Health is seeking a Behavioral Health Case Manager to deliver comprehensive case management across the community, focusing on discharge planning and coordination with behavioral health providers and community partners. The role emphasizes patient-centered, recovery-oriented wraparound care to enhance access to services and improve outcomes.

The position requires at least one year in human services or behavioral health, HIPAA knowledge, and a Colorado driver’s license.

Qualifications

• One year of experience in human services, behavioral health, or related field required.
• Understanding of HIPAA and privacy laws with specific understanding of Part 2/42 CFR restrictions.
• Understanding Colorado laws and regulations related to mental health practices and confidentiality preferred.

Responsibilities

• Provides comprehensive case management services across the community to ensure consistent and coordinated delivery of services for high-risk, high-acuity community members.
• Manages a comprehensive caseload of 32 billable hours per week.
• Maintains clinical documentation in alignment with local, internal, state, federal, and regulatory standards and compliance.
• Engages in comprehensive service plans and client assessments addressing clinical need and SDoH.
• Completes comprehensive discharge planning for patients discharging from higher levels of care.
• Supports care coordination with behavioral health and medical providers to improve access and continuity of care, including home visits as needed.
• Develops case management care plans and coordinates attending care coordination meetings with providers and community partners.
• Facilitates referrals and coordination with community resources for total health outcomes.
• Supports education, prevention, and skill development to improve client and family outcomes.
• Monitors patient outcomes and collaborates to improve quality of care delivery.
• Analyzes data to inform standards and prepares reports and statistics as required.
• Maintains confidentiality of data in accordance with policy and regulations.
• Role models Just Culture and Organizational Values.
• Performs other duties as assigned.

Skills

Bilingual

HIPAA awareness

Education

Bachelor's degree in social work/psychology

Job description

Vail Health has become the world's most advanced mountain healthcare system. Vail Health consists of an updated 520,000-square-foot, 56-bed hospital. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail. Learn more about Vail Health here.

About The Opportunity

The Behavioral Health Case Manager is responsible for comprehensive case management services including comprehensive discharge planning across the Vail Health Behavioral Health service line and the behavioral health service lines in the patient's community. The goal of the Case Manager position is to reduce barriers to care, enhance coordination of care for patient external and internal to behavioral health systems, improve behavioral health outcomes through supportive case management, access to services to address social determinants of health and behavioral health, early intervention, risk reduction, patient education and empowerment. The Behavioral Health Case Manager will work within the context of a patient-centered, strength based, recovery-oriented, wraparound approach, in partnership with behavioral health providers, agencies, and medical team members to promote timely access to needed care and services, continuity of care, client empowerment, and the enhancement of patient and family wellbeing

What You Will Do

• Under the supervision of the Director of Case Management, the Behavioral Health Case Manager provides comprehensive case management services across our community to ensure a consistent and coordinated delivery of services for high-risk, high-acuity community members.
• Manages a comprehensive caseload that is based on community need, patient population need, and services delivered across the service community and across all Outpatient Clinics. This position maintains a caseload of 32 billable hours per week.
• Maintains excellence in clinical documentation in alignment with local, internal, state, federal, and regulatory standards and compliance.
• Engages in comprehensive service plans and client assessments that address clinical need, level of care and associated factors that may impact care (i.e. SDoH).
• Completes comprehensive discharge planning for patients discharging from higher levels of care.
• Supports care coordination with behavioral health and medical providers to improve access and continuity of care. This level of engagement may include home visits, assistance in attending appointments or other activities that support continuity of care.
• Supports the development of case management care plan, setting of goals, and coordinating/attending care coordination meetings with providers and community partners as indicated to support the needs of the client.
• Engages in comprehensive facilitation of referrals, resources, and the coordination with community resources associated with total health outcomes.
• Supports patient, family, and community-level education, prevention, and skill development to increase client patient and family outcomes.
• Monitors patient outcomes, experience, and feedback and collaborates with team members to develop strategies to promote positive experiences with a commitment of improving quality of care delivery.
• Analyzes data and other sources of evidence to inform standards, practices, and patient care models. Ensures clinical policies and procedures are reviewed and updated in accordance with evidence-based practice. Prepares reports, maintains records, and compiles data and statistics as directed/required.
• Maintains the security and confidentiality of data/information used to perform daily duties adhering to hospital policy, laws, and regulations as appropriate.
• Role models the principles of a Just Culture and Organizational Values.
• Perform other duties as assigned.

This description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Experience

What you will need:

• At least one year of experience in a human services, behavioral health, or related field required.
• Experience in HIPAA and privacy laws with specific understanding of Part 2/42 CFR restrictions.
• Understanding of Colorado laws and regulations as they relate to the mental health practices, privacy, confidentiality, supervision, and ethical delivery of care preferred.
• Experience with ensuring accurate and timely data collection and data reporting to include Medicaid billing or reporting requirements preferred.
• Direct experience working with diverse populations preferred.
• Experience with behavioral health specific electronic mental recording, including documentation standards, coding requirements, and minimum standards of care preferred.
• Understanding of the American Psychological Association (APA) ethical codes and applicable statutes preferred.
• Rural behavioral health experience with specific knowledge of resources and community agencies specific to Eagle County preferred.
• Bilingual strongly preferred.

License(s)

• Current, valid Colorado Driver's license, with ability to pass Vail Health's Department of Motor Vehicle Report required.

Certification(s)

• Basic Life Support (BLS) required.

Education

• Bachelor's degree in social work, psychology, or human resource-related field preferred.

Benefits At Vail Health Include

• Competitive Wages & Family Benefits:
  • Competitive wages
  • Parental leave (4 weeks paid)
  • Housing programs
  • Childcare reimbursement
• Comprehensive Health Benefits:
  • Medical
  • Dental
  • Vision
• Educational Programs:
  • Tuition Assistance
  • Existing Student Loan Repayment
  • Specialty Certification Reimbursement
  • Annual Supplemental Educational Funds
• Paid Time Off:
  • Up to five weeks in your first year of employment and continues to grow each year.
• Retirement & Supplemental Insurance:
  • 403(b) Retirement plan with immediate matching
  • Life insurance
  • Short and long-term disability
• Recreation Benefits, Wellness & More:
  • Up to $1,000 annual wellbeing reimbursement
  • Recreation discounts
  • Pet insurance

Pay is based upon relevant education and experience per year.

Yearly Pay:: $63,689.60 USD - $87,880 USD