Care Manager

GENERATIONS HEALTH ASSOCIATION INC; Dresden (TN); On-site; USD 24,796 - 27,552; Full time

Benefits offered by this job

401(k)

401(k) Matching

Health Insurance

Dental & Vision Insurance

Life Insurance

Critical Illness & Accident Insurance

Paid Time Off

Job summary

Generations Health Association Inc. seeks a Care Manager in Dresden, TN to support individuals in accessing community resources and coordinating care among health providers.

The role focuses on developing person-centered care plans, empowering clients to overcome daily mental health challenges, and completing required documentation per regulations.

Qualifications

• Bachelor’s degree in health-related field or licensed nurse required.
• LPNs must have 15 behavioral health hours and 1 year behavioral health care experience.
• Alternate Bachelor’s degree with 15 hours of behavioral health coursework or 1 year behavioral health experience.

Responsibilities

• Care management services aligning with member rights and confidentiality.
• Engage family members/caregivers and link to community resources.
• Develop and review a Comprehensive Care Plan within 24 hours of enrollment.
• Maintain documentation per state/federal regulations and policies.
• Ensure monthly contact and evidence-based care coordination with providers.

Education

Bachelor’s degree in health related field

Licensed nurse

Alternate Bachelor’s degree with 15 behavioral health hours or 1 year behavioral health experience

Job description

Job Details

Location: DRESDEN MHC - DRESDEN, TN 38226, Salary Range: $18.00 - $20.00 hourly, Shift: Day.

Qualifications

• Bachelor’s degree in a health related field of counseling, psychology, social work, sociology, behavioral science, or must be a licensed nurse.
• LPNs must have fifteen (15) semester hours of behavioral health and one (1) year of behavioral health care experience.
• Alternate Bachelor’s degree must have fifteen (15) college level semester hours of coursework in behavioral health or at least one (1) year of work experience in a behavioral health setting.

Benefits

• 401(k)
• 401(k) Matching
• Health Insurance
• Dental & Vision Insurance
• Life Insurance
• Critical Illness & Accident Insurance
• Paid Time Off

Position Summary

Providing support to individuals in need of accessing community resources, building natural supports within the community, and coordinating care between all health care providers. The Care Manager will also determine potential strengths and ways to empower the individual to overcome daily mental health symptomology. The Care Manager will work with the Care Team to develop an individualized Person-Centered Care Plan that addresses all deficiencies of the individual receiving care. The person holding this position is expected to attend in-service(s) and all other training as required and complete all documentation work. The person holds responsibility for carrying out duties in accordance with current federal and state regulations and company policies.

Primary Job Duties and Responsibilities

1. Care Management program will provide services consistent with member’s rights including, but not limited to member’s choice and confidentiality as stipulated by state and federal statute.
2. Care Management programs encourage involvement of members, family members/caregivers and significant others in the community resource development and linkages, prioritizing linkages with mentoring programs provided by members and family members.
3. Referral & Coordination: describe policies and procedures regarding referral and coordination mechanisms (including responsibility for transportation when required) for services outside the program, including but not limited to:
   • Psychiatric rehabilitation programs
   • Employment resources
   • Providers of transportation services
   • Housing developers/coordinators
   • Law enforcement
   • Primary Care Provider (PCP)
   • Bureau of TennCare
   • Providers of housing services
   • Social Security Administration
   • Managed Care Company (MCC)
   • Behavioral Health Organizations (BHO)
   • Medical hospital & emergency rooms
   • Inpatient psychiatric hospitals
   • Outpatient mental health providers
   • Alcohol & drug treatment providers
   • Social services agencies
   • Adult protective services
   • Providers of educational services
   • Court system
   • Juvenile justice system agencies
   • Department of Children’s Services
   • Mobile Crisis Response Teams
   • Mentoring programs provided by members and family members
4. A Comprehensive Care Plan (CCP) will be developed for each member within twenty-four (24) hours of enrollment in Tennessee Health Link. It will be based upon the needs identified in the initial assessment as well as the individual’s CANS/ANSA assessment. The comprehensive care plan will be reviewed every ninety (90) days. Documentation must include:
   • Member name, MCC identification number, and DOB
   • Date of plan development
   • Each life functioning domain based upon prioritized needs and desires, with measurable long-term goals, measurable objectives & interventions, DSM-5 diagnosis, anticipated target date, and documentation of participants.
5. Crisk Plan must be developed within twenty-four (24) hours of enrollment. It includes member’s name, locator information, diagnosis & medical information, crisis resolution process steps, signs & symptoms, and crisis interventions to avoid.
6. CM will document encouragement of member and family member/caregiver involvement.
7. CM will ensure access to care management for members with mental health and substance use diagnosis.
8. CM will provide evidence of performance monitoring standards, tracking outcomes for members receiving CM services.
9. CM will demonstrate cultural competence in the administration, design, and delivery of CM services, ensuring they are clinically appropriate.
10. CM will obtain and maintain an F endorsement on driver’s license to assist in transportation services as required.
11. CM will provide documentation of at least one monthly contact with the service recipient.
12. CM will provide evidence that medical records for each member contain at minimum:
    • Assessments completed prior to the development of the MHCM comprehensive care plan.
    • MHCM Care Plan developed within twenty-four (24) hours of enrollment containing the specified elements.
    • MHCM Crisis Plan developed within twenty-four (24) hours of enrollment.
    • Progress notes after each service contact.
    • Current Authorization to Release Forms for member’s PCP, pharmacy, emergency contact, past providers, and other current providers.
    • Current preliminary discharge plan updated monthly for ARTF, quarterly for Enhanced, and every six months for supportive levels of care and community based outpatients.
    • CANS/ANSA assessment and follow-up.

Physical Requirements

Literate, emotional maturity, poise, visual and hearing acuity, and dignity.

Special Demands

Applicant must work effectively with individuals who have deficiencies in personal interaction and delay in coping with daily emotions. Applicant must exhibit patience, actively listen, and express genuine care and concern.

Disclaimer

The above job description indicates the general nature and level of work performed by employees within this classification and is not inclusive of all duties, responsibilities and qualifications required.