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Shasta Community Health Center is seeking an Enhanced Patient Services Case Manager to provide comprehensive case management for patients with complex health and social needs, including housed and unhoused individuals. You will coordinate care with medical teams, community partners, and hospitals, enroll participants, assess needs, and monitor progress in our case management system.
Applicants should have a high school diploma or equivalent, a CA driver’s license, and be able to work in diverse
Description
Performs a variety of services related to the case management of patients
Reviews daily referrals: meet with clients to obtain program consent, administer required assessments, and review client’s care plan, medical follow-up and psychosocial needs.
Work collaboratively with patient’s medical team
Identifies needs of patients and draws from a comprehensive bank of community resources
Follows an assessment protocol to assess the needs of patients
Respect and value the patients in showing sensitivity to issues of diversity, ethnicity, gender, sexual orientation, age and disability
Engages the patient in the development of a service plan tailored to meet the patient’s unique needs, circumstances, and preferences as determined through assessment
Assist clients in establishing individualized health goals, identifying potential problems/barriers; provide health education resources. Provide advocacy for clients and monitor client’s progress.
Coordinate logistics for health goal adherence
Supports patient with creating a continuum of care plan to meet their physical and social needs.
Educates the patient to make informed choices; maintains client records that include assessment plans, and case notes that are comprehensive and up to date
Coordinate with Community and County Agencies involved with the homeless population
Participates in interdisciplinary treatment team and supports patient’s ability to communicate his/her needs effectively
Attend community meetings, as approved by supervisor
Supports patients with transitions of care
Document all clinical support tasks to meet data collection requirements
Participates in Street Medicine as part of a multidisciplinary team
If current on Medical Assistant Certification, may perform clinical duties within scope of practice.
Other duties as assigned
Knowledge of mental illness issues and sensitivity towards issues of diversity
Ability to work independently and as part of a team
Can express the mission of the Medical Respite program to other staff, patients, and to the broader community
Knowledge of adult learning theories and group dynamics
Ability to work in a variety of settings, including fieldwork in the community.
Ability to manage a complex case load
Excellent verbal and written communication skills
Strong organizational skills
Ability to effectively present information, respond to questions, and generally communicate clearly and respectfully with participants, coworkers, other agencies and companies
Comfortable discussing sensitive health issues with clients
Strong interpersonal skills. Ability to work with people with a variety of backgrounds and educational levels both in person and on the phone
Good judgment, problem solving and decision-making skills
Ability to uphold client confidentiality with the utmost professionalism
Ability to travel to other offices and community locations
Support patients in a non-judgmental way.
Ability to complete CPR certification
High school diploma or equivalent
Must possess a valid California Driver's License and meet the requirements of the SCHC Auto Insurance Policy.
Two-Year associate degree or equivalent experience in Case Management
Experience working with the homeless population
Previous experience working in an outpatient clinic, doctor's office, or programs for mentally ill, SUD clients
Knowledge of harm reduction practices or theories
Knowledge of Housing First principles
BENEFITS
Shasta Community Health Center is an Equal Opportunity Employer