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Detroit Wayne Integrated Health Network
Detroit Wayne Integrated Health Network
201 – 500 Angajați
Asistență medicalăNonprofitSănătate mintală
Detroit Wayne Integrated Health Network este o organizație de sănătate care funcționează ca o plasă de siguranță și deservește comitatul Wayne prin servicii integrate de sănătate mintală și comportamentală. Programele sale includ intervenții în situații de criză, sprijin pentru persoanele care trăiesc cu boli mintale, servicii pentru autism și tratamentul tulburărilor asociate consumului de substanțe, reunind îngrijirea coordonată și sprijinul comunitar pentru a contribui la îmbunătățirea bunăstării și calității vieții membrilor.
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Locurile de muncă ale companiei

Complex Case Coordinator - Detroit, MI Hybrid

Coordinate integrated behavioral health services for Detroit Wayne members across assessments, care transitions, community referrals, and compliance requirements.

USStatele Unite ale AmericiiMIMichiganHibridNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăCoordonator de cazuriGeneral

Descriere

  • Oversee care coordination initiatives
  • Advance integrated service delivery across DWIHN, its provider network, and the broader healthcare community
  • Apply NCQA standards for Complex Case Management
  • Manage an assigned caseload of DWIHN members
  • Complete required MHWIN documentation within established deadlines
  • Meet members in hospitals and community-based settings
  • Complete assessments and care plans within required deadlines
  • Identify eligible members using inpatient hospital, EMS, PHQ, hospital recidivism, and other referral data
  • Lead outreach, education, and marketing efforts for Wayne County community providers
  • Process complex case management referrals within designated time frames
  • Prepare weekly and monthly reports
  • Support care transitions for members leaving acute care settings
  • Maintain consolidated member lists and data for reporting purposes
  • Coordinate with community-based member care teams
  • Link members with community resources and healthcare providers
  • Help members apply for health benefits, SSI, Bridge Card, and related assistance
  • Participate in care review mock audits and record reviews
  • Coordinate care for members who do not qualify for Complex Case Management
  • Attend weekly team, all-staff, DWIHN, designated CRSP/COPE/Children/Hospital Liaison meetings, and required training
  • Complete other related duties as assigned

Cerințe

  • Bachelor’s degree in social work, psychology, counseling, nursing, human services, social services, public health, public administration, healthcare administration, health management, or a related discipline
  • Four years of full-time paid professional experience in human services, social services, mental health, or behavioral health
  • Licensed Bachelor’s Social Worker (LBSW) credential or a higher-level license
  • Valid Michigan driver’s license and a safe, acceptable driving record
  • Familiarity with DWIHN policies, procedures, operations, provider network, and community resources
  • Understanding of the Michigan Mental Health Code, MDHHS policies, and applicable federal policies, regulations, rules, and procedures
  • Knowledge of MHWIN, the LOCUS model, clinical care processes, adult continuums of care, integrated care services, Medicaid, Medical Necessity Criteria, ASAM, DSM-V, NCQA standards, CMHSPs, and PIHPs
  • Strong assessment, evaluation, detail management, time management, report writing, critical thinking, interpersonal, communication, active listening, computer, and teamwork abilities
  • Proficiency in Microsoft Word, Excel, Access, PowerPoint, Outlook, and Teams
  • Ability to communicate effectively in writing and verbally while working with diverse populations
  • Sound judgment and reasoning skills
  • Proof of full COVID-19 vaccination required for employment, subject to legally required accommodations or exemptions

Beneficii

  • Remote work may be available with supervisory approval
  • Medical or religious accommodations and other legally required COVID-19 vaccination exemptions are available
  • Equal opportunity employer

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