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Benefits:

Dental insurance
Health insurance
Paid time off
Vision insurance

Case Manager

Qualifications:

Education & Work Experience:

Work Experience Required:

· Bachelor’s Degree in a health-related field of counseling, psychology, social work, or other behavioral health fields desired

· Three to five years’ experience in the health care or social work field

Skills/Knowledge Required:

· Negotiation skills

· Superior communication skills

· Organizational skills

· Moderate computer skills

· Ability to follow up and document the progress made by the patients.

· Provide health education for individuals and groups.

· Develop educational materials like articles, fact sheets, and public service announcements for the community.

· Set up meetings with providers and patients as needed and informing all necessary parties of the processes involved in each patients’ treatment and the plans for ongoing treatment.

· Keep updated records of each client, collect, and analyze data to evaluate all treatment and recovery programs, and continuously improve patient offerings.

Essential Functions & Responsibilities:

Assessing needs: Evaluating patients' strengths and needs, and determining the most appropriate treatment options
Developing treatment plans: Collaborating with counselors and providers to create a treatment plan for each patient
Linking patients to resources: Connecting patients with the services and support they need, including medical staff.
Educating patients: Providing behavioral health education to patients and groups, and developing educational materials
Monitoring progress: Following up with patients to document their progress and evaluate treatment and recovery programs.
Advocating for patients: Speaking up for patients who may not be able to do so for themselves.
Providing support: Assisting patients with medication education, illness education, and medication management
Continual assessment of patients’ strengths, needs, support, and goals.
Participating in community events and networking opportunities
Collaboratively complete comprehensive and individualized care plan, crisis plan, PRAPARE screening tool, other assessment tools within 30 days of services, and every 6 months thereafter. Goals include both physical health and behavioral health, as well as any additional domains as applicable.
Assist with referral and linkage to internal and community resources to ensure patients are successfully connected and receiving support needed.
Provide side by side support to patients in addressing barriers and learning new skills. Advocate for patients whenever necessary.
Assist patients with attending appointments (Clinic, Therapy, IHC/PCP) by providing appointment reminders, collaboratively addressing barriers to attendance, and arranging transportation when needed.
Provide education to patients regarding gaps in care and collaboratively develop action plans to close gaps and manage health proactively.
Ensure efficient, timely, and coordinated transition of patients when needed within the clinic and the community support systems.
Meet productivity standards as indicated in the Policies and Procedures.
Meet with LCSW for monthly supervision and meetings as scheduled.
Come prepared to supervision meetings with questions, caseload information, and solutions for challenges.
Respond to urgent/crisis consumer needs with assistance and guidance from supervisors, crisis services, and clinic staff by developing and implementing plans and interventions.
Develop and maintain positive and professional relationships with community networking partners.
Ensure timely and appropriate documentation as required by the agency.
Collaborating with the Medical Team for integrated care for the patient.

TEAM DUTIES

· Assists other members of the team as needed.

· Acts in a professional manner reflect the mission of Tri-Med Family Care and demonstrate an ability to remain calm during peak periods of activity.

· Participates in training and orientation of new employees and on-going.

· Communicates clearly, concisely, and accurately, creating a working climate that provides growth and job satisfaction for all personnel.

· Works their regular assigned daily schedule and comes to work consistently so as not to put their co-workers in stressful situations by having to cover more than one.

job on a regular basis.

BEHAVIOR EXPECTATIONS

· Compassion - Demonstrates sensitivity for the needs of others by showing appreciation and respect for the dignity of all people. Shows concern for the appreciation and respect for the dignity of all people. Shows concern for the feelings of others through actions that express thoughtfulness, attentiveness, and confidentiality.

· Service - Anticipates and responds to the needs of patients, visitors, physicians, employees, volunteers, and the community. Recognizes the needs of others and takes appropriate steps.

· Communication - Expresses and receives, through word, body language and listening skills, all information needed for job performance. Presents information (verbal and/or written) in a clear and concise manner that is easy to hear or read and understand.

· Fairness - Displays open-mindedness and objectivity in relations with patients, visitors, physicians, employees, volunteers, and the community. Treats all people justly acting without self-centeredness, prejudice, and favoritism.

· Courtesy - Demonstrates the hospitality of Tri-Med Family Care through words and behavior.

· Cordial - Displays friendliness, kindness, and appropriate manners in interactions with patients, visitors, physicians, employees, volunteers, and the community.

· Teamwork - Promotes a spirit of unity which enables the group to work together to achieve a common goal. Takes initiative to perform job and/or assist co-workers, supporting the work of others in accomplishing the mission of TMFC.

· Stewardship - Demonstrates efficient and careful use of materials and human resources to conduct the mission of the department and Tri-Med Family Care, in a resourceful and creative manner. Effectively utilizes and is not wasteful of

Physical Demands

· Requires a full range of body motion including manual and finger dexterity and hand-eye coordination.

· It requires standing and walking for extensive periods of time. Occasionally lifts and carry items weighing twenty-five pounds or less.

· Requires corrective vision and hearing to normal range. May require working under occasional stressful conditions and/or irregular hours.

Typical Working Conditions:

· Infrequent exposure to communicable diseases, toxic substances, medical preparations, and other conditions common to a clinic environment.

ACCOMMODATION: Tri-Med Family Care has the right to modify the duties and functions of the job description based on the needs of the organization.

DISCLAIMER: The above statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

“Our Mission is to serve God by serving our community with a passion for healthcare and compassion for people.”
TMFC provides healthcare services as a Federally Qualified Health Center (FQHC). FQHCs are community-based health care providers that receive funds from the HRSA Health Center Program to provide primary care services in underserved areas. They must meet a stringent set of requirements, including providing care on a sliding fee scale based on ability to pay and operating under a governing board that includes patients.

The defining legislation for Federally Qualified Health Centers (under the Consolidated Health Center Program) is Section 1905(l)(2)(B) of the Social Security Act. TMFC has also been awarded recognition by the National Committee for Quality Assurance (NCQA) Patient-Centered Medical Home Program. NCQA’s PCMH Recognition program is the most widely adopted PCMH evaluation program in the country.

Tri-Med Family Care is a sub-recipient of a Georgia Family Planning System (GFPS) grant and is deemed a family planning service site. GFPS ensures access to high-quality pregnancy planning and prevention services integrated with other preventive health care for women, men and adolescents with priority given to low-income and uninsured individuals who may otherwise lack access regardless of income and health insurance status.

TMFC is credentialed as a Community Provider in the VA Community Care Network (CCN). The CCN is the VA’s direct link with community providers to ensure Veterans receive timely, high-quality care.

What We Do

Primary Healthcare

We employ a staff of Medical Doctors and Nurse Practitioners to deliver comprehensive medical care services that help you maintain good health. These services generally include:
• Routine physical exams

• Screening for common health issues

• Treatment of minor illnesses and injuries

• Management of both acute and chronic health conditions

• Immunizations

• Prescribing of necessary medications

Pharmacy Services

Tri-Med Family Care's full-service walk-in/drive-thru pharmacy is conveniently located at the rear of our parking lot. Our on-site pharmacy participates in the 340B Drug Discount Program, a federal government program requiring drug manufacturers to provide outpatient drugs at significantly reduced prices. These prescription drug price savings are directly passed onto you as an TMFC patient, regardless of insurance status.

Our pharmacy is open to the general-public and offers over the counter products, free self-blood pressure monitoring, hassle-free prescription transfer, and medication counseling and therapy management. We accept Medicare, Medicaid, and most private insurances, and offer sliding fee scale pricing to patients who qualify.

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