- Actively engages with individuals receiving care management services through assessment, care coordination, health promotion, and comprehensive transitional care/follow-up. Documentation of care management assessment, planning, and coordination of care with the care team communicating regularly with care team members, and participating in case conferences.
- Provide or ensure services to include comprehensive care management, care coordination, health promotion, comprehensive transition care/follow-up, individual and family supports, and referrals to community and social support services.
- Makes appropriate referrals to community resources and empowers individuals to be responsible for their own healthcare and personal needs. Referrals will focus on behavioral health, physical health, and Social Determinants of Health (SDOH) needs. SDOH needs are related, but not limited, to economic stability, education access and quality, health care access and quality, community connection and engagement, and safety in communities.
- Coordinates follow-up services for individuals with recent inpatient hospitalization or Emergency Department visits within 24 hours of discharge.
- Coordinates aftercare needs for transitions in care such as release from incarceration, change in housing, or other life transitions.
- Identifies and provides emergency crisis response as necessary and follows agency policies related to crisis. Participation in agency on-call structure may be required and in 24:7 crisis response for members
- Participates in post-crisis team debriefing and provides feedback on ways to prevent future crises for the person served.
- Communicates effectively with individuals receiving services, providers, and other natural support as needed. Provide education regarding services to all parties involved in the care and support of the individual.
- Establishes collaborative relationships with integrated care team members and community resources within the assigned geographical region to improve resource linkage.
- Maintain medical record compliance/quality.
- Ensure timely documentation of Care Coordination activities as required by department policy and procedures.
- Review data to identify and determine appropriateness for services, which includes monitoring utilization, reporting, clinical measurement data, and compliance issues.
- Demonstrate knowledge of and comply with all agency policies and procedures, as well as service definitions related to specific program areas.
- Maintain training as required and requested
- Participates in Quality Improvement (QI) projects, to improve service delivery, and costs of care, on an as-needed basis.
- Complete all other relevant responsibilities as assigned by the supervisor.
- · Minimum of a high school diploma or GED
- · Must possess and maintain a valid Certified Peer Support Support certification
- Must have reliable transportation, maintain a valid driver's license, and maintain adequate automobile insurance.
- Must be able to travel, if needed
- Must have the ability to operate a telephone, fax machine, and computer hardware/software
- Must have the ability to effectively hear and communicate.
- Individuals in this position may be required to work weekends based on the needs of the agency and as specified by the TCM Supervisor
- Occasional lifting/moving of at least 25 pounds.
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Planner
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DeZURIK, Inc. Gastonia, United States_**GENERAL SUMMARY**_ · Planner I is an entry-level planning position with the desire to learn and develop skills. This position is responsible for the development, implementation and maintenance of planning and scheduling systems/processes to assist Operations in meeting shipmen ...
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Administrative Support Specialist I
4 days ago
Gaston County Government Gastonia, United StatesThe duties listed below are not all of the duties that may be assigned but are those that are considered as essential for an employee to perform. · - Serves as the mail room Clerical Assistant for the entire Department of Health and Human Services. Responsible for handling all US ...
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Travel Nurse
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Travel Nurse
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GREENSTAFF MEDICAL US Gastonia, United States FreelanceGreenstaff Medical US is seeking an experienced Cath Lab Registered Nurse for an exciting Travel Nursing job in Gastonia, NC. Shift: 4x10 hr days Start Date: 05/20/2024 Duration: 13 weeks Pay: $2600 / Week About Greenstaff Medical US: · At Greenstaff Medical, we pride ourselves o ...
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Family Physician
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Novant Health Gastonia, United StatesOverview · Novant Health Family Physicians Gastonia is recruiting a BE/BC Family Medicine physician to join their practice located in Gastonia, NC. We see patients of all ages making it as convenient as possible for your entire family. Our clinic focuses on improving the health a ...
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Part-Time Family Physician
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Novant Health Gastonia, United States Part timeNovant Health Family Physicians Gastonia is currently recruiting a part-time BE/BC Family Medicine physician to join their practice located in Gastonia, NC. We see patients of all ages making it as convenient as possible for your entire family. Our clinic focuses on improving ...
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Property and Evidence Office Assistant
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City of Gastonia, NC Gastonia, United StatesGeneral Definition of Work · The City of Gastonia Police Department is seeking a diligent Property and Evidence Office Assistant to join our team. As a vital member of our organization, the ideal candidate is responsible for assisting the Property and Evidence Custodian by provid ...
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Novant Health Gastonia, United StatesNovant Health Family Physicians Gastonia is recruiting a BE/BC Family Medicine physician to join their practice located in Gastonia, NC. We see patients of all ages making it as convenient as possible for your entire family. Our clinic focuses on improving the health and well-be ...
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Manufacturing Engineer
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Stabilus Gastonia, United StatesJob Description · Job DescriptionJob Description: Manufacturing Engineer – Automation Controls · Stabilus is a global leader in the production of gas springs and dampers on five continents. Our products can be used in a wide variety of industries, such as the automotive and offic ...
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Auto Glass Repair Specialist
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Safelite Gastonia, United StatesThe Repair Specialist, which we hire year-round and seasonally, performs vehicle glass repairs whenever a glass replacement is not required. Our paid, formal training program teaches everything needed to complete these specialized repairs, regardless of any prior mechanical exper ...
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Travel Nurse
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GREENSTAFF MEDICAL US Gastonia, United States FreelanceGreenstaff Medical US is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Gastonia, NC. Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $2714.4 / Week About Greenstaff Medical US: · At Greenstaff Medical, we pride ourselv ...
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Travel EP Technologist
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Travel Surgical Tech
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Travel Nurse
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Bluepipes Gastonia, United States FreelanceGreenstaff Medical US is seeking an experienced Cardiovascular Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Gastonia, NC. Shift: 5x8 hr days Start Date: ASAP Duration: 13 weeks Pay: $2600 / Week About Greenstaff Medical US: · At Greenstaff Medical, ...
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Digital Press Operator
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Travel Surgical Tech
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Travel Surgical Tech
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Travel Surgical Tech
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Travel Echo Tech
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Travel Surgical Tech
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Tailored Care Management Extender - Gastonia, United States - Phoenix Counseling & Crisis Centers
Description
Job Description
Job DescriptionGeneral Position Description:
The primary responsibilities of the Behavioral Health Care Manager Extender are to promote the whole person,
integrated care by planning, coordinating, tracking, closing gaps in care, and monitoring care to
individuals to achieve the key goals of the behavioral health-tailored plans.
Performance Expectations and Competencies
Care Management Services
Coordination of Referrals
Coordinate Care Transition
24:7 Call – Crisis Response Coordination
Establish Relationships with the Integrated Care Team and Community Resources
Maintain Documentation
Other
General Knowledge, Skill, and Competencies:
General Knowledge of the dynamics of MH/DD/SA behavioral health disorders (BHD) and their impact upon persons served and their families; the bio/psycho/social factors involved in (BHD); up-to-date principles/techniques (evidence-based/best practices) of crisis response, prevention, and intervention application to individuals possessing (BHD); the community resources available to persons with (BHD), to include behavioral health, social service, community services, and self-help groups; knowledge of billing and service record documentation requirements (NC Division of MH/DD/SA ASAM/IPRS, DMA/Value Options, LME's, and PCC policy/procedure.
General Skill in the application of needs assessment/prevention/intervention techniques that are considered evidence-based/best practices as defined by the NC Division of MH/DD/SA, and/or literature/research, and organizational policy/procedure; skill in the delivery of services; skill in establishing/maintaining effective therapeutic and professional relationships with persons served and/or their family members; behavioral health providers; and, skill in accurately documenting services provided and billed.
Preferred and Minimum Position Qualifications:
Additional Job Requirements (Licenses, Certifications, Personal Vehicle, etc.):