SAMHSA Case Manager

Job Summary

The SAMHSA Case Manager is responsible for coordinating the care and service of selected patients with physicians, nurses, and other members of the healthcare team to facilitate the progression of substance use disorder care from admission through discharge. This job is also responsible for ensuring that the patient is placed in the appropriate level of care, monitoring the utilization of healthcare resources, and discharge planning to achieve the desired clinical, financial, and resource utilization outcomes.

Essential Job Functions Accountabilities

• Utilizes advanced skills to assist in collaborating, developing, implementing, monitoring, and evaluating the case management process.
• Acts as a consultant to others for decision-making and problem-solving related to the patient’s disease process.
• Assesses the patient’s needs related to the medical diagnosis, treatment plan, financial resources, and psychosocial issues.
• Collects and analyzes information in collaboration with the patient’s family, health care team, etc. Communicates these identified needs to other members of the health care team.
• Utilizes tools and resources to contribute to a multidisciplinary discharge plan that is patient-centered.
• Intervenes and collaborates with the healthcare team when variances occur in the multidisciplinary discharge plan.
• Initiates and/or participates in collaborative efforts that provide ongoing evaluation of goal attainment.
• Develops, coordinates, and implements the patient-specific discharge plan; collaborates with unit team leaders to decrease barriers to discharge.
• Identifies and assesses patients at high risk for repeat admissions and/or high utilization.
• Completes Community Case Management referrals on patients that meet the stated criteria.
• Documents each component of the case management process and related activities in accordance with departmental guidelines.
• Contributes to cost-effectiveness/efficiency and demonstrates awareness of the benefit system and cost-benefit analysis.
• Serves in consultative/advisory role to other members of the healthcare team assessing, planning, implementing, monitoring, and evaluating the case management plan.
• Serves as a patient advocate, using problem-solving techniques and collaborative referrals to facilitate network and community resources access.
• Job description is not an all-inclusive list of duties and may be subject to change with or without notice.
• Staff are expected to perform other duties as assigned.