RN Care Manager/Community Educator serving clients and caregivers, blending nursing expertise and community outreach in Williamsburg. Building relationships and supporting quality care delivery.
About the role
- Case Manager responsible for comprehensive, individualized client services during residency and post-discharge recovery support. Delivering psychoeducational instruction while coordinating resources and referrals.
Responsibilities
- The Case Manager plans, implements, and coordinates an array of comprehensive, individualized client services during their residency and in preparation for continuing care and safe, sober housing after discharge.
- Perform patient screening, intake, orientation, and assessment.
- Develop or refine an individualized service plan based on assessment and other collateral data; make referrals for services as identified in plans; provide or arrange for patient transportation; and follow up on referrals during residency and for at least 30 days after discharge.
- Provide at least three individual case management sessions per patient per week; review individualized service plan, update as needed, and document the review in the patient's record.
- Assist patients in developing motivation for recovery and engaging in recovery activities appropriate for the early stages of behavior change.
- Document appropriately within client Medical Record.
- Assist patients in identifying and linking to appropriate resources for immediate needs and for the next levels of continuing care, safe and sober housing, and other recovery supports; assist patients with interviews and visits to prospective programs and providers; provide or arrange transportation to interviews.
- Conduct psychoeducational and motivation enhancement groups.
- Attend staff meetings, case conferences and required training to coordinate with the program team and ensure quality of care and continuity in accordance with clinical policy.
- Maintain working relationship with agencies, community resources, and families to coordinate services for patient care; provide information on substance abuse treatment resources and services; make necessary referrals; facilitate follow-up to ensure appropriate services have been delivered; and maintain aftercare follow-up system.
- Establish and maintain patient files in accordance with internal, local, state and federal requirements and enter data in computerized and manual admission and discharge systems.
- Conduct toxicology screens as needed.
- Other duties as assigned
Requirements
- Bachelor Degree curriculum from an accredited institution, or equivalent combination of education and experience, is preferred.
- Knowledge of and experience with case management, is required.
- Experience with substance abuse, mental health, health, housing, and community support services is required.
- Experience with developing rapport with substance-abusing populations and referral and support systems is strongly preferred.
- Experience managing patient services and computerized and manual records, is strongly preferred.
- Experience complying with internal, local, state and federal requirements and regulations is strongly preferred.
Benefits
- Exceptional customer/client service with the ability to resolve service issues
- Strong clinical skills
- Detail oriented
- Able to work under pressure and meet deadlines
- Flexible and dependable
- Strong interpersonal, organizational and analytical skills
- In-depth knowledge of Joint Commission and DHS standards
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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