FirstBank Jobs

Job/Position DescriptionCase Manager IIIThe Case Manager III performs highly complex (senior level) case management work. Oversees case management activities for all persons at the RGSC Outpatient Clinic. Work involves developing and maintaining long-term contact with patients and families and service providers for medical, social, education plan of care. Develops a plan of care and relative service needs. Accountable for developing, facilitating services, and partnering with community resources to address the needs of the patients. Coordinates medical referrals, interpreter services, DARS, RGVIHCC/ Hidalgo County and Willacy County, Social Security Administration and other services through intra-agency or interagency service coordination and referral incidents. Responsible for ensuring that all patients are evaluated, assessed and referred for assistance through local community, county, state, and federal programs. Prepares and submits monthly, quarterly, and annual reports or performance improvement plans for quality assurance and utilization review processes for case management to ensure quality services. The Case Manager III functions independently and seeks guidance from leadership as needed. The Case Manager III makes decisions regarding the patient's case with input from the patient, family members if appropriate, and community resources. Supervises the work of others as necessary. Works under limited supervision, with considerable latitude for the use of initiative and independent judgment.Performs other duties as assigned. Other duties as assigned include but are not limited to actively participating and/or serving in a supporting role to meet the agencyand#146;s obligations for disaster response and/or recovery or Continuity of Operations (COOP) activation. Such participation may require an alternate shift pattern assignment and/or location. Essential Job FunctionsAttends work on a regular basis and may be required to work a specific shift schedule or, at times, even a rotating schedule, extended shift and/or overtime in accordance with agency leave policy and performs other duties as assigned.Will perform Case Management Services and communicate effectively with Rio Grande State Center Outpatient Clinic patients and their families on a timely basis. Maintains confidentiality and ensures appropriate information is documented in the EMR using the Social Work template. Maintain a service log of all monthly referrals. Performs case management services and assignments for patients with special needs. Assists with monitoring the overall program and providing program evaluation. (15%)Provides options for medical care services such as SSI Disability benefits, medical referrals, insurances, prior authorization, interpreter services, DARS, TDHSH Medicaid/ Snap/TANF, Child and Adult Protective Services, RGVIHCC/ Hidalgo and Willacy, Epilepsy Foundation, UTMB Dysplasia Clinic, Family Crisis Center, Mujeres Unidas, Salud y Vida, Housing Authority, and Breast Cervical Cancer Services, and other entities according to the patientand#146;s individual needs. (15%)Documents progression of case into the patientand#146;s medical record. Prepares and submits monthly, quarterly and annual performance improvement plans and reports to Quality Management and associated departments. Works closely with other HHSC facilities to ensure continuity of care when patients are transferred between agencies. Works with physicians to ensure referrals are accurate and reflective of treatment orders. (15%)Interacts with p https://jobshrportal.hhsc.state.tx.us/ENG/CareerPortal/job_profile.cfm?szOrderID=607465 Copy the URL in the preceding sentence to an Internet Explorer browser to apply to the job directly through the Texas Health and Human Services Career Portal.