AltaPointe Health Systems Care Management Coordinator in Mobile, Alabama

Care Management Responsibilities:

  • Provides ongoing support and supervision to Care Coordination Specialists

  • Ensures timely follow-up related to Care Coordination activities

  • Actively seeks out community resources for patients enrolled in Care Coordination

  • Provides training on disease management and healthy living skills according to the consumer’s target goals as identified by care plan

  • Oversee the provision of care management services to consumers transitioning from more to less restrictive levels of care

  • Oversees or provides support on behalf of the consumers in order to secure community resources and needed services

  • Effectively collaborates and consults with staff members, including clinicians and pharmacists, and outside sources in the delivery and arrangement of care management services

  • Evaluates and assists in consumer discharge planning

  • Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation

  • Applies Mindset and restraint interventions per AltaPointe Policy and Procedures

  • Provides support and education for family members of consumers

  • Demonstrates the ability to assess and reevaluate the consumer needs utilizing the CANS/SUNR, PHQ-9, DLA-20 (or approved assessments) as appropriate

  • Identifies and reassesses goals and plans for appropriate services utilizing the consumer’s care plan

  • Provides appropriate linkage to community resources

  • Delivers or arranges clinically necessary transportation

  • Meets AltaPointe productivity standards

  • Effectively demonstrates the application of child and adult specific competencies

  • Oversight or provision of Medical Monitoring as defined below:

  • Basic knowledge of normal vital signs including temperature, pulse, blood pressure, and respirations

  • Recognizing and reporting vital signs outside of normal ranges

  • Recognizing factors that influence temperature, pulse, respirations, and blood pressure

  • Knowledge of operation of basic medical equipment used to measure vital signs

  • Recognizing normal BMI for consumer’s height and weight

  • Recognizing changes in nutritional status such recent weight loss or weight gain

  • Identifying factors that contribute to obesity and chronic health care conditions such as poor diet, inactivity and sedentary lifestyle

  • Educate consumer on ways to adhere to prescribed diet

  • Identifying changes in normal nutritional status

  • Detecting changes in normal body functions

  • Recognizing and reporting changes in the consumers medical and mental status

  • Basic measurement of fluid balance (intake and output)

  • Knowledge of operation of assistive devices such as wheel chairs, canes, and walkers

  • Ability to recognize assistive devices in poor condition, in need of repair or replacement

  • Recognizing signs and symptoms of acute medical conditions

  • Recognizing signs and symptoms of emergency medical conditions and when to call 911

  • Identifying the seven rights of assisting with medication administration

  • Safely performs tasks within the individual’s scope of practice

  • Provide education in the maintenance of medications to include recognizing medications and understanding the purpose of medications, possible side effects and what to do when a dose is missed, extra dose taken, or side effects/adverse reaction occur

  • Provide documentation of services rendered in the appropriate space indicated to include but not limited to consumer problem(s), interventions provided, and consumer response to interventions, referrals, collaboration with other care managers, follow up appointments, case management and community outreach services, etc.

  • Documentation of assistance with emergency medications and proper reporting

  • Recognizing signs and symptoms of abuse and neglect and proper reporting

Bachelor Degree and two (2) years of relevant experience required

Experience within the primary medical and care management fields preferred;

Knowledge in primary medical care; knowledge in child and adult specialties, outlined below, to be attained within six (6) months of employment:

  • Knowledge of primary medical care operations and documentation guidelines

  • Knowledge of psychiatric disorders in child and adult populations

  • Knowledge of chronic medical conditions

  • Basic knowledge of growth and development of child consumers as related to all intellectual, emotional, spiritual, and physical aspects consumer development

  • Knowledge of cultural diversity

  • Knowledge of behavior management, crisis intervention and interventions common to acute psychotic consumers, as well as, to non-violent crisis intervention practices.

  • Knowledge of educational methods appropriate to adolescent/adult psychiatric disorders

  • Knowledge of standards for the Alabama Department of Human Resources and Department of Mental Health

  • Knowledge of Alabama DMH, Medicaid, Medicare, and other billing requirements

  • Knowledge of social determinants of health

  • Knowledge of available referral sources for physical health, mental health and social services

  • Knowledge of disease management principles

ID: 2018-7417

Shift/Hours: 0800 am - 1630 pm

External Company Name: AltaPointe Health Systems

External Company URL: http://altapointe.org/