This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/12899955

POSITION SUMMARY

IM CHC: Provide non-medical interventions for patients as referred by clinic staff and physicians including but not limited to: psychosocial assessment and evaluation, individual cognitive behavioral and solution focused therapy, group therapy, informal case management, crisis intervention, community resource referral and assistance, patient assistance program application and other assistance with access to medical needs, long term care need and advance directive counseling and assistance, insurance counseling and referral, and patient education. Coordinate with clinic director(s) and staff to ensure patient needs are met.

Transplant Program: This position will function as part of a multi-disciplinary team. Primary role is to collaborate,

communicate and facilitate coordination of services post-hospitalization as established by the healthcare team and executed by the case manager. Responsible for the psychosocial assessment of patients, for post hospital discharge needs including home care, nursing home placement, durable medical equipment, financial assistance, counseling, and other community resources. Ensure appropriate decision makers are informed of and involved in treatment planning. Provide support and counseling for patients and family members.

ESSENTIAL FUNCTIONS

Patient Therapy (50%)

• Patient evaluation and workup.
• Depression and cognitive screening.
• Crises intervention.
• Provide therapeutic services as needed, including but not limited to: CBT, solution focused, and psychotherapy services, as appropriate for short-term patient need
• Provide advanced care planning assistance as well as long term care planning counseling services.
• Coordinates referrals to outside providers as appropriate for long term therapeutic need for severe and persistent mental illness
• Assist patients in understanding their diagnosis and medical needs, and communicating with the physician as appropriate

Case Management (25%)

• Co-facilitate (with other clinic providers) weekly interprofessional meeting to discuss clinics Complex Patient Panel
• Create weekly Complex Patient Panel emails to help notify interprofessional team of details regarding coordination and management efforts for complex care patients
• Participate in interdisciplinary patient care planning as it relates to discharges under medical management models to promote continuity of care
• Provide medication cost assistance and insurance counseling
• Assist in identifying and completing applications for pharmaceutical assistance programs
• Identify community resources for patients, provide referrals as appropriate, and maintain repository of information for clinic staff and providers

Special Programs (25%)

• Provides support for the KU School of Medicine, Kidney Transplant Team in Wichita
  • Meets with transplant recipient and completes psychosocial evaluation to determine candidacy or donation suitability for transplant and identifies any areas of concern
  • Meets with patient to discuss post-transplant plans and implication of Transplant on disability, insurance, and rehabilitation
  • Assists with ongoing transplant needs for the life of the transplant patient
• Assist with development of special programs such as DPP, DSME, IBT, Weight Loss, etc., providing behavioral health support and service
• Co-facilitate (with other clinic providers) patient support groups and educational efforts
• Assist with completion and submission of special program reporting as required

Other Duties

• Perform functions to assure proper documentation and follow-up on pat ent/family needs
• Participate in clinic process improvement activities and team meetings to ensure efficient operations
• Attend applicable educational meetings as required
• Maintain knowledge of HIPAA and understanding of HIPAA Compliance
• Maintain knowledge of and adheres to all standards for Universal Blood and Body Fluid precautions
• Reliable Attendance and Punctuality
• Other duties as assigned