Case Reviewer Jobs in Wisconsin (NOW HIRING)

The heart of our mission is to demonstrate Christ's love and justice by caring in faith for the human family. We change lives by helping and employing people of all backgrounds.

Catholic Charities has an immediate opening for a full time Medical Case Manager. The Medical Case Manager is responsible for coordinating and managing appropriate services as they relate to clients' health and medical needs; and assists with supervision and support of residents in 5 Door Recovery's residential programs. The Medical Case Manager is also responsible for prompt, clear, and thorough communication the Manager of 5 Door Recovery and clinical staff. Services delivered by the Medical Case Manager are consistent with State and Federal regulations, the established care delivery model within the individual's scope of practice, and the general operating philosophy and agency values.

This is an amazing opportunity to be part of a mission-driven team that makes a real difference in the lives of others!

Starting pay is $22.74 per hour, commensurate with experience.

Benefits:

• Health
• Dental
• Vision
• Life, AD&D, Long Term Disability
• Short Term Disability (working 20+ hours)
• Accident, Critical and Hospital Indemnity Insurance (working 20+ hours)
• FSAs and HSA
• 403(b) Retirement Plan (with 6% company match after 1 year)
• PTO (working 20+ hours)
• 10 Holidays (working 20+ hours)
• Employee Referral Programs

Principal Accountabilities

Management

• Provides a welcoming, positive, and supportive presence for all clients, demonstrating interest in and availability to clients.
• Assesses the health care needs of newly admitted residents, including reviewing their medical history, treatment of dental and or other neglected health problems; administering pregnancy tests if requested; obtaining and reviewing discharge orders for clients transferring from another facilities; and obtaining release of information forms to communicate with providers as needed.
• Obtains and reviews lists of prescribed medications along with signed medication orders from client's physician(s); checks the medication list for prohibited medications; compares the prescribed medications with medications brought by the client; counts the pills and enters the date on the Medication Administration Records; coordinates with pharmacies to obtain and refill medications for clients as needed.
• Collaborate with primary counselors to assist with case management and documentation of processes, especially as they relate to medical, health, and wellness issues.
• Performs comprehensive case management services within a substance abuse treatment program for adults which also functions as a community-based residential facility (CBRF), including, if needed, assisting clients in applying for medical insurance, assisting clients in obtaining medical and dental care, and arranging for transportation to medical and dental appointments.
• Administers urinalysis and breathalyzer tests as needed and documents results. Review these test logs on a weekly basis to assess accuracy of documentation.
• Reviews the Medication Administration Records weekly to determine accuracy of the documentation and the need for refills.
• Takes the lead role for oversight of medication-related issues, including education and counseling with clients regarding side effects and monitoring for adverse effects of prescribed medications.
• Documents interactions with clients including observations related to clients' attitudes related to treatment and recovery, interactions with peers, compliance with rules and regulations, and other relevant information.
• Assists in monitoring agency compliance with applicable policies, procedures, and guidelines.
• Performs other tasks as assigned.

Program Management

• Reviews incoming client's insurance for coverage of applicable services.
• Orders medical supplies, including tuberculosis testing supplies, drug testing supplies and over the counter medications for client use.
• Collects co-payments from clients for pharmacy orders.

Qualifications

• Bachelor's degree in social service field with experience in medical case management or an Associate's degree in a field such as nursing, medical assisting, or another medical field; or an equivalent combination of training with at least one year of experience in medical or substance abuse treatment facility.
• Demonstrated skills and experience related to case management.
• Familiarity with substance use disorder and general recovery principles.
• Strong problem-solving and crisis management skills.
• Demonstrated skills in active listening and supportive counseling.
• Clear understanding and boundaries related to personal recovery, 12 Step self-help, and professional treatment.
• Solid time management and organization skills.
• Ability to work both independently and as a member of a team.
• Strong communication skills, both verbal and written.
• Must pass criminal background check.
• Valid driver's license, automobile, and sufficient insurance to meet agency requirements unless exempted prior to employment.
• Ability to work with a diverse staff and excel in a multi-cultural environment.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to lift, transfer, push/pull, maneuver, and reposition up to 25 pounds.
• Ability to reach, bend, and walk.
• Finger manipulation.
• Ability to comprehend complex materials.
• Ability to speak and write English clearly and accurately.