Insurance Case Manager Jobs in Spring, TX (NOW HIRING)

Case Manager II

The Case Manager II reports directly to the Program Coordinator of the U.S.VETS program to which the Case Manager is assigned. The CM II is responsible for providing guidance to veterans to achieve their highest level of independence. Case management is a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the selection of services to optimally meet each individual clients' needs.

FLSA Classification: Non-Exempt

Responsibilities

For Case Managers of all U.S.VETS Programs:

• Assesses veterans referred to the program to include any problems, needs, or barriers identified in the following areas: Housing, Employment, Education/Training, Financial, Sobriety Support/Addiction Treatment, Legal, Family/Social, and Medical/Psychiatric
• Coordinates care with VA personnel and other community partners on behalf of clients to for eligibility documentation, mental and physical health services
• Facilitates client intake process and compiles client files ensuring all program eligibility documentation is complete
• Collaborates with clients to complete Individual Action Plans (IAP)
• Maintains confidential client files in a professional and timely manner ensuring all forms are the most recently revised versions and in compliance with organization standards; all required documents are present, complete, signed by the client and staff as applicable; and documents are placed in the correct order according to organization standards
• Meets with clients as specified by program requirements and documents progress notes in Data/Assessment/Plan (DAP) format
• Reviews and documents updates for IAPs monthly
• Completes timely discharge summaries
• Conducts home visits (whether at project-based units or scattered site) to provide case management services and ensure health and welfare of clients
• Assists in quality management activities, data collection, and preparing reports
• Facilitates client life skills classes
• Provides specialized case management services and life skills groups/classes to veteran subpopulations as applicable (such as female veterans, disabled veterans, Iraq/Afghanistan veterans, etc.)
• Conducts random drug and alcohol screenings of clients
• Maintains confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA) standards
• Completes accurate and timely data entry into the HMIS system as applicable and other required internal and external databases
• Documents client referrals for services
• Attends scheduled team meetings and trainings
• Maintains and submits time sheets, mileage logs, client expenses, and other required documentation accurately and in a timely fashion
• May drive company vehicle for client transportation or other work-related activities
• Performs other duties as required

Additional Program-Specific Duties

U.S.VETS has various programs to which a Case Manager may be assigned. These additional program-specific duties are outlined as follows:

For Case Managers working with Transitional Housing Clients:

• • Focuses on providing case management services that result in clients transitioning to permanent housing
  • Ensures clients are accounted for daily through contact, bed check, and/or daily sign-in logs
  • Monitors program rent/participant fee compliance to assist clients in prioritizing housing
  • Additionally, for programs with scattered-site transitional housing such as the Transition In Place (TIP) Program, locates housing units in the community that meet clients' needs

For Case Managers working with Permanent Housing Clients:

• • Focuses on providing case management services that result in clients obtaining and maintaining permanent housing
  • For programs with scattered-site permanent housing, locates housing units in the community that meet clients' needs
  • For programs that serve families with dependent children, ensures that children and youth are enrolled in school and connected to the appropriate services within the community, including early childhood education programs

For Case Managers working with Workforce Clients:

• • Assists with Workforce Program Assessment and Enrollment processes
  • Works with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with theplanning of short-term and long-term employment goals to include education and training goals
• • Provides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive services
  • Facilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.
  • Makes presentations of clients' employment backgrounds to prospective employers
  • Learns and maintains knowledge of community employment agencies and procedures, along with any modifications to those procedures

For Case Managers working with SSVF Clients:

• • May report directly to the SSVF Team Leader if applicable
  • Conducts rapid rehousing and homeless prevention services for veterans and their families
  • Works with clients to develop a Housing Stability Plan
  • Provides case management services to family members in the veteran household
  • Conducts home visits to provide case management services
  • Ensures that dependent children are enrolled in school and connected to the appropriate services within the community, including early childhood education programs
  • Maintains compliance with VA regulations and organization protocols in requesting and distributing Temporary Financial Assistance to third-parties on behalf of veteran households to include cross-referencing HMIS
  • Assists in rapidly placing homeless veteran families into housing
  • Conduct Rent Reasonableness Testing and ensure Habitability Standards are met for veteran families rental units
  • Coordinates with VA Grant & Per Diem Transitional Housing Programs for immediate placement of clients and case manages them while they are on the Rapid Rehousing Track of the program

For Case Managers working with Aftercare Case Management programs:

• • Reports to the Permanent Housing Coordinator for sites with this position. Otherwise reports to the Transitional Housing Coordinator or the Director of Behavioral Health
  • Make home visits by the Case Manager to monitor housing stability
  • Provide or coordinate educational activities related to meal planning, tenant responsibilities, the use of public transportation, community resources, financial management, development of natural supports
  • Making referrals to needed services, such as mental health, substance use disorder, medical, and employment services
  • Participating in case conferencing with other service providers who are working with the veteran

For Case Managers working with Incarcerated Veterans Transition Program (IVTP):

• • Assists with Program Assessment and Enrollment processes for clients currently in jail/prison or recently released from jail/prison
  • Works with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with the planning of short-term and long-term employment goals to include education and training goals
  • Provides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive services
  • Facilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.
  • Makes presentations of clients' employment backgrounds to prospective employers
  • Learns and maintains knowledge of community employment agencies and procedures, along with any modifications to those procedures
  • When clients are currently incarcerated, meetings and classes will be conducted in the jail/prison
  • Ability to pass background for clearance into jails/prisons
  • Preferred experience working with clients transitioning from jail/prison

For Case Managers with nursing credentials:

• • Oversee and track infection control protocols; assist with ensuring protocols related to health and wellness are implemented and maintained
  • Assist with coordinating health testing (i.e. TB, COVID, Flu, etc.) to include mass testing, self-administered testing, any required annual testing, or other testing as instructed and responsible for tracking results
  • Coordinate off site testing with the VA and other healthcare partners as needed
  • Track any required vitals (i.e. temperature checks) at client intake, daily as determined by policy, or as otherwise required per company policies
  • Conduct brief screenings of clients who present with flu-like symptoms and document screening results and referrals made
  • Triage any reported client symptoms for appropriate care
  • Track staff and client isolation/quarantine periods including approval of isolation/quarantine start and end dates and required timeline symptom-free periods for ending isolation/quarantine
  • Serve as liaison with any healthcare partners related to coordination of care to offsite isolation facilities
  • Daily check-ins with clients in hospital, or isolation/quarantine on or offsite
  • Assist with medication storage and dissemination
  • Document and submit qualifying services for medical billing
  • Conduct universal precaution and blood borne pathogen training for staff annually oras frequent as necessary
• • Coordinate health-related events at site (i.e. health fairs, mobile medical, healthcare classes)
  • Collaborate with any contracted nurse or other contracted healthcare professional and/or medical labs as needed to carry out these responsibilities
  • Must have and maintain required nursing credentials as a Licensed Practical Nurse (LPN) and Registered Nurse (RN)
  • While U.S.VETS may provide trainings that support the maintenance of credentials at the company's discretion, the employee is responsible for maintaining credentials

• Provide information and education to veterans regarding available resources
• Conduct assessments of veterans' legal needs and barriers that are restricting them achieving stability
• Collaborate with other Case Managers and program staff to ensure wrap around support for veterans
• Collaborate with current community partners and seek out external community legal professionals and organizations to secure legal services for veterans as needed
• Assist the site leadership with direct service administrative tasks related to the program, such as data entry, reporting, and grant compliance, including follow up and corrections as needed
• Maintain accurate and up-to-date client records and case notes in compliance with organizational standards, grant requirements, and confidentiality guidelines
• Compile and submit service requests for grant support for allowable legal fees and other allowable costs for services
• Maintain a database to track client legal cases, document client legal case status and outcomes
• Enroll clients as participants under the legal services grant ensuring program targets for clients served are achieved by outreaching to clients and programs

Requirements

• Bachelor's Degree required. Degree in Social Work, Psychology, Counseling, or other related social service field preferred
• Strong oral and written communication skills
• Professional manner and appearance
• Ability to work independently and within a team
• Ability to take direction
• Ability to work effectively with diverse group of clients, staff, and community members
• Computer proficiency in Microsoft Office 365 applications, email, and internet research
• Valid driver's license required. Must meet company insurance requirements and complete a provided driver training course

Preferences

• Two years of experience in social services or related field preferred
• Experience working with homeless and/or veterans preferred
• Certification in Substance Abuse Counseling preferred
• Experience facilitating support groups preferred