Population Health Case Manager

Our team is seeking a Case Manager to work with us in Lexington, KY.

Case Managers are one of Mindoula’s key front-line roles in delivering our Population Health Program. Our Case Manager works closely with Mindoula’s members in the community to understand their behavioral and medical health conditions, as well as their social determinants of health needs, and help our members achieve better health outcomes.

How you’ll contribute:

• Conduct meaningful outreach, provide education, and drive member enrollment
• In partnership with the member, create a Service Plan to guide engagement based on member diagnoses, results of screenings, as well as care gaps
• Build measurable goals for members to develop skills and/or strategies for managing challenges and triggers to reduce hospital admissions/readmissions and use of the ER, and record outcomes
• Coordinate community resources for each member to support them in achieving their goals as outlined in their Service Plans, created with an emphasis on meeting behavioral health and medical needs, and closing gaps identified in the social determinants of health
• Act as an advocate and liaison between the care team (family, physician, facilities, and/or agencies) and member
• Schedule appointments, build accountability, and follow-up services for members
• Elevate critical incidents and information regarding any quality-of-care concerns
• Report hospital diversions, productivity, and other outcomes weekly
• Prepare and maintain all required records, reports, consents, and members’ diagnostic records

What will make you successful:

• Above average communication skills and ability to build relationships
• Use creative methods to locate members for engagement and not be easily discouraged
• Complete short-term projects within given deadlines
• Document meticulous member records
• Establish appropriate boundaries with each member that encourages growth and independence
• Become a partner with the clinical team; promote teamwork and unity
• Manage a complex calendar to reach individual and team goals

Education & Experience:

• Bachelor’s Degree required in nursing, social work, or other health and human services discipline
• Completion of supervised fieldwork and experience in case management, health, or behavioral health preferred
• Experience as a Certified Case Manager (CCM), Community Health Worker (CHW) or Peer Support Specialist (PSS), or Accredited Case Manager (ACM) preferred
• Knowledge of local resources, social determinants of health, mental health, substance abuse disorders, violence, and social issues is required

Travel:

• This position requires up to 50% travel (locally) and, therefore, requires the employee has reliable transportation

Office location:

• Remote/Virtual from home

Mindoula is a leading population health management company that scales the human connection through technology to address mind, body, and life challenges. Mindoula identifies, engages, and serves populations that might otherwise be overlooked or left behind and delivers tech-enabled, team-based, 24/7 support across the continuum of care.

Mindoula's predictive analytics approach, multi-platform technology stack, virtual Collaborative Care Program, and virtual + in-person care extension solutions enable its enterprise partners to achieve improved outcomes and significantly reduce costs by integrating behavioral, medical, and social determinants of health.

Mindoula Health is committed to the principles of equal employment. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment that is free of harassment, discrimination, or retaliation because of age, race, color, national origin, ancestry, religion, sex, gender identity, pregnancy (including childbirth, lactation, and related medical conditions), marital status, sexual orientation, gender identity, credit history, physical or mental disability, genetic information (including testing and characteristics), veteran status, uniformed service member status, or any other status protected by federal, state, or local laws.

Come be part of the solution!