Case Manager - Level 1

Job Description

PursueCare is a mission-driven, patient-focused company that provides compassionate, judgement-free addiction recovery and behavioral health services to patients via telemedicine. Our inclusive and inspiring company culture empowers employees to be the best version of themselves.

Do you want to be part of the team removing barriers to addiction treatment? We are looking for tech-savvy problem-solvers to work as Case Managers, part of the front-line team connecting patients to services and guiding them through their treatment experience.

What You'll Do:

The Case Manager Level 1's primary responsibility is instilling in the patient the benefits of addiction treatment and the value of working through the goals and objectives specified in their treatment plan.

Encourage and intervene with the patient to keep them on track

Use reporting & data to track patient success and identify deviations for treatment plans that require intervention

Engage with patients in-person at partner locations

Assist the patient in receiving ancillary services; setting up patients with primary care and social services as needed

Support patients in using the app to receive services

Work directly with clinicians (addiction counselors, therapists, medication-assisted treatment physicians, and nurse practitioners) and PursueCare pharmacy staff to manage schedules and to coordinate care

Specific hands-on and mission-critical initiatives may include:

Work with Patient Access Specialists to process new patient intakes.

Track and manage patient leads through the CRM

Intake patients in a timely, efficient, and customer-focused manner. The key drive is to get patients into the treatment services that they need within 24 hours of outreach to PursueCare

Assist patients in using PursueCareRx for all pharmacy needs

Confirm that all required authorizations and information are secured by Intake Specialists or by oneself

Assist patients in understanding their payment options

Assist patients in scheduling initial medical, therapy, and psych evaluations

Perform all key case management functions, potentially from a clinic setting including:

Track and manage patient engagement through CRM and tracking tools

Perform targeted case management tasks as documented in the Care Coordinator manual and expectations documentation.

Ensure patients are receiving care in accordance with their treatment plan

Address patient and clinician concerns in a timely manner

Work with clinicians, partners, PursueCareRx, and outside agencies to coordinate care

Interact (typically via app chat) with every patient on your caseload 1x per week. Work with clients in person, via phone, live chat, email, and text environments

Work directly with patients to resolve payer questions and ensure they receive access to treatment options in a timely/immediate fashion

Document work with patient, clinicians, partners, and outside agencies in the EHR and other platforms as necessary

In addition to working with clients in a clinic setting, care may be coordinated around use of the telehealth platform.

Travel to partner sites to assist patients and staff in-person with accessing treatment services.

Intake patients in accordance with PursueCare policies

Work directly with patients or partner staff to resolve payer questions and ensure patients receive access to treatment options in a timely/immediate fashion

Assist patients in accessing services both in person and via telehealth solutions in a

clinic, partner location, and at home

Work with clinicians to manage schedules in our clinic and telehealth platform

Proactively address /escalate any reported concerns with all aspects of the PursueCare experience

Perform other duties as directed by supervisor.

We're Looking For:

Associate's or bachelor's degree, preferably in healthcare management, nursing, or other healthcare related field, or related experience.

Excellent computer skills and a demonstrated comfort with technology.

Excellent and thoughtful verbal and written communication skills

Excellent organizational skills

Prior experience working remotely preferred.

High volume inbound, outbound, and calling experience preferred

Desire to learn and grow with our company - to put in the time, focus and effort necessary to advance to the next level of their career

Work style, pace and drive to make things happen, with a bias for initiating and driving

positive results

Belief that healthcare reform begins with innovation aimed at making people's lives better

Physical Requirements/Work Environment:

The physical demands described here are representative of those that must be met by an

individual to successfully perform the essential duties of this job. Reasonable

accommodations may be made to enable individuals with disabilities to perform the essential

duties.

Work is performed primarily in a traditional on site clinical setting, pharmacy, or clinic, where

the employee is regularly required to sit, stand, and demonstrate manual dexterity.

Where You'll Work:

PursueCare brings virtual evidence-based addiction treatment for opioids, alcohol, and other substance use disorders to patients through a smart phone application. PursueCare offers a lowbarrier transitional digital addiction treatment program particularly beneficial for those experiencing significant barriers to in-person care. Through the app, patients can access doctors who prescribe Medically-assisted Treatment ("MAT"), counselors and therapists, psychiatric care providers, at-home screening, supporting resources and a pharmacy that can ship medications directly to the patient. We partner with health systems, community health partners, employers, and health plans. Patients can also seek treatment without a referral. We are Joint Commission-accredited and maintain the highest standards for clinical excellence, while continually innovating how care is provided to vulnerable populations. For more information, visit

We offer qualifying employees flexible paid time off to allow our team members to properly recharge, competitive pay, bonus opportunities, comprehensive health benefits and a 401K with company contributions. PursueCare is headquartered in Middletown, CT with satellite locations in different regions. We offer work-from-home/remote opportunities for certain positions, based upon being able to meet the core competencies and requirements for the position from a home office. We pledge to be an Equal Opportunity Employer and pay living wages.

Join us in our mission to provide compassionate care and support to individuals seeking addiction treatment. If you possess the key qualifications and are passionate about making a difference, we invite you to apply for this rewarding role.

PursueCare is an equal opportunity employer and values diversity in our workforce. We encourage applications from all qualified individuals, including those with diverse backgrounds and those with disabilities.

Site by Web Solutions © 2024 PursueCare. All rights reserved.Privacy Policy Terms of Use SMS Terms of Service Site Map Website Accessibility

PursueCare is not an emergency service. If this is an emergency seek care immediately by dialing 9-1-1.

If you are experiencing distress or are at risk of suicide or harm confidential support is available to you by contacting the Suicide and Crisis Lifeline by dialing 9-8-8.