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Universal Health Services

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Universal Health Services
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Job Details

Deltek Talent Management - CASE MANAGER (MSW) - (7664)

Job Details


Facility Name
FHCHS of PR, Inc.
Career Area
Customer Service
Job Description

The Case Manager of the Access Center is responsible for the depth of the clinical interventions with persons that require telephone counseling. Is responsible for crisis and emergency management and recommends the alternate care levels leading to a rehabilitation plan.  Establishes direct communication with managers and representatives of the Access Center, with persons within FHCHS, clinics, and with the divisions of the integrated system to guarantee the continuity of care. Consults with psychiatrists the more complex cases. Offers support to the clinical work of the Access Center Representatives and to all the efforts related to complying with the clinical criteria and handling the phone calls.

Job Requirements


  1. Offers psychological counseling through the phone to the persons who are referred
  2. Offers intervention for psychiatric crisis or emergency management
  3. Apply Care Enhancement Clinical Review Criteria.
  4. Receives the previous shift
  5. Provides follow-up to all emergency calls
  6. Identifies the most appropriate level of care and counsels and informs the person about the various options of service available for his or her rehabilitation
  7. Refer and analyzes with the psychiatrist special situations that require medical or clinical confirmation regarding the correctness of the final decision taken
  8. Consults with the psychiatrist matters related to the management of medications to make certain and validate the counseling that is going to be provided
  9. Authorizes the services of an ambulance in harmony with the existing criteria guide
  10. Establishes direct communication with the physicians of the physical facilities that require clarification about the clinical decision taken
  11. Facilitates the access of the person to the services for his or her rehabilitation and authorizes the necessary visits for the continuation of treatment.
  12. Makes and logs the follow-up call for crisis or emergency cases 24 hours after the coordination of services to assure the continuity of care
  13. Logs and generates the authorization of services in the PMHS application within 24 hours.
  14. Delivers the cases that require follow-up to the case manager of the next shift following the standards and makes sure that the previous shift cases are received complete and appropriately
  15. Identifies persons of early or recurrent readmission to a hospital to offer the suitable follow-up
  16. Identifies beneficiaries with high services utilizations and refer them to the Case Management Program.

Minimum qualifications:

 Education: Master’s in Social Work, Psychology, Psychological Counseling, Mental Health Counseling, or Psychiatric Nursing

 Licenses: Valid and current active license for Social Work, Psychiatric Nursing, Psychological Counseling, Psychology, or Mental Health Counseling.

 Professional associating membership (colegiacion): Valid membership for Social Work and Psychiatric Nursing

 Relevant Work Experience: Two or more years of experience in the health field

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