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Case Manager - Clinical – Senior Professional (PSU0263)

Additional Levels

Additional levels that exist for this job profile can be seen below.
Missing levels within the leveling matrix can be added based on business need.

Job Summary and Representative Duties

The Case Manager - Clinical provides comprehensive, patient-centered case management services for individuals experiencing medical, behavioral health, occupational, or psychosocial challenges that impact health, well-being, and functional outcomes; serves as an advocate and liaison among patients, providers, and University departments; develops and implements individualized care plans; facilitates access to healthcare, community, and organizational resources; monitors progress and promotes continuity of care across the treatment continuum.

  • Serve as an integral member of a patient treatment team; collaborate with physicians, behavioral health providers, and multidisciplinary teams to advocate for patient needs, design a comprehensive care plan, coordinate clinical services, and develop specialized care recommendations
  • Develop and implement case management plans; establish treatment objectives; facilitate patient access to treatment and resources; determine appropriate actions and evaluate effectiveness; create recovery plans to promote continuity of care and positive treatment outcomes
  • Conduct comprehensive behavioral health assessments; evaluate patient needs and identify mental health concerns
  • Serve as a liaison among patients, healthcare providers, internal health and wellness units, insurance representatives, and community organizations to coordinate care, facilitate communication, and ensure timely access to behavioral health services, including crisis intervention and hospitalization when clinically indicated
  • Provide ongoing case management support through patient follow-up, care coordination, resource navigation, and referrals to therapists, psychiatrists, treatment programs, and community-based services; monitor patient progress and adjust care plans based on clinical needs and interdisciplinary input
  • Evaluate insurance coverage, behavioral health benefits, and provider availability by communicating with insurance carriers, conducting resource research, and assisting patients in understanding healthcare costs, medical billing, coverage options, and eligibility for insurance programs
  • Coordinate the collection, review, and management of medical and psychological records; facilitate requests for prior treatment documentation to support clinical assessment, treatment planning, and continuity of care
  • Support crisis response and risk management activities by reviewing crisis reports, providing daytime on-call case management coverage, conducting follow-up assessments, and escalating care when appropriate to ensure patient safety and service continuity
  • Coordinate student hospitalization processes; support psychiatric evaluation and hospitalization procedures; facilitate intake, admission, and discharge activities; review required documentation and release authorizations
  • Prepare, maintain, and manage clinical documentation, case records, referrals, assessments, and related reports in accordance with organizational policies, regulatory requirements, and professional standards

Level Matrix

Level:
– Senior Professional
Base Description:
– Completes activities, tasks, and/or projects of a functional nature.
Level Summary:
– Demonstrates advanced knowledge of principles, practices, and procedures of a particular field. Works independently on moderately complex work assignments under limited oversight, reviews progress, and evaluates results. Monitors work and projects ensuring timeliness, quality, and efficiency. Identifies and mobilizes resources to achieve outcomes. Trains others and reviews progress with management. Presents ideas, concepts, and instructions in a clear and persuasive manner. Develops new techniques, concepts, and approaches and applies them to moderately complex and strategic and/or operational issues.
Supervisory Responsibilities:
– Indirect supervisor for other full–time employees
– May serve as direct supervisor for part–time, student, and/or temporary workers, volunteers, or a full–time employee
Fiscal Responsibilities:
– May validate and pay invoices
– Monitors and tracks budgets and funding
Problem Solving:
– Encounters moderately complex problems
– Applies specialized knowledge and skills to resolve problems
– Understands benefits, limitations, and impact of potential solutions
Independence of Action:
– Works independently on moderately complex work assignments, reviews progress, and evaluates results
– May set priorities and organize work within general guidelines established by supervisor
– May review the work of others to verify accuracy and conformance to required procedures and special instructions
Communication and Collaboration:
– Communicates internally within working unit and the University
– Communicates with external audiences for scheduling/coordination
– May communicate with external audiences for business purposes
– Coaches others in using appropriate strategies for resolving conflict; negotiating reasonable compromises; and proposing and evaluating possible solutions
– Give candid and constructive feedback to others to influence and persuade managers and employees to accept and implement findings and recommendations
Salary Structure
  • Comp Grade – 11
  • Minimum – $72,300.00
  • MidPoint – $90,312.00
  • Maximum – $108,444.00
Critical Skills
  • Caseload management
  • Community engagement
  • Crisis intervention
  • Cultural competency
  • Data Analysis
  • Needs Assessment
  • Networking
  • Patient advocacy
  • Patient education
  • Presentation Skills
  • Program evaluation
  • Records management
  • Scheduling
  • Writing
FLSA Exemption Status
Exempt
Minimum Education
Master's Degree
Minimum Experience
6+ years of relevant experience
Equivalency
N/A