ESSENTIAL DUTIES:
1. Facilitate the set-up and approval of drug testing monitoring for new referrals, new participants or participants who have moved or changed positions. Be available to review procedures of testing with participants.
2. Review drug testing reports:
a. Bring to case managers’ attention any positive or questionable screens.
• Verify cases are reviewed by medical directors and case management staff.
b. Discuss different types of testing procedures with Third Party Administrator of testing.
c. Monitors for randomness of screens and adherence to frequency.
d. Schedule and verify monitoring interruptions.
3. Enter all prescriptions and medical reports into participant files for medical director review. Assist in tracking monthly prescriptions required by participant monitoring agreement.
4. Receive check-in calls from participants regarding compliance with agreement. Assist them with any treatment/monitoring concerns and follow through with any that need case management discussion or attention from senior staff.
5. Perform review of participant charts to assure their compliance with their agreement. These reviews occur approximately every three months. During these reviews, the case manager will:
a. Review chart to ensure the following items are up to date:
• Urine test results, Therapy reports, Workplace monitor reports, Check-in calls, Meeting attendance reports, PHP monitor reports, and Advocacy letter requests have been sent.
b. If these items are not in compliance, send letter or postcard for participant to contact the PHP.
c. Bring any cases of chart relapse behavior to the attention of PHP staff.
6. Assist in maintaining the CMS database to assure that it is up to date and suggest any corrections to facilitate data entry.
7. Assists in maintaining a visible tracking mechanism showing current status of all pending cases.
8. Enter changes in demographic into the CMS. Verify contact information for participants is always up to date.
9. Consult with case management team, program director, medical director and PHP staff about case management issues as needed.
10. Review and recommend action on check-in call requests, discussing with other case managers, program director, medical director, and other staff as necessary.
11. Participate in case conference review involving medical director and all other staff.
12. Enter monitoring agreement amendments and adjust agreement requirements to reflect changes.
13. Assist in billing for advocacy letters, monthly program fees, and monthly invoices.
14. Assist in entering finalized agreements.
15. Model company culture by advocating with a supportive attitude, educating people while respecting them and their ideas, and navigating using active listening skills.