Case Manager functions as a member of a team to assist in the planning, development, and delivery of outcome-effective treatment services in various types of settings. This position maintains an ongoing working knowledge of agencies and community/emergency resources for child, adolescent, adult, and geriatric clients and uses that knowledge to coordinate services and advocate for identified clients. Case Manager acts as a resource consultant to other team members and collects resource materials regarding other agencies and services in the community. Services may be delivered by phone, face-to-face at the office, in patient’s home, at outside agencies, and/or within the community.Job duties:· Demonstrate adherence to the PHP/SBHI Patient Experience philosophy, guidelines and tools.· Demonstrate strong ethics, honesty, and adherence to PHP/SBHI Code of Conduct and PHP/SBHI Compliance Program.· Collaborate with referral source, internal team members and external service providers to ensure appropriate client care and continuity of care.· Complete all direct service paperwork within agency timelines or earlier if referral source or other healthcare provider necessitates.· Provide other direct, face to face, services to clients via individual, group, and family therapies according to departmental standards and productivity expectations.· Provide CPST services to coordinate clinical care in the form of face to face, telephone calls, report writing and case conference meetings.· Demonstrate knowledge and skills relevant to the service method provided to clients.· Maintain scheduled appointments and other workload activities on CareLogic schedule according to departmental standards.· Seek medical provider consultations regarding medical needs of clients. Maintain on-going communication with medical provider for the purpose of coordinating and evaluating client care.· Demonstrate strong customer satisfaction skills in the provision of clinical care services.· Demonstrate knowledge of SBHI medical records and CareLogic and other paperwork standards. Apply competencies in both the provision and documentation of medical records.· Demonstrate compliance with departmental standards for administration and reporting of outcome measures and documentation of utilization management of clinical care.· Demonstrate knowledge of other regulatory standards. Ensure that clinical records are maintained in compliance with these standards at all times.· Demonstrate knowledge of IT and Quality Improvement policies and procedures. Apply them to the documentation of clinical care according to medical records and other departmental standards.· Assess current competencies. Design and implement professional development plan to improve competencies in targeted goal areas to support departmental strategies.· Provide documentation of continuing education required for maintaining current professional licensure and competency credentials.· Participate in assigned programs and staff meetings.· Meet regularly with clinical director and as needed to review clinical care of patients according to licensing and agency standards.· Ensure all annual updates are completed in CareLogic for caseload.· Complete face-to-face CPST assessments within (5) business days after receiving referral.· Maintain caseload list reflective of current and active clients. Review closure / discharge if no services within 90 days.· Two year degree in a relevant social science field or equivalent education and experience· Minimum of two (2) years’ experience in the mental health and/or drug and alcohol field.· Working knowledge of mental health, drug and alcohol, and other community agencies and resources essential.· Working knowledge of The Diagnostic and Statistical Manual of Mental Disorders (DSM- 5 or subsequent revisions), as related to coordination of community support services.
