Employees in this clinical position are responsible for ensuring continuity of services, with a primary responsibility for assuring that the five case management functions are carried out: assessment, planning, linking, monitoring and advocacy.  The Case Manager (Care Coordinator) is an advocate and service broker for the consumer and is a resource to the treatment staff. The Case Manager reports to the Operations Manager as assigned. This position has no direct supervisory responsibilities.

 

ESSENTIAL POSITION FUNCTIONS (listing Position Specific functions first):

  • Coordinate Person-Centered Planning, including integrated care planning, with an emphasis on whole health and wellness recovery plans for those with chronic health and/or substance abuse issues.  In doing so, attends to the total spectrum of the individual’s needs, including but not necessarily limited to: housing, family relationships, social activities, education, finance, employment, health, recreation, mobility, protective services and records.
  • Collaborate with consumers and other providers: continually assessing the consumer’s needs and developing treatment goals, objectives, methodologies and timelines; and evaluating progress toward those goals.
  • Locate, obtain, and coordinate services outside and inside the CMH system as indicated by the individual plan of service (IPOS).
  • Provide supportive services (including health education specific to his/her illness or needs) to the consumer and his/her family or other natural supports as part of the health and wellness recovery team.
  • Intervene when necessary to assure implementation of the plan (IPOS).
  • Request and facilitate, when necessary, review of the IPOS by the individual’s interdisciplinary team.
  • Ensure the flow and exchange of information (within HIPAA law) among the consumer, family members or other natural supports, and linked providers.
  • Conduct orientation and annual integrated psychosocial assessment of individual consumer needs.
  • Document activity in accordance with state and agency guidelines in an electronic medical record.
  • Establish and maintain an effective liaison between NLCMHA and outside providers.
  • Participate in Quality Assurance case review procedures, including consumer satisfaction.
  • Maintain current knowledge of mental health, chronic disease, and substance abuse symptomatology, including intervention and treatment strategies for selected health conditions.
  • Monitor treatment plan follow-up, services to consumer and over-all conditions.  Works with the providers to make necessary improvements.  Follow-up problem areas as appropriate.
  • Facilitate consumer’s benefits (e.g. SSI, Medicaid, SSB, Medicare).
  • Review and coordinate with team and provider on decision involving hospitalization, respite and/or transfers/level of care changes.  Implements plan of action on transitional care across settings.
  • Provide crisis intervention services when appropriate.
  • May provide telephonic reminders of appointments and/or assistance with making appointments.\
  • May deliver medications to consumers as requested and observe setup of consumer’s medications.

 

 

QUALIFICATIONS: 

MINIMUM EDUCATION & EXPERIENCE:

Bachelor’s Degree in Social Work from an accredited university, or a Degree in Nursing.

One (1) year of experience in developmental disabilities or mental illness areas is preferred.

 

LICENSING or CERTIFICATIONS:

Must have licensure with the State of Michigan as a Licensed Bachelors Social Worker, Limited Licensed Bachelors Social Worker or licensed RN considered.    Must maintain licensure.

 

PHYSICAL ABILITIES:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Ability to walk, bend, stand, sit, lift up to 25 lbs., with or without assistance, stretch/reach, hear, see, hand/finger dexterity and drive.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with applicable laws.

2021-60C