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.

 

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.

 

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