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. Primary duties of this position involve the coordination, monitoring COFR (county of financial responsibility) contract services and coordinating, monitoring and inputting authorizations for service into our electronic health record for our external contracted providers. This is a traveling position requiring service delivery throughout the state meeting with consumers where they live. This position will report to the Operations Manager as assigned and has no supervisor responsibilities.
ESSENTIAL POSITION FUNCTIONS (listing Position Specific functions first):
- Conduct orientation and annual integrated psychosocial assessment of individual needs.
- Coordinate Person-Centered Planning, including integrated care planning with an emphasis on whole health and wellness. In doing so, attending to the total spectrum of the individual’s needs, including but not limited to: housing, family relationships, social activities, education, finance, employment, health, recreation, mobility, protective services and records.
- Provide In-Services to all providers on the implementation of the Individual Plan of Service.
- Facilitate consumer’s benefits (SSI/SSD, Medicaid, Medicare). These are examples and not inclusive of all benefits a consumer might need to access.
- Complete all clinical documentation as prescribed by agency and adhering to Medicaid standards.
- Ensure the flow and exchange of information (within HIPAA law) among consumer, family members or other natural supports and linked providers.
- May deliver medications as requested, observe set up of consumer’s medications and provide education regarding medications.
- Work efficiently with COFR requests, responding in a timely manner where appropriate.
- Follow up with COFR/Contract Agency to ensure consumer authorizations are current where appropriate.
- Work with Contracts and Reimbursement Department to insure COFR arrangements are in place and to develop tracking mechanisms of COFR Agreements and rate changes to ensure all agreements and rates are current.
- Work with Reimbursement Department to ensure all service codes are up to date.
- Collaborate with consumers and other providers; continually assessing the consumer’s needs and developing treatment goals, objectives, methodologies, timelines and evaluate progress towards goals.
- Project a professional and friendly attitude working with staff or other professionals or the public while on the phone, in person or in written work.
- Locate, obtain, and coordinate services outside and inside the CMH system as indicated by the individual treatment plan.
- Work on-call crisis shifts after hours (nights and weekends).
- Attend team meetings to provide training/education to other NLCMH staff regarding COFR arrangements.
- Monthly travel throughout the State of Michigan to complete home visits with consumers.
- Problem solving or discretion in interpreting policy. Complex communication and conflict resolution skills required.
- Other duties as assigned by supervisor.
QUALIFICATIONS & COMPETENCIES:
Credentialed by NLCMHA to provide services in this professional discipline. Must have a comprehensive knowledge of the Michigan Mental Health Code and Medicaid Provider Manual as it relates to specialized behavioral healthcare for children and families, adults diagnosed with mental illness, and individuals diagnosed with intellectual and developmental disabilities.
LICENSING or CERTIFICATIONS:
Must have licensure with the State of Michigan as a Licensed or Limited Licensed Bachelors Social Worker, Licensed or Limited Licensed Professional Counselor, Psychologist, or RN.
MINIMUM EDUCATION & EXPERIENCE:
Bachelor’s Degree from an accredited university. Three to five years of experience in intellectual and developmental disabilities and mental illness areas is required, four years preferred.