TITLE: Case Manager, Behavioral Health RESPONSIBLE TO: Regional Leadership WORK AREA: Outpatient sites and Community SUMMARY: The Case Managers primary role, under the direction of Regional Leadership and the Case Manager Supervisor, is to provide support and coordinating services based on client needs and treatment plans. The case manager will actively engage in a professional, collaborative process to support our clients' mental and physical health needs. As a Case Manager, you will assess, plan, implement, coordinate, monitor, advocate, and evaluate the options and services required to promote health, quality, and cost-effective outcomes for our clients, ensuring patient safety and adherence to quality care standards.
In this role, you will work closely with other care team members to plan, link, advocate, coordinate, and monitor client care. This collaboration will help clients access a wide range of resources, including but not limited to health services, financial assistance, housing, employment, education, and social services. The Case Manager is also responsible for successfully managing their caseload and communicating with the treatment team as it relates to Case Management across various disciplines. BLOODBORNE PATHOGEN CATEGORY I: Tasks with actual blood/body fluid exposure are not included in this position’s duties as the job requires therapeutic counseling only.
DUTIES AND RESPONSIBILITIES
Day-To-Day Responsibilities
- Act as a liaison between the therapist, other care team members, client, and client's family to coordinate the best care.
- Arrange family visits, coordinate transportation, and ensure clients' needs are met.
- Maintain clear and ongoing communication between the family, referral source, and Path Behavioral Healthcare.
- Attend court hearings as appropriate.
- Ensure documentation and billing adhere to policy, Path Behavioral Healthcare standards of practice, and all applicable compliance standards within the EHR system.
- Maintain compliance with chart/documentation audit criteria, billing reviews, and Phase System of Care requirements.
- Attend supervisory and team meetings; present accurate case management reports reflecting services provided and clients' responses to treatment.
- Facilitate individual and group meetings as assigned.
- Serve on agency quality assurance or other committees as assigned.
- Facilitate the further development of daily living skills if identified by the client and/or parent or guardian.
- Address and resolve client/guardian concerns in a timely manner.
- Oversee the implementation of the individual plan of service, supporting the client's aspirations, goals, and desires for optimizing independence, promoting recovery, and developing and maintaining natural support systems.
- Ensure ongoing client participation in discussions of their plans, goals, and status.
- Identify and address gaps in service, as well as monitor under and over-utilization of authorized services.
- Identify and assist in business development/referral source communication and collaboration efforts.
- Coordinate and assist the client in crisis intervention and discharge planning, including community support systems following hospitalization.
- Maintain an organized practice and schedule, be at work on time and ready to work, and leave work at the completion of client care responsibilities.
- Reduce client rescheduling by informing the appropriate person of time off work.
- Maintain strict compliance with HIPAA guidelines, confidentiality agreements, billing and coding guidelines, and company policy.
- Maintain a demeanor of positive professionalism and serve as a model for others to exemplify the mission and vision of Path Behavioral Healthcare.
Coordination of the Individual Support Plan (ISP)
- Services identified in the ISP.
- Assistance with accessing natural support systems in the community.
- Coordination with formal community services and systems.
- System monitoring.
- Coordination and assistance in crisis management and stabilization.
- Client advocacy and outreach.
- Seek education and training specific to client care; provide client education.
- Mental health interventions addressing symptoms, behaviors, thought processes, etc., to help clients eliminate barriers to seeking or maintaining education and employment.
- Activities that increase the client's capacity to positively impact their environment.
- Assume additional duties as assigned by the Case Manager Supervisor or Regional Leadership.
QUALIFICATIONS
Education: Candidate must have a High School Diploma or GED. Bachelor’s degree is preferred. Experience: Candidates must have a minimum of 3 years of case management experience. Physical Effort: This position requires the ability to work under stressful conditions and to work irregular hours. Communication Skills: Candidates must possess excellent verbal and written communication skills in order to communicate professionally via telephone and in writing. Strong grammar and writing skills are crucial for clear and concise communication with clients, colleagues, and other healthcare professionals. Interpersonal Skills: The successful candidate must demonstrate the ability to interact and assist in a friendly, compassionate, and professional manner with colleagues, providers, clients, and their families, as they represent both themselves and Path Behavioral Healthcare. Essential Technical/Motor Skills: Candidates must achieve competency in the Electronic Health Record (EHR) program, telemedicine services, and any additional software programs utilized by the company, ensuring efficient access and updating of client information. The role requires fine dexterity, adept handling, and proficient gripping abilities to perform various tasks. Background: The candidate must pass all federal and state background checks, including a clean Motor Vehicle Record. Educational and work history will be confirmed in compliance with company policies.