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Job Type
Full-time
Qualifications
Case management: 1 year (Preferred)
Full Job Description
Job Summary:
Definition of service: Substance use case management services assist individuals and their family members in accessing needed medical, psychiatric, psychological, social, educational, vocational, recovery, and other supports essential to meeting the individual's basic needs. Substance use case managers are to be person centered, individualized, and culturally and linguistically appropriate to meet the individual's and family member's needs.
Target group: The Medicaid eligible individual shall meet the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria for a substance use disorder , and/or co-occurring disorders. Tobacco-related disorders or caffeine-related disorders and nonsubstance-related disorders shall not be covered. Substance use case management shall include an active individual service plan (ISP) that requires a minimum of two substance use case management service activities each month and at least one face-to-face contact with the individual at least every 90 calendar days. Substance use case management is reimbursable on a monthly basis only when the minimum substance use case management service activities are met.
Responsibilities:
Assessing needs and planning services to include developing a substance use case management individual service plan (ISP). The ISP shall utilize accepted placement criteria and shall be fully completed within 30 calendar days of initiation of service;
Enhancing community integration through increased opportunities for community access and involvement and enhancing community living skills to promote community adjustment including, to the maximum extent possible, the use of local community resources available to the general public;
Making collateral contacts with the individual's significant others with properly authorized releases to promote implementation of the individual's ISP and his community adjustment;
Linking the individual to those community supports that are most likely to promote the personal habilitative or rehabilitative, recovery, and life goals of the individual as developed in the ISP;
Assisting the individual directly to locate, develop, or obtain needed services, resources, appropriate public benefits and transportation as needed;
Assuring the coordination of services and service planning within a provider agency, with other providers, and with other human service agencies and systems, such as local health and social services departments;
Monitoring service delivery through contacts with individuals receiving services and service providers and site and home visits to assess the quality of care and satisfaction of the individual;
Providing follow-up instruction, education, and counseling to guide the individual and develop a supportive relationship that promotes the ISP;
Advocating for individuals in response to their changing needs, based on changes in the ISP;
Discharge Planning – prepare individuals for transitions in life;
Knowing and monitoring the individual's health status, any medical condition, and medications and potential side effects and assisting the individual in accessing/contacting primary care and other medical services, as needed;
Understanding the capabilities of services to meet the individual's identified needs and preferences and to serve the individual without placing the individual, other participants, or staff at risk of serious harm.
Orients newly admitted individuals by reviewing program requirements, participant responsibilities and completing initial paperwork.
Acts as the primary point of contact for individuals and the Interdisciplinary Care Team (ICT); leads ICT process and meetings; facilitates communications among relevant parties regarding individuals’ attendance, drug test results, etc.
Assesses for appropriate changes or additions to services, facilitates referrals for the members, and ensures the ISP is updated as necessary.
Establishes and maintains positive, cooperative working relationships with discharge planning staff at state and local psychiatric facilities and inpatient/residential substance abuse treatment settings to reinforce the concept of inpatient treatment as time limited and to facilitate smooth transition from one treatment setting to another.
Daily service documentation shall support medical necessity criteria. Progress notes shall be written, signed, and dated the date of service or within one business day from the time the service was rendered. Progress notes must include the individual’s circumstance, treatment and progress or lack of progress toward goals, objectives on ISP and staff’s intervention.
Maintains confidentiality and security of Protected Health Information (PHI) as outlined in the Confidentiality Agreement.
Additional duties as assigned by Clinical Director, ARTS Program Manager, or Director of Operations.
Other Duties:
Coordinate with other Agencies to avoid a duplication of services.
Communicate weekly with community partners that referred individuals to substance use services with Calm Source, LLC.
Assists with Emergency Crisis intervention as needed.
Enhances community integration by developing opportunities for community access and involvement.
Participates in community presentations regarding substance use and co-occurring services.
Travel throughout the Danville, Pittsylvania County area as needed
Knowledge Required:
Abilities Required:
Skills Required:
Experience and Professional Qualifications:
Training:
Background Investigation:
Job Type: Full-time
Pay: $18.00-$25.00
Full Time
$81k-98k (estimate)
07/09/2022
04/24/2024
calmsource.net
Danville, VA
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