Spanish Speaking Contract Behavioral Health Case Manager RGV

ADMORE BEHAVIORAL THERAPY

Job Description

Position Title

Mental Health Case Manager / QMHP-CS

Department

Case Management Services

Reports To

Case Manager Team Lead

Service Type

Routine Case Management | Intensive Case Management | Skills Training

Job Environment

Office, community, and client home settings

Employment Type

Full-Time | Part-Time | Contractor

FLSA Status

Non-Exempt

Caseload Target

15–25 active clients (based on service type and authorization)

Position Summary

The Mental Health Case Manager / QMHP-CS at Admore Behavioral Therapy is a direct service clinician responsible for delivering high-quality, person-centered case management services to adults, children, and adolescents experiencing mental health challenges in the Houston community. This role is at the heart of Admore’s mission: helping individuals gain and coordinate access to the care, supports, and skills they need to live as independently and fully as possible in the community.

The Case Manager carries a defined caseload of active clients, delivers authorized services including routine case management, intensive case management, and skills training, and is fully accountable for the quality, frequency, and documentation of every client encounter. This role requires strong clinical instincts, disciplined documentation practices, and the organizational skills to manage a productive caseload while meeting Admore’s billing and utilization standards.

Admore serves a diverse, vulnerable population that includes individuals of all ages, races, ethnicities, cultures, immigration statuses, disability types, educational backgrounds, religions, gender identities, sexual orientations, and socioeconomic circumstances. Bilingual (English/Spanish) candidates are strongly encouraged to apply.

Key Responsibilities

1. Caseload Management & Client Engagement

• Carry an active caseload of assigned clients authorized to receive case management services; maintain consistent, frequent contact with each client in accordance with their treatment plan and payer authorization.
• Initiate face-to-face contact with each newly assigned client within 14 days of assignment for routine case management, or within 7 days for intensive case management and following discharge from an inpatient psychiatric setting.
• Ensure every active client on the caseload receives at least one billable service contact per week, or at the frequency specified in the individual’s treatment plan and authorization; proactively reschedule missed contacts and document attempts.
• Meet face-to-face with the client upon their request, or upon notification of a clinically significant change in functioning, life status, or service needs; document the meeting or the reason it did not occur.
• If notified that a client is in crisis, immediately coordinate with emergency services, the Crisis Services team, and the supervising clinician per Admore’s crisis protocol and Chapter 412, Subchapter G, §412.321 (relating to Crisis Services).
• Re-engage clients who miss scheduled contacts; document all outreach attempts in ICANotes; escalate persistent non-engagement to the Team Lead within the same week.
• For intensive case management clients, accompany the client to initial meetings, non-routine appointments, and service provider contacts as needed to ensure successful linkage and community integration.

2. Assessment, Service Planning & Treatment Plan Ownership

• Conduct or participate in the intake assessment process for newly assigned clients; gather comprehensive information from the client, their LAR or primary caregiver, relevant service providers, medical records, and other identified sources.
• Identify each client’s strengths, immediate needs, unmet service needs, and the supports required to address those needs; develop an individualized service plan that reflects the client’s goals, priorities, and expressed preferences.
• Develop and maintain a current, signed treatment plan for every active client; ensure the plan is specific, measurable, and clearly documents authorized services, goals, timelines, and the responsible parties for each action.
• For intensive case management (children and adolescents), incorporate wraparound process planning or another HHSC-approved model that addresses unmet needs across life domains, including natural supports, crisis planning, and family involvement.
• Reassess each client’s needs at least annually, or whenever a clinically significant change occurs; update the treatment plan accordingly and obtain required signatures before continuing to bill for services.
• Track treatment plan expiration dates and authorization renewal deadlines for every client on the caseload; initiate renewal processes no fewer than 30 days before expiration to prevent service interruption.
• Specify goals, actions, timelines, and measurable outcomes for each identified need; ensure the treatment plan reflects the actual services being delivered, not a generic template.

3. Direct Service Delivery

• Deliver routine case management services to eligible adults, children, and adolescents: assessing needs, developing and monitoring service plans, coordinating referrals, advocating for the client, and linking the client to community resources.
• Deliver skills training (H2014) services: provide structured, individualized training to help clients acquire and strengthen coping skills, anger management, social skills, daily living skills, and other functional competencies that support community integration and independence.
• Deliver intensive case management services to eligible children and adolescents: execute the intensive case management plan, coordinate across life domains, facilitate family and caregiver involvement, and provide the level of direct contact required by the authorization and plan.
• Serve as the client’s primary advocate: identify barriers to accessing services, advocate with providers and agencies on the client’s behalf, arrange transportation when needed to support appointment attendance, and engage natural supports as part of the care team.
• Coordinate with all providers involved in the client’s care: communicate relevant clinical information (within HIPAA and consent parameters), attend multi-disciplinary team meetings, and ensure the client’s plan reflects integrated, non-duplicative services.
• Provide services in the setting required by the client’s authorization and plan: office-based, community-based, home-based, or telehealth as appropriate; ensure all services are delivered in compliance with Texas Medicaid place-of-service requirements.
• Monitor each client’s progress toward plan goals on an ongoing basis: gather information from the client, caregivers, and service providers; identify barriers; assess whether modifications to the plan or services are needed; and implement changes with required approvals.

4. Documentation, Billing Compliance & Productivity

• Document every client contact — whether a direct service encounter or a collateral contact made on behalf of the client — in ICANotes with accuracy, specificity, and medical necessity language that supports the billed service code.
• Complete all session notes on the same day as the encounter, or by 12:00 PM the following business day; submit weekly progress notes to the Team Lead by Sunday for the prior week without exception.
• Maintain a personal documentation error rate of 5% or below on all internal QA and completeness audits; proactively correct errors identified in billing reviews before the final claim submission.
• Ensure every billed session is supported by an active, signed treatment plan authorizing the specific service code (H2014, T1017, or other) and that modifier codes (HA, TF, 95, HQ, GT) and place-of-service entries accurately reflect the session delivered.
• Maintain complete and current client records in ICANotes: signed consents, insurance verification, treatment plans, session notes, and discharge documentation; flag any missing documentation to the Team Lead immediately rather than allowing gaps to accumulate.
• Meet Admore’s weekly billable hour targets as communicated by the Team Lead; proactively communicate scheduling challenges, no-shows, or caseload gaps that may affect weekly productivity before they show up as under-utilization.
• Participate in Admore’s weekly utilization review process; review and respond to billing discrepancies, error notifications, and documentation audits within the same business day they are received.
• Notify the Team Lead immediately upon identifying any client with a lapsed authorization, expired treatment plan, or insurance change that could affect the ability to bill for services.

5. Professional Conduct, Supervision & Team Collaboration

• Participate in weekly one-on-one supervision with the assigned Team Lead; come prepared with a current caseload status review, open documentation items, clinical questions, and any client concerns requiring escalation.
• Attend and actively participate in team meetings, case conferences, peer reviews, and multidisciplinary team meetings as required; contribute insights, share best practices, and support colleagues’ professional growth.
• Receive and act on clinical supervision from a licensed or license-eligible mental health professional (LMHP or LMHP-supervised) to reflect on individual client cases, discuss treatment and support needs, and address professional development priorities.
• Treat every client, family member, caregiver, and colleague with dignity, respect, and cultural humility; embody Admore’s commitment to trauma-informed, person-centered, and culturally responsive care in every interaction.
• Respond to emergent needs including on-call coverage and critical incident debriefings as assigned; demonstrate willingness to support caseload continuity for colleagues during absences or transitions.
• Maintain professional working relationships with partner agencies, referral sources, and community providers; represent Admore with integrity and professionalism in all external interactions.
• Complete all required annual training on time: HIPAA compliance, trauma-informed care, crisis intervention and de-escalation, documentation standards, Medicaid billing requirements, and any payer-required training assigned by the Team Lead or HR.
• Maintain current QMHP-CS credential and any required licensure; notify the Team Lead and HR no fewer than 90 days before any credential expiration date; complete required CEUs for licensure renewal on schedule.

6. Client Population & Cultural Responsiveness

• Serve adults, children, and adolescents residing in Texas who are enrolled in Admore’s case management program; the majority of clients represent vulnerable populations who may be at risk of exploitation, crisis, or loss of community tenure.
• Admore’s population reflects the full diversity of the Houston community, including individuals of varying ages, races, ethnicities, cultures, immigration statuses, disability types, educational backgrounds, religions, gender identities, sexual orientations, and socioeconomic circumstances; the Case Manager is expected to deliver services with consistent respect and cultural responsiveness across all of these dimensions.
• Identify and address social determinants of health that affect the client’s ability to engage with services and achieve treatment goals: housing instability, food insecurity, transportation barriers, immigration concerns, language access, and family dynamics.
• Engage the client’s LAR, primary caregiver, and natural supports as partners in the service plan, with appropriate consent; facilitate family involvement in plan development, goal-setting, and service coordination.
• Maintain boundaries appropriate to a therapeutic and professional relationship; recognize signs of exploitation, abuse, neglect, or trafficking and report concerns through required channels immediately.

Key Performance Indicators (KPIs)

Case Managers are evaluated and paid on the following metrics and reviewed weekly by the Team Lead:

Productivity & Utilization

• Weekly billable hours: Meet or exceed the assigned weekly quota communicated by the Team Lead
• Team utilization rate contribution: Individual utilization at 89% or above of available hours
• Client engagement rate: 95% or more of active caseload receives at least one billable contact per week
• Caseload productivity index: 2–4 billable hours per active client per week on average

Documentation & Billing Accuracy

• Note completion rate: 100% of session notes completed same-day or by 12:00 PM next business day
• Documentation error rate: 5% or below on internal QA and completeness audits
• First-run billing accuracy: Zero personal billing errors on weekly first-run submission
• Treatment plan currency: 100% of active clients have a current, signed treatment plan at all times
• Authorization currency: Zero clients receiving services against a lapsed or expired authorization

Client Outcomes & Engagement

• First contact timeliness: New clients contacted within 14 days (routine) or 7 days (intensive) of assignment
• Crisis response: 100% of crisis notifications result in documented coordination with emergency/crisis services same day
• Re-engagement rate: Clients who miss contact are re-engaged within 5 business days with documented outreach
• Treatment plan reassessment: Annual reassessment completed for 100% of clients before plan expiration

Compliance & Professional Development

• Credential currency: QMHP-CS and all required credentials current at all times; no lapses
• Required training completion: 100% of annual required training completed by deadline
• Supervision attendance: 100% of scheduled one-on-one and group supervision sessions attended or rescheduled in advance

Qualifications

Required

• Must qualify as a QMHP-CS (Qualified Mental Health Professional — Community Services) under Texas Administrative Code §412.412. This requires: a bachelor’s or master’s degree in a behavioral science or related field from an accredited institution, or equivalent qualifying experience as defined by HHSC.
• Must be an employee or contractor of Admore Behavioral Therapy and competent in MH Case Management as defined by §412.412, including knowledge of community resources and evidence-based practices.
• Demonstrated ability to deliver case management services — assessment, service planning, skills training, referral and linkage, advocacy, monitoring, and documentation — in a community-based or office-based behavioral health setting.
• Working knowledge of Texas Medicaid behavioral health service requirements, including routine case management, intensive case management, and skills training billing codes, place-of-service requirements, and documentation standards.
• Proficiency with electronic health records systems; ICANotes experience strongly preferred.
• Strong written and verbal communication skills; ability to produce clinical documentation that is clear, specific, and meets payer medical necessity standards.
• Valid Texas driver’s license, reliable transportation, and current auto insurance required for community-based service delivery.

Preferred

• Master’s degree in social work, counseling, psychology, or a related behavioral health field; active Texas LPC, LMSW, LPC-Associate, or LMSW-candidate licensure or licensure eligibility.
• Prior experience in a Medicaid-funded mental health agency, CMHC, or community-based behavioral health program.
• Bilingual English/Spanish strongly preferred; bilingual candidates will be prioritized for assignment to Spanish-speaking clients.
• Experience with wraparound process planning, trauma-informed care models, and co-occurring disorder treatment approaches.
• Familiarity with Texas CMBHS documentation requirements and HHSC utilization management guidelines.

Working Conditions

• Services are delivered across office, community, and client home settings; regular travel within the Houston service area is required. Case Managers must be able to safely navigate a variety of community environments.
• Standard full-time hours with occasional flexibility required to accommodate client availability, including some early morning or evening contacts.
• Role involves regular exposure to individuals experiencing mental health crises, trauma histories, and complex psychosocial needs; trauma-informed care training is required and provided by Admore.
• Case Managers may be assigned on-call coverage or critical incident debriefing responsibilities on a rotating basis.
• Physical requirements include the ability to travel by personal vehicle, walk through community environments, and carry standard field equipment (tablet, documentation materials).

This job description conveys the essential functions and requirements of the position and is not an exhaustive list of duties. Admore Behavioral Therapy reserves the right to modify this description as organizational needs evolve. Admore is an equal opportunity employer committed to building a diverse workforce that reflects the communities we serve.

Job Types: Part-time, Contract

Pay: $22.00 - $25.00 per hour

Benefits:

• Flexible schedule

Application Question(s):

• Do you have a Bachelor's degree in one of the following majors: Psychology, social work, medicine, nursing, rehabilitation, counseling, sociology, human growth and development, physician assistant, gerontology, special education, educational psychology, early childhood education, or early childhood intervention?

Language:

• Spanish (Required)

Work Location: On the road

Salary : $22 - $25