Adult Outpatient Case Manager

Job Summary

Targeted Case Manager serves individuals with mental health and substance use disorders who require assistance to gain access to necessary care: medical, behavioral, social, and other services appropriate to their needs. Services include case management assessment; person centered planning, referral and linkage, monitoring and follow-up. If position is assigned to serve a specific population, agency location, or to staff an enhanced service such as Integrated Classroom, Family Safety Program, Juvenile Services, Kanvwotiyi, MAT, etc., specific policies and procedures will apply.

Essential Duties And Responsibilities

Direct Service Duties

• Provide the following case management functions according to CIHA policy: case management assessment; person centered planning; referral and linkage; and monitoring and follow-up.
• Maintains caseload by identifying new patients assigned in a timely manner and discharging patients according to CIHA policy and procedures.
• Provides documentation of all treatment and clinically significant events in Electronic Health Record as prescribed by CIHA policies and procedures and quality assurance standards.
• When assigned to provide services for adults, or for children and families, the employee will fulfill duties as outlined in CIHA policy and procedure related to the specific population served.
• Gather and document necessary information in the EHR including medical, physical and functional, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas.
• Engage patients in the person centered planning process to assist them in obtaining the outcomes, skills, and symptom reduction they desire.
• Link clients to needed services and supports.
• Provide timely information to treatment team members regarding client status, progress and safety. Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention.
• Collaborate with the medical staff and other health professional/agencies to facilitate patient care, discharge and follow-up.
• Provide consultation to patient and family in matters directly related to patients' limitations, finances, adjustments to medical condition and ongoing treatment.
• Work with internal and external providers to coordinate discharge planning, follow-up care, and transfers to other behavioral health facilities as appropriate.
• Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of client data, and formulating changes to the treatment plan.
• Participate in meetings to review and identify opportunities to improve the program and treatment provided, and support the team in problem solving when concerns are identified.
• Provide written, telephonic and face-to-face consultation services to various persons and organizations which affect the patient. These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services, community agencies, etc.
• Provide support to patients in the office setting as well as the community setting by conducting home visits with patients and collaterals as needed.
• Represents CIHA at regular team meetings for progress review and during emergency meetings dealing with high-risk situations.
• Participate in community planning and implementation of programs to help resolve related to client care.
• Collect and report on data necessary for client care according to procedure and as directed by supervisor.
• Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops.
• Other duties as assigned.
• Support the Tribal Option Care Managers as needed.

Education/Experience/Minimum Qualifications

Qualified Professional (QP) “Qualified Professional” within the mental health and substance abuse system means:

• Individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing, who also has four years of full-time accumulated experience in MH/SA with the population served; or
• Graduate of a college or university with a Master’s degree in a human service field and one year of full-time, pre- or post-graduate degree experience with the population served or a substance abuse professional with one year of full-time, pre- or post-graduate degree accumulated supervised experience in alcoholism and drug abuse counseling; or
• Graduate of college or university with a bachelor’s degree in a human service field and two years of full-time, pre- or post-bachelor’s degree experience with the population served or a substance abuse professional who has two years full-time, pre- or post-bachelor’s degree accumulated supervised alcoholism and drug abuse counseling; or
• Graduate of a college or university with a bachelor’s degree in a field other than human services with four years of full-time, pre- or post-bachelor’s degree accumulated MH/SA experience with the population served.
• This category includes Substance Abuse Professional, Certified Alcohol and Drug Counselors (CDAC), Certified Clinical Supervisor (CCS), Licensed Clinical Addictions Specialist (LCAS
• Must possess valid drivers' license.
• Specific experience working with Native Americans preferred.

Job Knowledge

• Knowledge crisis intervention with individual and families experiencing acute episodes of distress.
• Ability to ascertain the potential lethality of a situation and respond and refer accordingly.
• Ability to learn computerized treatment systems such as EHR, and ability to maintain records and files manually and on the computer.
• Originality and initiative are required in the daily performance of tasks.
• Knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems.
• Knowledge of a wide range of medical, behavioral and psychosocial problems and linkage to treatment.
• Knowledge of governmental and private organizations and resources in the community.
• Knowledge impact of mental illness on patient’s ability to negotiate treatment recommendations, current treatment approaches, modalities of care, and substance abuse and other programs or services available to patients.
• Skill in establishing rapport with a patient and in applying techniques of engaging patients.
• Willingness learn more about Cherokee culture/population and to have considerations for this when identified.
• Ability to establish and maintain effective working relationships with patients and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community.
• Ability to express ideas clearly and concisely and to plan and work effectively in a team.

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