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Mental Health Case Manager - Assisted Outpatient Treatment (AOT) Program

Niagara County Department of Mental Health &...
Niagara, NY Full Time
POSTED ON 3/21/2026
AVAILABLE BEFORE 5/20/2026

The Niagara County Department of Mental Health & Substance Abuse Services is seeking an experienced Case Manager for our Assisted Outpatient Treatment program!! We have a great team, great benefits, and great opportunities! Join us! Civil Service Exam is not required at this time AND we are an eligible employer for the Public Service Student Loan Forgiveness program.

We are seeking a Mental Health Case Manager (MHCM) for our Assisted Outpatient Treatment (AOT) Program. The AOT program serves individuals who experience serious mental illness who struggle with maintaining stability in the community and therefore experience significant risk. Services are provided via voluntary agreements or court orders. The Mental Health Case Manager reviews referrals to the AOT program, assists in gathering documents and reports to evaluate referrals, provides input into the development of assessment and AOT program/service recommendations. The MHCM actively monitors and documents compliance with services outlined in AOT Voluntary Service Contracts or Court Orders, coordinates among service providers, and addresses concerns and barriers to care.

Additionally, the MHCM coordinates with the AOT Psychiatrist and assigned legal counsel and prepares Voluntary Service Agreements and Court documents. MHCM attends case conferences, court hearings, and engages clients in the community (home/hospital/outpatient provider offices) as needed. The AOT program works in conjunction with Niagara County Crisis Services and the Mobile Crisis Team serving those at risk of hospitalization with the goal of hospital diversion where possible.

Typical work hours are Monday – Friday 8:30 – 4:30, 35 hour/week. The Mental Health Case Manager also participates as a part of our after-hours mobile crisis team, with occasional after hours paid on-call - 2 - 3 days per month. There is plenty of room for career advancement, so bring your knowledge, skills, drive, compassion and innovation to help those we serve. We offer a supportive team environment, excellent benefits, and are part of the NYS Retirement System.

We are seeking a highly organized individual who has strong engagement, communication, and system coordination skills. Our staff operate from a trauma informed and diversity, equity, and inclusion perspective.

Niagara County provides an excellent, comprehensive package of benefits including:

  • participation in the NYS Retirement/Pension system;
  • low-cost, but robust benefit, health insurance;
  • supportive team environment;
  • annual step and cost of living increases (based on CSEA contract);
  • ability to earn Compensatory time ("comp time") and/or overtime;
  • up to 2 weeks (10 days) vacation during the 1st year, 13 paid holidays, and 5 personal days;
  • ample clinical development and advancement opportunities.

Candidates must have a Bachelor's Degree and two (2) years qualified relevant experience or an Associate's degree and four (4) years qualified relevant experience. Qualified experience includes: case management or crisis services experience, working in a mental health, alcohol/drug setting, or related setting where responsibilities directly involve working with mental health and/or addiction related issues or social case work concerns.

This is a civil service opportunity, open to residents of Niagara County and counties adjacent to Niagara (including Erie, Genesee, and Orleans). Civil service exam requirements are waived for newly hired employees!

Please contact the Niagara County Department of Mental Health at (716) 439-7410 with any questions.

Job Type: Full-time

Pay: From $57,360.00 per year

Benefits:

  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Professional development assistance
  • Retirement plan

Education:

  • Associate (Required)

Experience:

  • mental health or related: 2 years (Required)

Work Location: In person

Salary : $57,360

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