Case Manager

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

• Actasaliaisonbetweenthetherapist,othercareteammembers,client,andclient'sfamily to coordinate the best care.
• Arrangefamilyvisits,coordinatetransportation,andensureclients'needsaremet.
• Maintainclearandongoingcommunicationbetweenthefamily,referralsource,andPath Behavioral Healthcare.
• Attendcourthearingsasappropriate.
• Ensuredocumentationandbillingadheretopolicy,PathBehavioralHealthcarestandardsof practice, and all applicable compliance standards within the EHR system.
• Maintaincompliancewithchart/documentationauditcriteria,billingreviews,andPhase System of Care requirements.
• Attendsupervisoryandteammeetings;presentaccuratecasemanagementreportsreflecting services provided and clients' responses to treatment.
• Facilitateindividualandgroupmeetingsasassigned.

• Serveonagency qualityassurance orothercommitteesasassigned.

• Facilitatethefurtherdevelopmentofdailylivingskillsifidentifiedbytheclientand/or parent or guardian.Addressandresolveclient/guardianconcernsinatimelymanner.
• Oversee the implementation of the individual plan of service, supporting the client's aspirations,goals,anddesiresforoptimizingindependence,promotingrecovery,and developing andmaintainingnatural support systems.
• Ensureongoingclientparticipationindiscussionsoftheirplans,goals,andstatus.
• Identifyandaddressgapsinservice,aswellasmonitorunderandover-utilizationof authorized services.
• Identifyandassistinbusinessdevelopment/referralsourcecommunicationandcollaborationefforts.
• Coordinateandassisttheclientincrisisinterventionanddischargeplanning,including community support systems following hospitalization.
• Maintainanorganizedpracticeandschedule,beatworkontimeandreadytowork,and leave work at the completion of client care responsibilities.
• Reduceclientreschedulingbyinformingtheappropriatepersonoftimeoffwork.
• MaintainstrictcompliancewithHIPAAguidelines,confidentialityagreements,billingand coding guidelines, and company policy.
• Maintainademeanorofpositiveprofessionalismandserveasamodelforothersto exemplify the mission and vision of Path Behavioral Healthcare.

Coordination of the Individual Support Plan (ISP)

• ServicesidentifiedintheISP.
• Assistancewithaccessingnatural supportsystems inthecommunity.
• Coordinationwithformalcommunityservicesandsystems.
• Systemmonitoring.
• Coordinationandassistancein crisismanagementandstabilization.
• Clientadvocacyandoutreach.
• Seekeducationandtrainingspecifictoclient care; provide clienteducation.
• Mentalhealthinterventionsaddressingsymptoms,behaviors,thoughtprocesses,etc.,tohelp clientseliminatebarriers toseekingormaintainingeducation and employment.

• Activitiesthatincreasetheclient'scapacitytopositivelyimpacttheirenvironment.
• AssumeadditionaldutiesasassignedbytheCaseManagerSupervisororRegionalLeadership.

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.