CST Case Manager

Job Description

Job Description

About Premier

The Community Support Team (CST) provides direct support to adults with a Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5) diagnosis of mental illness, substance use, or comorbid disorder and who have complex and extensive treatment needs.  This service consists of community-based mental health and substance use services, and structured rehabilitative interventions intended to increase and restore a beneficiary’s ability to live successfully in the community.  The team approach involves structured, face-to-face therapeutic interventions that assist in re-establishing the beneficiary’s community roles related to the following life domains: emotional, behavioral, social, safety, housing, medical and health, educational, vocational, and legal.  

As a service provider, the Qualified Professional must assist the consumer in developing critical daily living and coping skills, gain access to necessary services, and reduce psychiatric and addiction symptoms. This includes but is not limited to assessing client needs, arranging services, implementing comprehensive service plans, and working in conjunction with Community Support Team Leader (LP), paraprofessional, certified peer support specialist, substance abuse counselor, and associate professional staff, advocating on the behalf of the client, completing the required documentation, and other duties as assigned. The clinician seeks to provide continuity of care and enable clients to improve their quality of life and attain the highest level of independence. Services offered by the team include assistance and support for individuals in crises; service coordination; psycho-education and support for individuals and their families; development of symptom monitoring and management skills; monitoring medication self-administration and compliance. The Qualified Professional can deliver services in various environments, such as residential, school, workplace, and community settings. These interventions are community-based and focused on promoting recovery, symptom reduction, increased coping skills, and achievement of the highest level of functioning in the community, and other goals as developed according to the Person-Centered Plan (PCP).

JOB DUTIES AND RESPONSIBILITIES 

• Provides psycho-education as indicated in the Person-Centered Plan
• Assists with crisis interventions
• Develops, the initial Person-centered plan and its ongoing revisions, and ensures the implementation of the Person-Centered Plan (PCP)
• Assists the Team Leader with behavioral and substance abuse treatment interventions
• Assists with the development of relapse prevention and disease management strategies   
• Linkage to the most clinically appropriate and effective services including arranging for psychological and psychiatric services
• Coordinates time at the location where services are being performed as specified in the service definition
• Provides staff with individual-specific training and training in the knowledge, skill, and abilities required by the population and age to be served (adults 18 and older with MH/SA issues)
• Participates in a first responder on-call system available to consumers and/or his/her natural support network on a 24/7/365 basis; coordinates “first response” resources according to consumer needs and the PCP
• Consult with identified medical (for example, primary care and psychiatric) and non-medical providers, engage community and natural supports, and include their input in the person-centered planning
• Monitors and documents the status of the recipient’s progress and the effectiveness of the strategies and interventions outlined in the Person-centered Plan
• Coordinates service user transition to another type of service
• Monitors utilization of service to ensure that it is effective, appropriate, and within the limits set forth in both rule, PCP, and the service authorization
• Coordinates transition to another level/type of care for the person supported
• Coordinates and oversees the discharge planning process including the development of a discharge plan initially upon admission and a discharge summary with follow-up resources at the conclusion of services
• Practice standard medical precautions by understanding and utilizing personal protective and safety equipment
• Ensures confidentiality regarding sensitive and protected information
• Ensures individual rights to privacy and protected health information for the person supported
• Maintaining records and documenting each individual and reporting unusual and critical incidents in a professional, timely manner (within 24 hours)
• Familiarization with medications used by the client and policies regarding medication administration, as applicable
• Performs all other duties as reasonably required and assigned

CERTIFICATES, LICENSES, REGISTRATIONS: Valid driver's license (this is a condition of employment) including personal vehicle insurance coverage. Must maintain proficiency in company-sponsored training and certifications and privileging if required. The following are the conditions of employment:

TRAINING REQUIREMENTS

• General Orientation, HIPAA, Client Rights, Confidentiality, CPR, First Aid (includes Seizure Mgmt), EBPI, Medication Administration, if applicable, Blood-borne Pathogens, Workplace Safety, Cultural Diversity, Incident Reporting, CST Service Definition training, Crisis Response, (within 30 days of hire) Person Centered Plan Instructional Elements (within 30 days of hire for staff responsible for writing) which can be provided by Premier Service of Carolina, Inc. 

Non-licensed staff (QPs, APs, PP, NCPSS) shall be trained in and provide only the aspects of these practice(s) or model(s) that do not require licensure and are within the scope of their education, training, and expertise. Non-licensed staff must practice under supervision per the policy. It is the responsibility of the licensed (or Associate Level licensed, under supervision) supervisor and the CABHA Clinical Director to ensure that the non-licensed staff practice within the scope of their education, training, and expertise and are not providing any services that require licensure. All the follow up training, clinical supervision, or ongoing continuing education requirements for fidelity of the clinical model or EBP(s) must be followed.

Mandatory Training

In addition to the required training for all CST staff, non-supervisory CST staff, within 90 days of hire to provide this service or complete the following training requirements:  

• 13 hours of Introductory Motivational Interviewing (MI) training by a MINT Trainer (mandatory 2-day training). 
• 12 hours of Person-Centered Thinking (PCT) training from a Learning Community for Person-Centered Practices certified PCT trainer. 
• 12 hours CBT- Cognitive Behavior Therapy

*Annually - Follow-up or ongoing training required by modality selected for service delivery (minimum of 10 hours CBT Training)  

• 15 hours of Permanent Supportive Housing Training
• 3 hours of Trauma Informed Care
• 3 hours of Basics of Psychiatric Rehabilitation and Functional Assessment

QUALIFICATIONS

The Qualified Professional shall have at least one year of experience working with beneficiaries with mental health or substance use disorders and have the knowledge, skills, and abilities required by the population and age to be served. 

Education/ Certification/ Skills

Staff providing CST services must have a minimum of 1 year of documented experience with the adult MH/SA population.

QP definitions are as follows, “Qualified professional” means, within the MH/DD/SA system of care: 

(a) an 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/DD/SA with the population served; or

(b) a graduate of a college or university with a Master’s degree in a human service field and has one year of full-time, post-graduate degree accumulated MH/DD/SA experience with the population served, or a substance abuse professional who has one year of full-time, post-graduate degree accumulated supervised experience in alcoholism and drug abuse counseling; or

(c) a graduate of a college or university with a Bachelor's degree in a human service field and has two years of full-time, post-bachelor degree accumulated MH/DD/SA experience with the population served, or a substance abuse professional who has two years of full-time, post bachelor’s degree accumulated supervised experience in alcoholism and drug abuse counseling; or

 

(d) a graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, post-bachelor degree accumulated MH/DD/SA experience with the population served, or a substance abuse professional who has four years of full-time, post-bachelors degree accumulated supervised experience in alcoholism and drug abuse counseling.

OTHER REQUIREMENTS: Must be able to write legibly and/or possess basic word processing skills, or be willing to learn. Documentation requirements consist of a full-service note for each contact or intervention. Requires flexibility in scheduling and availability to adequately meet the service needs of the consumer/family and other team members. Must have reliable transportation and be willing to travel locally. 

• Pay is based on education and experience

Note: This job description does not list all your job duties. The position description and job requirements above have been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to the subject position. To perform this job successfully, an individual must be able to perform each job satisfactorily. Occasionally your supervisor or manager might request that you perform other reasonable duties. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. Review of your performance is based on your performance of the duties listed in this Job Description at any time. This Job Description is not an employment contract.