Case Manager - DOC

About this position Case Manager – Outpatient Clinics. Under the general supervision of the VP of Direct Clinical Services, the Case Manager is responsible for managing an assigned caseload of members having behavioral health needs by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; and monitoring staff performance. Principal Duties and Responsibilities Manages assigned caseload of members having behavioral health needs. Assesses member needs, evaluates treatment options, creates treatment plans, coordinates care and monitors member progress. Develops, monitors, and evaluates treatment plans and progress. Provides core care management services through comprehensive care management, coordination, and referrals to community and social support. Plans and coordinates care management needs regarding medical, psychiatric, substance use, crisis intervention, legal, housing, education/employment, entitlements, social, and peer support services. Conducts screenings and assessments of high‑risk needs such as substance use, psychiatric symptoms, harm to self/others, abuse/neglect, and domestic violence. Conducts monitoring and follow‑up services. Facilitates rehabilitative and treatment services. Provides comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Manages discharge plans upon completion of treatment. Works collaboratively with members, families, physicians, and nurses to ensure high‑quality care. Maintains member’s comprehensive clinical record through detailed documentation. Arranges intervention of social services, health, or governmental agencies when needed. Determines need for therapeutic, psycho‑social, or psychiatric evaluations based on member progress. Interacts with members to ensure they are informed about their treatment plan and answers questions and concerns. Writes case reports. Works with agencies and service providers to facilitate case coordination and information sharing. Coordinates integration of social services/case management functions. Reviews treatment goals and resources. Participates in development and implementation of member care policies and protocols. Promotes effective and efficient utilization of clinical resources. Participates in regular interdisciplinary staff meetings. Provides face‑to‑face reviews with members and/or relevant staff on a regular basis to modify treatment plans as necessary. Participates in interagency planning and service coordination activities to improve and enhance service continuity and effectiveness for members. Monitors staff performance. Performs related duties as assigned. Knowledge, Skills, and Abilities (KSA’s) Knowledge of DWIHN policies, procedures, and practices. Knowledge of the DWIHN provider network and community resources. Knowledge of the Michigan Mental Health Code. Knowledge of MDHHS policies, rules, regulations, and procedures. Knowledge of Federal policies, rules, regulations, and procedures as it relates to DWIHN. Knowledge of MHWIN. Knowledge of the LOCUS and MichiCANs assessments. Knowledge of the clinical care process (screening, assessment, treatment planning, case management, and continuing care). Knowledge of and ability to use screening and assessment tools for behavioral health services. Knowledge of the continuum of care for all SED, SMI, and co‑occurring disorders. Knowledge of outpatient, co‑occurring services, CM, ACT, supported employment, and medication drop‑off. Knowledge of behavioral health case management practices and principles. Knowledge of integrated care services for behavioral health patients. Knowledge of medical necessity criteria for behavioral health services. Knowledge of the Federal Confidentiality Regulations, 42 CFR, Part 2. Knowledge of motivational interviewing. Knowledge of documents and regulations that govern the provision of mental health services (e.g., Medicaid Manual, Michigan State Plan, MDHHS Quality Plan, BBA requirements, and the Mental Health Code). Knowledge of the practices and principles of psychological, emotional, and sociological assessment and diagnosis. Knowledge of crisis training and experience in de‑escalation (e.g., suicide prevention, development of crisis plans, trauma‑informed care). Knowledge of the identification and treatment of co‑occurring mental health and substance use disorders. Knowledge of community mental health services and resources. Knowledge of the DSM‑V Statistical Manual. Administrative, assessment, evaluation, organizational, planning, and report‑writing skills. Problem‑solving, decision‑making, and critical‑thinking skills. Interpersonal, communication, active listening, collaboration, coordination, and teamwork skills. Computer skills (Word, Excel, Access, Power Point, Outlook, Teams). Ability to communicate orally and in writing; ability to work effectively with a diverse population. #J-18808-Ljbffr Detroit Wayne Mental Health Authority