Case Manager

Description

General Summary

Under the direction of the Supervisor, Case Management Services, the Case Manager provides culturally competent and trauma informed services to all consumers, assists consumers to design and implement strategies for obtaining services and supports that are goal-oriented and individualized. A Case Manager shall be responsible for assessment, planning, linkage, advocacy, coordination, and monitoring to assist consumers in gaining access to needed health and dental services, financial assistance, housing, employment, education, social services, and other services and natural supports developed through the person-centered planning process. The Case Manager incorporates LifeWays' mission, vision, and values into all decision-making processes.

Required Education/Certification/Licensure

• Case Manager I: Bachelor's degree in a human service field or bachelor's degree in social work, and meets qualifications as QIDP, QMHP or CMHP.
• Case Manager II: Bachelor's degree required in social work, or human services field, and is Fully Licensed Bachelor Social Worker (LBSW). Meets qualifications as a QIDP, QMHP, or CMHP.
• Must possess a valid U.S motor vehicle operator's license , and successfully complete a motor vehicle record check.

Preferred Education/Certification/Licensure

• Master's degree in Social Work with either a LLMSW or LMSW licensure with the State of Michigan.
• Master's degree in Community Counseling with either a LLPC or LPC, licensure with the State of Michigan.

Essential Functions

When working with consumers needing case management services:

1. Assures that the person-centered planning process takes place and that it results in the individual plan of service (IPOS) as appropriate based on the medical necessity of the individual.
2. Assures that the plan of service identifies what services and supports will be provided, who will provide them, and how the case manager will monitor (i.e., interval of face-to-face contacts) the services and supports identified under each goal and objective.
3. Oversees implementation of the individual plan of service, including supporting the consumer's dreams, goals, and desires for optimizing independence; promoting recovery; and assisting in the development and maintenance of natural supports.
4. Assures the participation of the consumer on an ongoing basis in discussions of their plans, goals, and status.
5. Identifies and addresses gaps in service provision as well as monitoring under- and over-utilization of authorizations.
6. Coordinates the consumer's services and supports with all providers, making referrals, and advocating for the consumer.
7. Assists the consumer to access programs that provide financial, medical, and other assistance such as home help and transportation services.
8. Assures coordination with the consumer's primary and other health care providers to assure continuity of care.
9. Coordinates and assists the consumer in crisis intervention and discharge planning, including community supports after hospitalization.
10. Facilitates the transition (e.g., from inpatient to community services, school to work, dependent to independent living) process, including arrangements for follow-up services.
11. Assists consumers with crisis planning.
12. Identifies the process for after-hours contact.

When working with consumers needing supports coordination services:

1. Assures all necessary supports and services are provided to enable the consumer to achieve community inclusion and participation, productivity, and independence in home and community-based settings.
2. Assists with access to entitlements and/or legal representation.
3. Conducts brokering of providers of services/supports.
4. Develops an IPOS using person-centered planning process, including revisions to the IPOS at the consumer's request or as the consumer's changing circumstances may warrant.
5. Linking to, coordinating with, follow-up of, and advocacy with all supports and services, including the Medicaid Health Plan, Medicaid fee for service, or other health care providers.
6. Monitors Habilitation Supports Waiver and other mental health services.
7. Ensures planning and/or facilitating planning using person centered principles. This function may be delegated to an independent facilitator chosen by the consumer.
8. Maintains regular and predictable attendance.

NOTE: The lists of essential and additional functions are not exhaustive. They may be supplemented as necessary from time to time.

Job Specifications (Knowledge, Skills, and Abilities)

Knowledge

• Knowledge of community mental health
• Knowledge of current practices, methods, and procedures in the delivery of behavioral health services, diagnosis, and treatment.
• Knowledge of credentialing status in order to perform duties within their scope.
• Knowledge and understanding of all regulations, contract requirements, standards applicable to performance of duties.
• Working knowledge of resources, including but not limited to: Diagnostic Criteria from the Diagnostic and Statistical Manual of Mental Disorders (DSM), Medicaid Provider Manual, LifeWays Provider Manual, Michigan Department of Health and Human Services (MDHHS), International Classification of Diseases (ICD), LifeWays Policies and Procedures, LifeWays Process Alerts, Electronic Medical Record (EMR), Physicians' Desk Reference (PDR), and departmental processes.

Skills

• Excellent interpersonal skills in order to establish and maintain effective working relationships with a variety of stakeholders (consumers, professionals, community members).
• Skill in concurrent/collaborative documentation of services.
• Excellent time management skills in a setting with potential frequent interruptions; ability to coordinate multiple concurrent duties and perform tasks in an organized and timely manner, with attention to detail.
• Proficient in computer applications including Microsoft Office Suite (Word, Excel, PowerPoint, Outlook), Electronic Medical Record, LifeWays Intranet, and Internet applications.

Abilities

• Ability to maintain credentialed status to perform duties.
• Ability to work in high-pressure, high-stress situations and a fast-paced environment.
• Ability to use good judgement to arrive at sound clinical decisions.
• Ability to learn quickly, ability to adjust to changes in job assignment, methods, personnel, or surroundings.
• Ability to communicate effectively in both oral and written form.

Disclaimer

The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job. The job description will be reviewed periodically as duties and responsibilities change with business necessity.