Case Manager

Job Description

Job Description

PATH BEHAVIORAL HEALTHCARE CRITERIA-BASED JOB DESCRIPTION

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

• Act as a liaison between the therapist, other care team members, client, and client's family to coordinate the best care.
• Arrange family visits, coordinate transportation, and ensure clients' needs are met.
• Maintain clear and ongoing communication between the family, referral source, and Path Behavioral Healthcare.
• Attend court hearings as appropriate.
• Ensure documentation and billing adhere to policy, Path Behavioral Healthcare standards of practice, and all applicable compliance standards within the EHR system.
• Maintain compliance with chart/documentation audit criteria, billing reviews, and Phase System of Care requirements.
• Attend supervisory and team meetings; present accurate case management reports reflecting services provided and clients' responses to treatment.
• Facilitate individual and group meetings as assigned.

• Serve on agency quality assurance or other committees as assigned.
• Facilitate the further development of daily living skills if identified by the client and/or parent or guardian. Address and resolve client/guardian concerns in a timely manner.
• Oversee the implementation of the individual plan of service, supporting the client's aspirations, goals, and desires for optimizing independence, promoting recovery, and developing and maintaining natural support systems.
• Ensure ongoing client participation in discussions of their plans, goals, and status.
• Identify and address gaps in service, as well as monitor under and over-utilization of authorized services.
• Identify and assist in business development/referral source communication and collaboration efforts.
• Coordinate and assist the client in crisis intervention and discharge planning, including community support systems following hospitalization.
• Maintain an organized practice and schedule, be at work on time and ready to work, and leave work at the completion of client care responsibilities.
• Reduce client rescheduling by informing the appropriate person of time off work.
• Maintain strict compliance with HIPAA guidelines, confidentiality agreements, billing and coding guidelines, and company policy.
• Maintain a demeanor of positive professionalism and serve as a model for others to exemplify the mission and vision of Path Behavioral Healthcare.

Coordination of the Individual Support Plan (ISP)

• Services identified in the ISP.
• Assistance with accessing natural support systems in the community.
• Coordination with formal community services and systems.
• System monitoring.
• Coordination and assistance in crisis management