Case Manager - DOC

Case Manager Under the general supervision of the VP of Direct Clinical Services, the Case Manager – Outpatient Clinics 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. Responsibilities Manage assigned caseload of members with behavioral health needs. Assess member needs, evaluate treatment options, create treatment plans, coordinate care, and monitor progress. Develop, monitor, and evaluate treatment plans and progress. Provide core care management services, including comprehensive care management, care coordination, and referrals to community and social support. Plan and coordinate care management needs regarding medical, psychiatric, substance use, crisis intervention, legal, housing, education/employment, entitlements, social, and peer support services. Conduct screenings and assessments of high‑risk needs such as substance use, psychiatric symptoms, harm to self/others, abuse/neglect, or domestic violence. Conduct monitoring and follow‑up services. Facilitate rehabilitative and treatment services. Provide comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Manage discharge plans upon completion of treatment. Work collaboratively with members, families, physicians, and nurses to ensure high‑quality care. Maintain the member's comprehensive clinical record with detailed documentation. Arrange intervention of social services, health, or governmental agencies when needed. Determine need for therapeutic, psycho‑social, or psychiatric evaluations based on member progress. Interact with members to ensure they are informed about their treatment plan and answer any questions and concerns. Write case reports. Work with agencies and service providers to facilitate case coordination and information sharing. Coordinate integration of social services/case management. Review treatment goals and resources. Participate in the development and implementation of member care policies and protocols. Promote effective and efficient utilization of clinical resources. Participate in regular interdisciplinary staff meetings. Provide face‑to‑face reviews with members and/or relevant staff on a regular basis to modify treatment plans as needed. Participate in interagency planning and service coordination activities to improve and enhance service continuity and effectiveness for members. Monitor staff performance. Perform related duties as assigned. Knowledge, Skills, and Abilities 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 Locus and MichiCAN 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, co‑occurring disorders. Knowledge of outpatient, co‑occurring services, CM, ACT, supported employment, and med drop. 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 federal confidentiality regulations (42 CFR Part 2). Knowledge of motivational interviewing. Knowledge of documents and regulations governing the provision of mental health services, e.g., Medicaid manual mental health and substance abuse Chapter III, State Plan for Medicaid, Michigan Department of Health and Human Services 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 (suicide prevention, crisis plan development, trauma‑informed care). Knowledge of 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. Administration skills. Assessment skills. Evaluation skills. Organizational skills. Planning skills. Report writing skills. Problem‑solving skills. Decision‑making skills. Critical thinking skills. Interpersonal skills. Communication skills. Active listening skills. Collaboration skills. Coordination skills. Computer skills (Word, Excel, Access, PowerPoint, Outlook, Teams). Teamwork skills. Ability to communicate orally and in writing. Ability to work effectively with others. Ability to work with an ethnically, linguistically, culturally, economically, and socially diverse population. Judgement/Reasoning ability. Required Education Bachelor's Degree from a recognized college or university in Social Work, or a related field. Required Experience Two (2) years of professional clinical experience in a behavioral healthcare or mental health setting, including at least one (1) year of experience performing case management in a behavioral healthcare or mental health setting. At least two (2) years of clinical experience working with children and/or youth. MichiCAN certification preferred, or willingness to complete training and become certified. Required Licenses Valid State of Michigan clinical licensure preferred. LBSWA valid State of Michigan driver’s license with a safe and acceptable driving record. Working Conditions Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan. Proof of full COVID‑19 vaccination is required as a condition of employment. Medical, religious accommodations or other exemptions that may be required by law will be approved when properly supported. #J-18808-Ljbffr