CASE MANAGER, ADULT MENTAL HEALTH - CHARLOTTESVILLE (FULL TIME)

General Statement of Responsibilities

This is a FLSA non-exempt position. The incumbent is responsible for providing case management services to individuals over the age of 18 years old with a primary diagnosis of serious mental illness. This includes assessing service needs; developing plans for access to services; liaison with client, families, programs, and service providers; ongoing monitoring or client service needs; advocacy; and consultation and education to clients, families and community.

Major Duties

• Assess client service needs, capabilities, and appropriateness for services; presents options and services based upon a targeted needs assessment and DLA-20.
• Develops the individual service plan of care and services appropriate to the evaluation with the client/family consensus; reviews and updates service plans.
• Upon assignment, the Adult MH Case Manager will schedule/complete a preliminary ISP with the client.
• Once an ISP Preliminary has been completed, the Adult MH Case Manager will verify the Consumer’s insurance via Virginia Medicaid Web Portal and then enter the appropriate Authorization request.
• Completes the services listed in the Credible Admission Form Groups for newly referred/assigned clients.
• Works towards the electronic completion of releases of information for newly referred clients, to include the following:
  • Emergency contact/next of kin/spouse/partner
  • Primary Care Physician and/or any Specialty Physicians
  • Social Security Administration
  • Department of Social Services
  • Property Manager
  • Charlottesville Commissioner (city of Charlottesville residents only).
  • Legal Guardian
  • Representative Payee
  • Adult Probation Officer
  • Individualized Therapist
  • Legal Aide/Legal Aide Justice Center
  • Preferred Hospital
• Timely completion of a Targeted Case Management Assessment (TCM) and an Individualized Service Plan (ISP).
• Timely completion of Credible Annual Form Groups, to include the following:
  • Annual Acknowledgement
  • PCP Notification
  • Primary Care Screening Choice
  • Auth Rep
  • AR for Medicaid
  • Medicaid Spenddown ROI
  • Release of Information
  • Communication Preference
  • TCM Assessment
  • Case Management Crisis Plan CCS
  • ISP Meeting
  • MH Targeted Case Management face-to-face entry
• Timely documentation of an Individualized Service Plan Review.
• Makes referrals and linkages to appropriate agencies for services; coordinates client MH and/or SA services and treatment with multiple service providers and agencies.
• Evaluates the quality of services provided and changes in the client’s condition and counsels the clients as necessary; evaluates client’s environments for safety, security, negative factors and productivity; complies and analyzes data relating to complaints; identifies and works to resolve problems.
• Serves as liaison to public agencies and provides information regarding Authority programs and services.
• Attends integrated team meetings to discuss decisions for client plan of care; provides or arranges transportation; assist with discharge planning.
• Prepares a variety of reports; prepares and maintains client EHR (electronic health record).
• Attends meetings, staffing’s, and conferences as they relate to client, staff, and program needs.

Qualifications

• To ensure the safe and efficient operation of the program, a valid Virginia Driver’s License plus an acceptable driving record as issued by the Department of Motor Vehicles are required. For business use of a personal car, a certificate of valid personal automobile insurance must be provided. In addition, the incumbent needs to possess the following knowledge, skills, and abilities. A bachelor’s degree or equivalent experience is preferred.
• Knowledge of:
  • Services and systems available in the community including primary health care, support services, eligibility criteria, intake processes, and generic community resources.
  • The nature of serious mental illness, intellectual disability and/or substance abuse depending on the population served, including clinical and developmental issues.
  • Treatment modalities and intervention techniques, such as behavior management, independent living skills training, supportive counseling, family education, crisis intervention, discharge planning, and service coordination.
  • Different types of assessments, including functional assessment, and their uses in service planning.
  • Consumers’ rights
  • Local community resources and service delivery systems, including support services (e.g., housing, financial, social welfare, dental, educational, transportation, communications, recreation, vocational, legal/advocacy), eligibility criteria and intake processes, termination criteria and procedures, and generic community resources (e.g., churches, clubs, self-help groups).
  • Effective oral, written and interpersonal communication principles and techniques.
  • General principles of record documentation.
  • The service planning process including, but not limited to, the Recovery and Person-Centered Planning models, as well as the major components of a service plan.
• Skills in:
  • General knowledge of Interviewing and supportive counseling techniques.
  • General knowledge of human development and behavior.
  • General knowledge of the theories, principles and technique of individual, family, and group therapy.
  • Ability to solve problems within the scope of responsibility.
  • Ability to analyze facts and to exercise sound judgment in arriving at conclusions.
  • Ability to communicate complex ideas effectively, orally and in written form.
  • Ability to prepare clear and concise reports.
  • Ability to establish and maintain effective working relationships with clients, medical professionals, community service providers, agencies, and associates, and the general public.
  • Negotiating with consumers and service providers.
  • Observing, recording and reporting on an individual’s functioning.
  • Identifying and documenting a consumer’s needs for resources, services, and other supports.
  • Using information from assessments, evaluations, observation and interviews to develop service plans.
  • Identifying services within community and established service system to meet the individual’s needs.
  • Promote goal attainment
  • Coordinating the provision of services by diverse public and private providers.
  • Identifying community resources and organizations and coordinating resources and activities.
  • Using assessment tools (e.g., level of function scale, life profile scale).
• Abilities to:
  • Be persistent and remain objective
  • Assess, refer, and authorize services.
  • Demographic collection.
  • Timely documentation of appropriate health information,
  • Work as a team member, maintaining effective inter and intra-agency working relationships.
  • Demonstrate a positive regard for consumers and their families (e.g., treating consumers as individuals, allowing risk-taking, respecting consumers’ and families’ privacy, and believing consumers are valuable members of society).
  • Work independently performing position duties under general supervision.
  • Communicate effectively, verbally, and in writing.
  • Establish and maintain ongoing supportive relationships.