CBCM Case Manager

Primary Purpose Functions

Ensures that clients meet the criteria for community based case management.

Responds comprehensively to the needs of clients through ongoing case management.

Essential Duties

• Carris an average caseload of 35 CBCM clients. If unlicensed, no more than 25 CCS clients will be on a caseload.
• Documents all services provided to authorized CBCM clients based on established acuity levels.
• Provides face-to-face direct service contact for clients no less than 1X per month.
• Provides crisis and emergency services, either by telephone or face-to-face, 24 hours per day for clients on the Case Management Team.
• Ensures that all individuals who accept, and are eligible for case management services are registered with the AMHD and/or CCS.
• Conducts intake and assists in assessment, counseling, and referrals for health and social services.
• Provides clients on the Case Management Team with an Individual Recovery Plan (RP) within 72 hours of intake and 30 days thereafter.
• Provides Recovery Plan reviews every 6 months thereafter.
• Conducts outreach in the community and at the homeless shelters.
• Aids clients in acquiring emergency supplies, including food, clothing, bedding, medicine and hygiene items.
• Aids clients in applying for entitlements and obtaining identification.
• Where needed, takes clients through entitlement, medical, and mental health systems to connect them with services and benefits.
• Aids clients with legal entanglements.
• Makes appointments for clients and escorts them to such appointments as needed.
• Provides counseling, consultation, and crisis intervention as needed.
• Encourages medication adherence as appropriate.
• Works with the Housing Specialists to assist clients with housing needs.
• Aids with family and social relationships as appropriate.
• Where needed, teaches communication and social skills development.
• Provides appropriate case management services for each client which include: outreach / engagement / housing needs and home visits preparing a plan, based on clients' needs and goals, for the provision of services following up with clients and providers of service to determine outcome of linkages providing psycho-social rehabilitation services (teaching hygiene and self-care, housing skills, budgeting, problem-solving, etc.) Advocates on behalf of clients to ensure equity of treatment.
• Keeps records of all client cases, and is responsible for ensuring that the records are entered into the clinic computer data-base, and for safeguarding clients' confidentiality and other rights.
• Works with other Project staff in providing a coordinated system of care to the clients.
• Works as part of a team with other staff for purposes of outreach, back-up, and shared service delivery.
• Aids other Project staff in obtaining information on clients from other agencies.

Regular and Reliable On-Site Attendance

Regular and reliable on-site attendance is required.

Other Duties

• Observes safety and security procedures; determines appropriate actions beyond guidelines; reports potentially unsafe conditions; uses equipment and materials properly.