Case Manager, Center Schizophrenia

Job Summary

Under the direction of the Program Manager, the Case Manager participates in the clinical team by providing care and care coordination to individuals with mental health needs. Provides integrated care by ensuring that whole person health needs are met, including primary and behavioral healthcare, as well as substance abuse services. Works collaboratively with other team members. Uses care coordination skills with individuals, their families, and both internal and external providers to ensure seamless care.

Links client to health promotion and wellness activities and helps to make linkages to community services. Maintains a therapeutic relationship with clients on his/her team in meeting the biopsychosocial needs of the client.

As a member of the First Team, the Case Manager assists the client with accessing community resources, coordination and linkage to services, and developing the skills necessary to increase independence and functioning in the community. The Case Manager also assists the client with educational needs. The Case Manager should not encourage a client to apply for disability benefits at the beginning of treatment.

In time, if a client is unable to engage in gainful employment or educational services, has multiple hospitalizations, or continues to experience persistent psychotic symptoms that greatly interfere with functioning, the team may consider the pursuit of disability benefits to ensure continuity of care. The Case Manager will to attend weekly meetings with the FIRST team, and in monthly CBT-p consultation.

• Provides individualized supports or care coordination of healthcare, behavioral healthcare, and non-healthcare services. Therapeutic Behavioral Services may involve collateral contacts and may be delivered in all settings that meet the needs of the individual
• Regularly administering the PHQ-9, GAD-7, BAM, CAGE, Ohio Outcomes Form, questionnaires used to monitor Social Determents of Health, and other outcomes tools to monitor treatment outcomes and trigger needed referrals.
• Provides services to clients as related to social determinants of health including, but not limited to:
  • Housing/Neighborhood/Environmental needs
  • Social Supports/Community and Peer needs
  • Economic needs
  • Education and Vocational needs
• Regularly monitors client status and service utilization to ensure that appropriate level of care is maintained.
• Works with clients to develop individualized treatment plans and performs treatment plan reviews and updates.
• Communicates vital treatment information from external providers to The Centers treatment team in order to coordinate client care.
• Works on a multidisciplinary service team, in collaboration with Nurses, Physicians, and Pharmacists to achieve positive client health outcomes.
• Actively assists clients in obtaining and maintaining comprehensive healthcare.
• Attends medical appointments with clients as needed. Transports and/or accompanies clients to appointments as needed.
• Provides ongoing communication to client, healthcare teams, and client’s support network to ensure follow-up and coordinated treatment.
• Performs basic administrative tasks related to the job, which includes but not limited to:
  • completion of clinical records, forms and reports
  • completion and posting of progress notes within 24 hours of service (Policy P207.00)
  • completion of daily tracking log
  • completion of required weekly billable hours

• Performs other duties as assigned.

Must have:

• Associates degree in social work, psychology, or mental health-related field with 3 years case management or care coordination experience.
• A valid driver’s license in the State of Ohio with access to an insured vehicle for client transportation.
• The ability and desire to work closely with other team members.
• The ability to form effective therapeutic relationships to engage clients in the mutual assessment of problems and goal-setting, and to help coordinate care plans from initial contact through end of service.

• A Bachelor’s degree in Social Work, Psychology or a mental health related field. If in a related field, must have two years…