BH Case Manager (Big Otter)

Responsibilities and Essential Duties:

• Accepts newly assigned cases in which the diagnostic intake has been completed by a licensed provider. Completes case management assessment on all patients entering caseload.
• Develops appropriate treatment/service plans with patients to implement appropriate services and develop effective alliances with patients.
• Provides ongoing support and/or case management functions according to the problems, needs, and strategies identified within the treatment plan to help the patient achieve the stated goals and objectives.
• Provides face-to-face reviews with patients and/or relevant staff on a regular basis, the progress made in achieving treatment goals so that the treatment plan can be modified as necessary to ensure that the goals and objectives have been achieved. The treating provider and treatment plan will determine the frequency of reviews.
• Documents all contacts on a timely basis, including face-to-face interviews, meetings with treatment providers, maintains case records in accordance with regulatory standards and requirements.
• Assists the patients in obtaining appointments with external specialists and setting up patient use of community services.
o Refers patients to community resources as needed. Establish and maintain relationships with identified service providers.
o Ensures that referrals are addressed promptly.
• Maintains ongoing tracking and appropriate documentation on referral tracking.
o Communicate with behavioral health staff any issues or any need for further follow-up.
o Contacts the patient and/or family member regarding any pending referrals and or diagnostic testing.
o Sends appropriate notifications, reminders, and letters to patients communicating referral status. Review details and expectations about the referral with patients.
o Ensure the patient’s electronic health record is up to date with information on specialist consults, including documentation of scheduled appointments, results from specialists, and treatment recommendations.
• Meets regularly with immediate supervisor to enhance professional growth, review case management activities, and address administrative issues.
• Maintains close communication with the consulting psychiatrist and support staff regarding medication compliance, side effects of medication, and medication changes and alerts these staff members to any changes in the patient which may suggest the need for intervention.
• Participates in regular interdisciplinary staff meetings held at position location.
• Other projects and duties as assigned.
• Supports the Mission, Values, and Vision of Community Care of West Virginia (CCWV) and the facility.

Qualifications/Requirements/Skills:

• Working knowledge of the nature of serious mental illness and addiction and related treatment modalities, interventions, and techniques
• Different types of assessments and their uses in treatment planning
• Consumers’ rights
• Local community resources
• Patient record documentation requirements
• Patient treatment plan development and implementation
• Demonstrates the ability to interview and assess patients, using appropriate assessment tools, and observe, record, and report on an individual’s functioning;
• Read and understand assessments, evaluations, observation, and use in developing treatment plans
• Establish an effective working relationship with staff as well as with relevant community organizations
• Interact positively with patients and their families
• Demonstrate the ability to work independently, as well as collaborate with multi-disciplinary teams and health care providers
• Must demonstrate excellent interpersonal communication skills
• Have the ability to engage with varying patient populations
• Must be flexible and adaptable to change
• Strong analytical, organizational, and time management skills, able to work with little supervision while handling numerous projects at once.
• Effectively use electronic health records (EHR) to document patient interactions, progress, and other relevant information.
Education/Training/Experience:

• Must possess a combination of behavioral health work experience or relevant education and training, which indicates the possession of knowledge, skills, and abilities to perform essential job duties.
• Bachelor’s degree in social work, psychology, or human services-related field is preferred.
• Two (2) years of experience in a healthcare setting, preferably behavioral health.
• Experience working directly with adolescent populations and individuals who have chemical dependencies is highly preferred.
• Experience with Medicare and Medicaid population, insurance providers, and telephonic engagement.
• Demonstrated experience in working with an underserved population.