About the Role
Manage a caseload of individuals with chronic physical health, mental/behavioral health, and social needs. Coordinate comprehensive medical and behavioral health care to improve health outcomes and reduce avoidable emergency room visits and hospital admissions.
Responsibilities
- Provide services through linkage and referral to appropriate community services.
- Coordinate services with community providers, hospitals, and family members.
- Complete comprehensive assessments and develop client care plan goals.
- Monitor and document services provided and progression of goals.
- Capture client engagement in detailed progress notes.
- Make referrals to community and social support services.
- Offer prevention and wellness support services.
- Assume other duties as assigned by the Director or Supervisor of HH to complete tasks for the program.
Requirements
- Experience working with individuals living with a severe mental illness.
- Experience in managing a full caseload.
- Experience in managing time and productivity effectively and adhere to strict deadlines.
- Ability to work in a fast-paced environment.
- Excellent communication and written skills.
- Computer knowledge, including Windows, Microsoft Office (Word, Excel, Outlook, Outlook Calendar).
- Ability to work as part of a team with co-workers and other colleagues.
- High level of comfort working with multiple electronic systems.
- Cultural sensitivity and the ability to relate/work with diverse groups, community agencies, schools, and the general public.
- Strong organizational skills with a focus on detail.
- Ability to follow directions and communicate well (orally and in writing).
- A Valid Driver's License and Insured Vehicle.
- PPD (TB test required with proof of results; no more than 1 year old).
Skills
- Care coordination
- Care management
- Medical care coordination
- Behavioral health care coordination
- Community services linkage
- Referral services
- Assessment
- Care planning
- Progress monitoring
- Documentation
- Progress notes
- Prevention services
- Wellness support
- Time management
- Productivity management
- Deadline adherence
- Teamwork
- Electronic systems proficiency
- Cultural sensitivity
- Organizational skills
- Detail-oriented
- Oral communication
- Written communication
Experience Level
- One year experience in direct services to mentally disabled, chronically ill, or other Standard of Medical Under-Service.
- Two years of experience in providing direct services to people with Serious Mental Illness, developmental disabilities, or alcoholism or substance abuse; or linking individuals with Serious Mental Illness, developmental disabilities, or alcoholism, or substance abuse to a broad range of services.
Education Level
- Bachelor's degree in social work, psychology, nursing, rehabilitation, education, occupational therapy, physical therapy, recreation or recreation therapy, counseling, community mental health, child and family studies, sociology, speech, and hearing or other human services field.
- Valid Credentialed Alcoholism and Substance Abuse Counselor (CASAC) certification.
- Master's degree in one of the listed education fields may be substituted for one year of experience.
