Senior Care Manager

GENERAL SUMMARY 

Provides direct services for consumers, and completes associated case management documentation for the consumer and program. Works within a multidisciplinary team to provide an array of direct (face-to-face) and indirect clinical services to adults in a person-centered, trauma informed, individualized focused approach utilizing evidenced-based practices delivered to fidelity. These services are delivered in multiple types of settings including field-based services in the individual’s home or other identified locations as well as clinic-based services. Individuals served may have multi-system involvement such is Criminal Justice, Child and Adult Welfare, Veterans, Homelessness, etc.

Specific Program Descriptions

Adult Services – Outpatient – The position works in the Outpatient programs and among the various Adult facility locations. Services in this program include individual and group outpatient services for adults which includes Crisis Services, Medication Management, Psychosocial Rehabilitation, Case Management, Skills Training, Complex Services. Other programs include Substance Use Disorder and Criminal Justice.

Adult Crisis Services – The position works in the Adult Crisis Unit or the Josephine Recovery Center.   Services in the unit include emergency and planned crisis care for adults ages 18 and over who have a behavioral health diagnosis or need. The Adult Crisis Unit program provides meals, medication monitoring, supervised recreation, skills training, community referrals, and 24-hour supervision in a secure environment. The Josephine Recovery Center is not a secure environment, but provides the same services as The Adult Crisis Unit. In addition to these sites CHCS operates a Mobile Crisis Outreach Team (MCOT), a resource designed to bring a crisis worker into the community to provide a face-to-face assessment and intervention, follow-up and relapse prevention services.

SMART Program -- Specialized Multidisciplinary Alternate Response Team, a collaborative aimed at creating a multidisciplinary mental health response team in partnership with Bexar County Sheriff’s Office (BCSO), Acadian Ambulance and The Southwest Texas Regional Advisory Council (STRAC).  The team consists of licensed mental health professionals, peer support specialists, mental health deputy and a paramedic.  As part of this team, the SMART Sr. Care Manager will use specified triage criteria developed by Bexar County Dispatch team to identify low level 9-1-1 mental health related calls in order to dispatch the SMART team to respond. The target population are individuals experiencing a mental health crisis that are otherwise non-violent and in need of access to treatment. 

ESSENTIAL DUTIES & RESPONSIBILITIES

Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation. The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification.   The omission of a function does not preclude management from assigning essential duties not listed herein if such duties relate to the position. 

•  Provides direct clinical services and assessments. Develops treatment plan for consumers.
•  Provide direct individualized clinical services 60% of hours worked. 

•  Participate in centralized scheduling process

•  Participate in supervision and development opportunities including individual supervision, group supervision, and meetings/trainings as assigned
•  Ensures clinical documentation is submitted in accordance with CHCS standards, and contract specific requirements.

•  Coordinate coverage for planned absences in advance with supervisor.

•  Performs other related duties as required.

Specialized Program Duties & Responsibilities

SMART Program

•  To assist the SMART team in providing care coordination and follow-up to individuals that the team responds/engages with 
•  Ability to provide the following services 
  • Assessment
  • Recovery Planning
  • Psychosocial Rehab Services (Individual and/or Group)
  • Skills Training and Development (Individual and/or Group)
  • Medication Training and Support (Individual and/or Group)
  • Routine Case Management
  • Psychoeducation
  • Case Coordination
  • Community referrals
  • Crisis Services
  • Case Transfers
  • Discharge Planning
  • Other clinical interventions as assigned
•  Participate in coordination and communication with BCSO and Acadian team members on the progress of individuals that are receiving services and navigation during linkage efforts by the SMART Team
•  Facilitate access to centralized scheduling for individuals as appropriate
•  Identify CHCS  established patients and provide linkage back to assigned CHCS care manager to ensure their  behavioral healthcare needs are being met
•  Assess the social determinants of health on each individual that may affect their ability to control their mental health problems.
•  Serve as the primary role to provide aggressive referral, linkage, and transition to the next level of care
•  Coordinate CHCS intake function to Adult Behavioral Health services
•  Complete all CHCS and contract specific required documents in timely manner and to standard
•   Participate in supervision and development opportunities including individual supervision, group supervision, and meetings/trainings as assigned
•  Comply with and participate in Quality Assurance and Quality Improvement processes
•  Coordinate coverage for planned absences in advance with supervisor
•  Adhere to established CHCS Employee Handbook and policies and procedures
•  To support the linkage efforts, the employee will use own vehicle to meet the needs as determined by the SMART Team.
•  Will document all clinical contacts in Anasazi 
•  Performs other related duties as required. 

MINIMUM ENTRANCE QUALIFICATIONS 

Education and Experience

•  Graduate Degree in Social Work, Psychology, Counseling, or a related behavioral health field
•  Complete the Qualified Mental Health Professional Community Services (QMHP-CS) within six (6) weeks of hire or transfer

Licenses or Certifications

•  None

Other Requirements

•  Must maintain a valid driver’s license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company’s auto insurance carrier if you drive your vehicle during company business
•  Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies

OTHER JOB REQUIREMENTS

•  None

PREFERRED QUALIFICATIONS 

•  One (1) year experience providing similar services
•  Prior experience with or knowledge of trauma-informed care
•  Bilingual (English/Spanish)

SUPERVISION

•  Job has no responsibility for the direction or supervision of others.

COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES

Knowledge of:

•  Case management
•  Community resources
•  Electronic Medical Record
•  Requirements of Medicaid and other funding resources
•  Medical terminology
•  Center for Health Care Services Safety Administrative Directives
•  Applicable software applications
•  Modern office procedures, methods and computer equipment

Skill in:

•  Customer service
•  Organization and time management
•  Performing a variety of duties, often changing from one task to another of a different nature
•  Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios

Ability to:

•  Ensure compliance with all State regulations and CHCS policies
•  Effectively communicate, both verbally and in writing
•  Establish and maintain effective working relationships
•  Maintain accurate and complete records
•  Meet schedules and deadlines of the work
•  Understand and carry out oral and written directions
•  Accurately organize and maintain paper documents and electronic files
•  Maintain the confidentiality of information and professional boundaries

WORK ENVIRONMENT/CONDITIONS

The work environment and exposures described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

Satisfactory: Occasional exposure to unpleasant environmental conditions and/or hazards. Occasional outside work.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

•  Must be able to meet the physical requirements to complete SAMA and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
•  Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care.
•  The position requires occasional transport of a consumer.