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Case Manager

3 months ago

Detroit, United States Detroit Wayne Integrated Health Network Full time

CASE MANAGER -- OUTPATIENT CLINICS Under the general supervision of the VP of Direct Clinical Services, the Case Manager -- Outpatient Clinics is responsible for managing an assigned caseload of members having behavioral health needs by assessing treatment needs; developing, monitoring, and evaluating treatment plans and progress; facilitating interdisciplinary approaches; and monitoring staff performance. PRINCIPAL DUTIES AND RESPONSIBILITIES: Manages an assigned caseload of members having behavioral health needs. Assesses member needs, evaluates treatment options, creates treatment plans, coordinates care and monitors member progress. Develops, monitors, and evaluates treatment plans and progress. Provides core care management services by providing comprehensive care management, care coordination and referrals to community and social support. Plans and coordinates care management needs regarding medical, psychiatric, substance use, crisis intervention, legal, housing, education/employment, entitlements, social, and peer support services. Conducts screenings and assessments of high-risk needs such as substance use, psychiatric symptoms, harm to self/others, abuse/neglect, or domestic violence. Conducts monitoring and follow-up services. Facilitates rehabilitative and treatment services. Provides comprehensive assessment, planning, implementation, and overall evaluation of individual patient needs. Develops, monitors, and evaluates treatment plans and progress. Manages discharge plans upon completion of treatment. Works collaboratively with members, families, physicians, and nurses to ensure high quality care. Maintains the member's comprehensive clinical record through detailed documentation. Arranges for the intervention of social services, health, or governmental agencies when needed. Determines the need for therapeutic, psycho-social, or psychiatric evaluations based on member progress. Interacts with members to ensure they are informed about their treatment plan and answers any member's questions and concerns. Writes case reports. Works with agencies and service providers to facilitate case coordination and information sharing. Coordinates the integration of the social services/case management function. Reviews treatment goals and resources. Participates in the development and implementation of member care policies and protocols. Promotes effective and efficient utilization of clinical resources. Participates in regular interdisciplinary staff meetings. Provides face-to-face reviews with members and/or relevant staff on a regular basis regarding member progress so that treatment plans can be modified, as necessary, to ensure that the treatment goals and objectives are being achieved. Participates in interagency planning and service coordination activities directed to improve and enhance service continuity and effectiveness for members. Monitors staff performance. Performs related duties as assigned. KNOWLEDGE, SKILLS AND ABILITIES (KSA'S) Knowledge of DWIHN policies, procedures, and practices. Knowledge of the DWIHN provider network and community resources. Knowledge of the Michigan Mental Health Code. Knowledge of MDHHS policies, rules, regulations, and procedures. Knowledge of Federal policies, rules, regulations, and procedures as it relates to DWIHN. Knowledge of MHWIN. Knowledge of the LOCUS model. Knowledge of the clinical care process (screening, assessment, treatment planning, case management, and continuing care). Knowledge of and ability to use screening and assessment