Adult Care Transitions Case Manager

3 weeks ago


Utica, New York, United States ICAN Inc Full time
Job Summary

We are seeking a highly skilled and compassionate Adult Care Transitions ICM to join our team at ICAN Inc. The successful candidate will be responsible for conducting and scheduling assessments, referrals, advocacy, and supports, counseling, education of patients and enrollees, and care team members to ensure the client receives quality intensive services to maintain optimum healthcare needs without barriers.

Key Responsibilities
  • Provide Intensive Case Management services to hard-to-serve individuals, including those pending discharge from hospital acute care, emergency department care, or other institutional settings.
  • Collaborate with the Oneida County Department of Social Services to conduct assessments, evaluate needs, and establish and maintain referrals for enrollees.
  • Develop and implement a safety net to address the needs of individuals who are pending discharge, who have few or no natural supports, to help ensure their safety and successful connection to services and care in the community and prevent future hospitalizations and institutionalizations.
  • Work with clients to plan for a safe and successful discharge for reintegration into the community.
  • Participate in regularly scheduled multidisciplinary case conferences to address any immediate or ongoing safety needs, and assistance with accessing benefits, services, stable housing, and housing support services.
  • Develop a Safety Plan and Plan of Care based on preliminary information to identify linkages and services immediately required.
  • Monitor individuals on their caseload for up to 90 days to ensure satisfactory implementation of all community-based services on the individual's discharge plan and to adjust services as needed.
  • Ensure all initial linkages are established and maintained and advocate for additional services and linkages as appropriate.
  • Collaborate with all service providers and establish team communication plans.
  • Monitor goals on a continuing basis and ensure that the team is communicating effectively.
Requirements
  • Bachelor's degree (B.A.) from an accredited four-year college or university, in Human Services, a mental health field, or a related field.
  • At least two years of experience in Human Services, primarily Mental Health and Substance Abuse.
  • Knowledge of Microsoft Office Suite, Google Suite, and AWARDS.
  • Valid NYS Driver's License.


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