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Care Management Specialist II
2 months ago
The County of San Mateo is seeking an experienced and well-qualified individual for the position of Care Management Specialist II. This role is part of the Public Health, Policy and Planning Division, and the successful candidate will be responsible for providing case management and care coordination services to vulnerable county residents.
Key Responsibilities- Conduct outreach to eligible clients using various modalities and apply appropriate techniques to engage client into care.
- Evaluate client condition using a variety of assessment and screening tools, established clinical guidelines, interviews with clients and/or other professionals, and determine the appropriate referral(s), level of care, and recommended case/care management plan.
- Interview clients and their families to obtain medical, behavioral health, socio-economic, and other case history and administer appropriate assessment instruments to assist in the development and/or implementation of a person-centered care plan.
- Assess, evaluate and document social determinants of health appropriately.
- Ensure appropriate coordination of care to ensure clients continued engagement, recovery and success.
- Gather appropriate enrollment documentation for clients including consents to treatment and releases of information and ensure that the client's chart is current.
- Maintain case files on clients including assessment summaries, progress notes, court and/or social service documents, treatment authorizations, referrals and related correspondence with clients.
- Gather appropriate consents from clients to use in gathering information from outside agencies/sources.
- Establish relationships with a continuum of providers and other partners in the community for the referral and care of client's health, behavioral health, social, and related needs.
- Regularly meet with clients to provide information and support regarding their care and recommended services and treatments available and document services provided in the electronic health record.
- Evaluate client needs during each interaction and update care plan as needed.
- Work with members of care team including community agencies as required to assist clients in implementing their care plan goals in the various domains and in coping with challenges.
- Consult with other professionals when clinical expertise is needed in development of care plans.
- Attend case conferences, Multi-Disciplinary Team (MDT) meetings and related meetings to coordinate client care and activities with other divisions of the department, other County departments and community groups and providers.
- Perform related duties as assigned.
- Significant experience providing case management and care coordination services for individuals diagnosed with serious mental illness and/or those experiencing significant medical co-morbidities.
- Extensive experience performing client evaluations to determine the appropriate referral(s).
- Demonstrated experience conducting fieldwork to engage clients in the streets, in homeless encampments, shelters, under freeways and other venues.
- Experience working with clients with co-occurring substance use and mental health disorders.
- Demonstrated ability to administer appropriate assessment instruments to assist in the development of the client's case history and for use in developing treatment recommendations.
- Extensive knowledge and experience Identifying, establishing and utilizing a variety of community resources.
- Demonstrated ability to prepare reports, case summaries, and correspondence as required; maintaining case histories and work records, including required statistics.
- Demonstrated ability to establish and maintain effective working relationships with partner and contract providers.
- Demonstrated skill and understanding of privacy regulations including HIPAA regulations.
- Excellent communication skills, both written and verbal.
