Behavioral Health Case Manager

CASE MANAGER – BEHAVIORAL HEALTH

General Summary:

With independent or guided direction, a Behavioral Case Manager plays a pivotal role in bridging the gap between patients and the comprehensive care they require, ensuring that individuals receive the tailored support they need to improve their quality of life. This integral position entails working closely with patients, families, healthcare providers, and community resources. The focus is on assessing patient needs, developing and implementing personalized care plans, and advocating for essential services.

Employment Status: Salaried -FSLA Exempt

Duties and Responsibilities:

• Ensure that patients receive appropriate quality care that is cost effective.
• Works with patients to assess their conditions and needs to develop personalized care plans.
• Conducts comprehensive assessments of clients' behavioral health needs
• Develop individualized care plans based on client assessments
• Coordinate and monitor implementation of care plans
• Provide case management services, including referrals and coordination of services
• Advocate for clients to ensure they receive appropriate and timely services
• Maintain thorough and accurate client records/documentation and scans hardcopy medical documents into EMR system.
• Work collaboratively with healthcare providers, social workers, and other professionals
• Provide crisis intervention and support when necessary
• Monitor client progress and adjust care plans as needed
• Facilitate group therapy sessions and support groups
• Educate clients and families about available resources and services
• Ensure compliance with all applicable laws, regulations, and standards
• Communicates with hospitals, pharmacies, health departments, clinics, insurance companies, government agencies, and health providers.
• Coordinate referrals between Specialty Providers.
• Performs other duties as assigned.

Knowledge, Skills, and Abilities

• Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) certification
• Familiarity with community resources and support services
• Strong interpersonal and communication skills
• Ability to handle high-stress situations effectively
• Proficiency in electronic health records (EHR) systems
• Minimum of 2 years of experience in a healthcare or social services setting
• Knowledge of mental health and substance abuse disorders
• Excellent assessment and analytical skills
• Ability to develop and implement effective care plans
• Strong organizational and time-management abilities
• Demonstrates analytical and critical thinking abilities with pro-active decision-making and negotiation skills
• Empathy and dedication to client advocacy
• Must be able to work independently.

Qualifications:

• Master’s degree in social work, Psychology, or related field
• Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) certification
• Current CPR Certification.
• Experience in case management or behavioral health settings.
• Certification in Case Management preferred.
• Willingness to undergo and pass background checks and drug testing.

Typical Physical Demands:

Requires full range of body motion including handling and lifting patients, manual and finger dexterity and eye-hand coordination. Requires standing and walking for prolonged periods of time. Occasionally lifts and carries items weighing up to 50 pounds. Requires corrected vision and hearing to normal range. Requires exposure to communicable diseases or bodily fluids.

HIPAA Disclosure:

This position has access to systems and/or services that contain protected health information (PHI) as defined by the Health Insurance Portability and Accountability Act of 1996. Additionally the position ensures and adheres to strict confidentiality when handling patient information, according to the HIPAA Privacy Act and supporting GAPHC policies and procedures.

Reporting Relationship: QI Coordinator/Medical Director

Supervisory Relationship: None