Case Manager

We are seeking a compassionate and experienced Case Manager to provide support and advocacy for individuals with lived experience in homelessness, substance abuse, behavioral health challenges, and justice involvement. The ideal candidate will excel in building meaningful connections with patients, helping them navigate resources, and empowering them to achieve stability and self-sufficiency. This role involves conducting assessments, developing individualized care plans, coordinating services, and working closely with a multidisciplinary team. Strong communication skills, cultural competency, and the ability to foster trust with diverse populations are essential. Experience in trauma-informed care is a plus.

Qualifications

Must be experienced working with low income, diverse population including persons impacted upon by mental illness or chronic illness. The Case Manager must be experienced with the care and management of chronic health conditions, coordinating care, and behavioral health. This role is responsible for creating and evaluating patient treatment plans, monitoring patient well-being, creating case progress reports, and ensuring patients are well informed regarding their care and treatment options. The Case Manager should have excellent knowledge of case management principles and the ability to act as an advocate for patients in need, providing compassionate highly organized healthcare support.

Work Experience

Must have at least one year of experience (3 years preferred) working with behavioral health populations or in a medical clinic setting. Training or experience with Motivational Interviewing,

Education

Highly Preferred: Associates Degree in mental health or related field.

Preferred: Bachelor’s Degree in Social Work, Psychology or related field preferred.

A current CPR certification is required.

Skills

Knowledge of treatment care resources as well as available levels of care, ability to relate effectively with behavioral health and medical treatment providers, including PTH patients, family members and other professionals. Excellent PC Skills.

Bilingual Spanish speaking preferred

Examples of Duties

• The Case Manager will be responsible for the assessment and case management of the PTH program consumers to ensure appropriate level of care and develop a consumer centric plan of care.
• Willing to be trained and function as a Health Navigator for PTH clients. This includes specific Health Navigation training as well as training in specific Evidenced Based Practices (EBP) as required by the program services.
• This is a position that will require the candidate to travel regionally to meet with consumers and their families.
• Drive patients to appointments, public assistance offices, food banks, or other resource organizations as needed.
• Participates in assessment of consumer needs and develops a consumer centered individual plan of care (IPOC) to address identified needs. Utilizes whole person focus when assessing needs including behavioral, physical, psychosocial, and activities of daily living.
• Develops, coordinates and assists with implementation and facilitation of services for integrated care program consumers as defined by the individual plan of care.
• Responsible for facilitating and coordinating with the inter-disciplinary treatment team (ITT) to review the IPOC and ensure access to services and active care team participation.
• Collaborates with the integrated care program consumer/family, physician and all members of the healthcare team, both internally and externally.
• Coordinates the delivery of high quality-cost effective care based on the consumers’ needs and the integrated care services model supported by clinical practice guidelines established by the plan.
• Advocates for the integrated care program consumer/family among various sites to coordinate resource utilization and evaluation of services.
• To provide services with a strong recovery orientation, cultural sensitivity, and awareness of the unique needs of the SPMI population.
• To work within a system of fully electronic record keeping and medical records assuring a comprehensive health history and up to date health and medication information is recorded in the consumer’s electronic health record.
• To attend ongoing training as appropriate.
• To perform other duties and responsibilities as assigned.

Additional Responsibilities

• Maintains a professional, neat, and well-organized work area.
• Ability to work with patients and families in multi cultural environment.
• Provides information in a manner that is ethnically, culturally, and financially sensitive and age appropriate.
• If multilingual, provides language translation for non-English speaking patients in accordance with demonstrated language.
• Ability to adapt to change based on the needs of the provider and organization.
• Organizational skills sufficient to accurately maintain knowledge of current requirements.
• Stress management sufficient to maintain a professional demeanor while dealing with upset customers.

Travel Requirements

Occasionally may travel to other sites to attend meetings, training, or to cover other shifts. Driving requirements as outlined in the job duties.

Tools & Technology

Tools: Calculators or accessories; Photocopiers; Scanners; Faxing equipment; Computers and Keyboards; Telephones

Technology: Data software - NextGen; Microsoft Office programs; Electronic Mail – Microsoft Outlook

Knowledge

Clerical, Customer and Personal Service, English Language; Medical Terminology, Behavioral Health Terminology

Abilities

Oral Comprehension; Oral Expression; Written Comprehension; Written Expression; Problem Sensitivity; Deductive Reasoning; Inductive Reasoning; Near Vision; Speech Clarity; Selective Attention; Speech Recognition; Flexibility in finding solutions to patient issues.

Work Activities

Communicating with Supervisors, Peers, or Subordinates; Interacting with Computers; Processing Information; Resolving Conflicts and Negotiating with Others; Updating and Using Relevant Knowledge; Getting Information; Organizing, Planning, and Prioritizing Work; Communicating with Persons Outside Organization; Establishing and Maintaining Interpersonal Relationships; Documenting/Recording Information

Work Styles

Integrity; Dependability; Attention to Detail; Social Orientation; Cooperation; Independence; Initiative; Self Control; Adaptability/Flexibility; Concern for Others; Stress Tolerance

Work Context

Physical Demands: The physical demands and work environment described here are representative of those that must be met by an employee to successfully perform the essential function of the job, with or without accommodation. Prospective employees must complete a pre-employment medical exam (Occupational Group IV) which will measure the ability to:

• See well enough to read fine print and view a computer screen; speak and hear well enough to understand, respond, and communicate clearly in person and on the telephone; independent body mobility sufficient to stand, sit, walk, lift or move, stoop, and bend to access the work environment and a standard office environment; manual dexterity and sufficient use of hands, arms and shoulders to repetitively operate a keyboard and to write; and the ability to sit or walk for prolonged periods of time.
• Occasionally may be required to lift/move or assist in lifting/moving up to 50lbs.
• Reasonable accommodation may be made for some of these physical demands for otherwise qualified individuals who require and request such accommodation.

Work Environment: Generally, a typical office environment.