Clinical Case Manager

Shift: Sunday - Wednesday, 1:00pm - 11:00pm

Purpose: (General description and summary)

The Compass Rose Transition-Aged Youth Supportive Living Program (TAY-SLP) QMHA Clinical Case Manager provides community and home based interventions designed to stabilize and move toward independence individuals participating in the Compass Rose TAY-SLP program in Multnomah county. The Clinical Case Manager works as part of the clinical team to implement, monitor, and document services to individuals enrolled on this team. Clinical Case Manager follows procedures, outcome goals, and reporting requirements as outlined by New Narrative’s contract with ODHS. Services are both in home and community based, emphasizing utilization of natural community supports such as: DHS, SSA, MH Court, family, friends, landlords, employers etc. Clinical Case Manager will be expected to provide services in community settings, including participant’s home, as well as transport participants to and from appointments and link to area resources.

Accountabilities: (Responsibilities of the job)

Clinical Case Manager provides services as outlined on the treatment and TAY plans for participants. Compass Rose team members provide comprehensive wrap around services to assist individuals to meet their basic needs, accomplish goals as outlined in the clinical treatment and program plan, attain the highest level of independence possible, and continuously strive for mental health stability. Clinical Case Manager is responsible for providing case management, skills training, crisis administration, and other services as needed.

General Duties:

• Provide onsite coverage for Compass Rose early program housing
• Monitor, coordinate, and document all agency services.
• Adhere to Confidentiality, Professional Ethics, and Dual Relationships per policy and Administrative Rule
• Adhere to the National Association of Social Workers Code of Ethics.
• Knowledge of EHR system and ability to concurrently document participant interactions
• Have regular, daily contact with participants.
• Develop relationships with providers, chosen supports, and stakeholders to facilitate service provision
• Advocate for participants

Case Management:

• Assist participants in connecting to resources needed to achieve goals set in the individual service and support plan.
• Monitor medication distribution and assist with prescriber visits.
• Coordinate with money management services, and intervene as necessary with landlords and other community stakeholders to ensure residential stability and fiscal responsibility of participants.
• Connection to education and employment supports
• Transport participants to and from: DHS, SSA, MD, prescriber visits, therapy, etc.
• Facilitate connection to low and no cost community resources.

Skills Training

• Collaborate closely with the QMHP to incorporate into each participant’s clinical master treatment and goal driven program plan the appropriate interventions to be administered by the QMHA, both billable and non-billable services.
• Assist participants with skills training related to individual ADL, IADL, and role function goals dependent upon their individual Service Plans.
• Teach recovery and symptom management strategies to prevent relapse of mental health symptoms and substance use and support sustained wellness
• Lead skill building groups to support participants in maintaining wellness and building community. Examples include: coping with anxiety and depression, anger, ADL and IADL management (time management, budgeting), conflict resolution, etc
• Teach independent living skills including but not limited to, community and system navigation, meal preparation and cooking, shopping, housing maintenance, cleaning, budgeting of time and finances, basic banking skills.
• Support development of sustainable transition planning including acquisition of cell phone and permanent housing.
• Support for obtaining and maintaining employment

Administration

• Document all client contact within 24-72 hours of service delivery in Electronic Health Record.
• Utilize the program plan and supportive services progress notes to document program-specific outcomes
• Utilize the clinical treatment plan and DAP notes to document clinical services.

Crisis Intervention

• Perform and document risk assessment for participants experiencing self-harm, suicidal ideation/action, harm towards others, risk-driven behaviors, etc.
• Engage with and de-escalate participants experiencing individual or interpersonal crises.
• Create and document safety plans.
• Work proactively with individuals to avoid use of crisis services.
• Complete all required documentation within 24 hours of crisis response.
• Observe hospital contact and service conclusion planning policy.

Team Configuration and Meetings

The team will coordinate daily and meets for 1-2 hour weekly team meetings to staff cases and plan services. Meetings are clinically focused and function as group supervision. Compass Rose team members include: Program Manager, Mental Health Clinicians, Clinical Case Managers, peer support specialists, prescribers, and property management partners

Supervision

QMHA Clinical Case Manager will report to the Program Manager and engage in at least bi-weekly supervision.

Other General Expectations:

• Attend and positively participate in required meetings.
• Understand and implement Evidenced Based Practices in all work completed with individuals
• Pursue ongoing development of skills and competencies, including those required to maintain QMHA credential.
• Follow all corporate policies, procedures, and protocols.
• Maintain current Oregon Driver’s License with ability to transport consumers.
• Follow through on all directives and instructions.
• Maintain security of all corporate interests.
• Maintain CPR and First Aid Certificate.
• Maintain QMHA certification

Positions reporting: (Listing of job incumbents reporting into this position)

None

Education/Certificates/Licenses/Registration:

Qualified Mental Health Associate certification with a Bachelor’s Degree in social work, psychology or related field is required. Experience and/or training with trauma treatment and trauma informed care preferred. CADC credentials are preferred.

Experience/Qualifications:

Bilingual Spanish/English service provision capability preferred. Applicant must have prior experience providing QMHA level individual case management services and skills training groups. Applicant must possess the skills necessary to work independently. Detailed understanding of psychiatric medications and their use, administrative rules and other applicable laws and regulations, and thorough understanding of acceptable clinical practices and guidelines. Understanding of the DSM and the ability to understand mental health assessments and implement initial individual service and support plan interventions. Knowledge of and ability to utilize Motivational Interviewing. Knowledge and understanding of how to coordinate with community stakeholders, specifically local hospitals, DHS Caseworkers, ENCC’s with the Counties, and County AFH providers.

Mental Requirements:

Extensive mental activities required. Examples include but are not limited to the use of educated judgment, communicate thought clearly, maintain calm demeanor in crisis situations, be an empathetic and effective listener, and flexible analytical and interpreting skills. Ability to motivate others and remain consistently enthusiastic.

Impact:

Compass Rose Clinical Services are an essential part of New Narrative overall continuum of service and supports. As a member of the Compass Rose Clinical Services team, the Clinical Case Manager will help to ensure best practices, positive clinical outcomes, and quality of services, while supporting young adults in moving toward independence.