Job Description
Job Summary Targeted Case Manager serves individuals with mental health and substance abuse disorders who require assistance to gain access to necessary care: medical, behavioral, social, and other services appropriate to their needs. Services include case management assessment, person-centered planning, referral and linkage, monitoring, and follow-up. The Targeted Case Manager will follow specific policies and procedures for the Family Safety Program and Family Intensive Treatment. Essential Duties And Responsibilities Direct Service Job Duties Provide the following case management functions according to CIHA policy and procedure and DMA Clinical Coverage Policy 8L: case management assessment; person-centered planning; referral and linkage; and monitoring and follow-up. Provides documentation of all treatment and clinically significant events in the Electronic Health Record as prescribed by CIHA policies and quality assurance standards. When assigned to provide services for adults, or for children and families, the employee will fulfill duties as outlined in CIHA policy and procedure related to the specific population served. When assigned to provide case management services for clients in the Buprenorphine Clinic, the employee will fulfill duties as outlined in CIHA policy and related procedures. Gather and document necessary information, including medical, physical and functional, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas. Develop a person-centered treatment plan which incorporates what is important to and for the client, and which is geared to achieve clinical outcomes. Provide timely information to treatment team members regarding client status, progress, and safety. Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention. Collaborate with the medical staff and other health professional/agencies to facilitate patient care, discharge and follow-up. Provide consultation to patient and family in matters directly related to patients' limitations, finances, adjustments to medical condition, and ongoing treatment. Develop and implement discharge plans, follow-up care, and transfers to other behavioral health facilities as appropriate. Implement and follow the provisions contained in all applicable privacy/confidentiality policies, procedures, and practices for maintenance and release of patient records and clinical information, including EBCI, CIHA, IHS, DHHS, HIPPA, JCAHO, CFR 42, or other licensing bodies. Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of client data, and formulating changes to the treatment plan. Participate in meetings to review and identify opportunities to improve the program and treatment provided, and recommend corrective action when problems are identified. This includes assisting with changes in policy and procedure, which would improve service delivery. Assists with changes in CIHA/Analenisgi policy and procedure, as needed. Provide written, telephone, and face-to-face consultation services to various persons and organizations that affect the patient. These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services, and community agencies. Represents CIHA at regular team meetings for progress review and during emergency meetings dealing with high-risk situations. Participate in community planning and implementation of programs to help resolve such complex issues as improving coordination of services or developing programs to serve the community. Collect and report on data necessary for client care according to procedure and as directed by supervisor. Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops. This position may be expected to provide sufficient billable/reimbursable Targeted Case Management services to achieve the productivity standard established for areas of responsibility if needed. this position. Standard is may be based on "actual minutes" billable/reimbursable hours of service provided, divided by available hours in a given period. Effectively utilize an electronic medical record and other software required for operation in the CIHA system This position may require support to CIHA primary care nurse care managers as defined by standards set for specific populations. Other duties as assigned. Education/Experience/Minimum Qualifications “Qualified Professional” means within the mh/dd/sas system of care: Individual who holds