Case Manager, Behavioral Health

Job Title: Case Manager, Behavioral Health

Reports To: Director of Behavioral Health

Job Summary: Provides direct patient education and connection to counseling and other community resources and services to individuals and groups as needed.

Essential Job Duties and Responsibilities:

The job duties and responsibilities listed below are representative of the knowledge, skill, and/or ability required. Other duties that fall within the broad scope of this classification may be assigned.

• Provides case management services to patients who are enrolled with behavioral health services to support treatment and ongoing continuation of care.
• Assist patients with making referrals to and obtaining appropriate health and human services
• Assists with ensuring engagement with the patients and other services within CCHCI, through telephone calls and follow-ups when patients miss scheduled appointments.
• Applies strengths-based and trauma-informed approach to working collaboratively with patients and internal and external team members to help support patients in their treatment and recovery.
• Implements motivational interviewing techniques to engage patients in decision-making process and help them understand the benefits of assessment and accessing the appropriate level of care.
• Collaborates with existing community resources to address environmental factors that impact the onset or recurrence of mental health disorders or needs.
• Enhances education for patients, families, communities, and personnel to support patient engagement and self-management including medical conditions that often co-occur with mental health diagnoses. .
• Coordinates ongoing assistance and resources to medical providers as needed for the treatment and recovery of identified behavioral health program patients.
• Monitors patient access to and involvement with treatment and other providers to help address barriers to treatment and the recovery process.
• Follows up with patients according to written procedure to ensure timely patient follow-through upon receipt of the referral.
• Monitors patients for changes in clinical symptoms and treatment side effects or complications and consults with treatment team as needed.
• Works closely with medical providers, psychiatric mental health nurse practitioners, and counselors to provide ongoing services to behavioral health patients within CCHCI.
• Ensures accurate billing for services to AHCCCS payors by billing appropriate codes and providing supporting documentation.
• Under clinic supervision, assists with completion of intakes and other assessments, to include creation of treatment and service plans, providing appropriate diagnoses, (i.e. ASAM, Calocus, S.B.I.R.T.) and others, according to education and experience level
• Under clinical supervision, provides services to ensure all requirements of billing and documentation are met. Ensures completion of all documentation in EHR according to procedure and in a timely fashion
• Under clinical supervision, assists with keeping treatment plans and service plans up to date to include annual updates are completed in a timely manner.
• Assists with care coordination of patients when residing in a residential treatment facility and assists with the transition of care once patient is discharged from setting, to include proper discharge paperwork, proper scheduling of follow up visit with CCHCI provider. Ensuring all documentation is placed in the patient chart.
• Ensures compliance with all trainings provided by CCHCI and in guidance with Arizona Healthcare Cost and Containment System (AHCCCS).
• Consistently meets service delivery expectations according to the need of CCHCI, AHCCCS Provider Billing Manual, the Behavioral Health Services Guide, and according to any procedures developed by the behavioral health department.
• Participates in all assigned meetings, staff development, and training as required.
• Assists with tracking and reporting of patients receiving services.
• Provides excellent customer services to patients, community agencies, CCHCI providers and staff.
• Assists with community engagement as needed to support the services of CCHCI in the community.
• Performs other related duties as assigned or requested. Any one position may not include all the duties listed. The job description identifies the responsibilities and tasks typically associated with the performance of the position.

Minimum Qualifications - Education, Experience, Certificates & Licenses:

• High School diploma/GED and four (4) years of behavioral health experience, OR Associates degree in behavioral health field and two (2) years of behavioral health experience, or Bachelor's degree in behavioral health field and one (1) year of behavioral health experience
• Valid Fingerprint Clearance Card.
• Driver's License and Proof of Insurance may be required if requesting mileage reimbursement.

Preferred Qualifications:

• Bachelor's Degree in the field of behavioral health.
• One year of direct case manager experience related to mental health diagnoses and other related disorders.
• One year of experience in providing patient care in a behavioral health setting.

Required Language Skills:

• Ability to comprehend and compose instructions, correspondence, and communications in English in both oral and written format.
• Bilingual in English and Spanish is preferred, but not required.
• Ability to effectively present information in one-on-one and small group situations to patients, internal providers and staff and other agency staff working in cooperation with the organization.

Physical Requirements:

• Ability to occasionally exert enough force to move objects weighing up to 10 pounds.
• Ability to continuously remain in a stationary position.
• Ability to constantly move about inside the workplace to assist patients, operate office or medical equipment, etc.
• Possesses hand-eye coordination and manual dexterity necessary to constantly operate computer, telephone, and other office machinery.
• Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed documents.
• Ability to discern the nature of sounds at a normal spoken volume.

Other Required Knowledge, Skills, and Abilities:

• Ability to add, subtract, multiply and divide in all measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent and to draw and interpret graphs.
• Ability to skillfully gather and analyze data.
• Ability to perform a variety of assignments and make decisions requiring considerable independent judgment.
• Displays high level of critical thinking and problem-solving skills.
• Knowledge of health plans and community health centers, preferred.
• Computer literacy required.
• Practical knowledge of assessment tools for substance use and abuse concerns, such as SBIRT, Audit-C, etc.
• Knowledge of recovery support systems and 12-step programs, preferred.
• Working knowledge of other drug and alcohol treatment agencies, programs, and resources.
• Ability to demonstrate sensitivity to cultural diversity and workplace harmony.
• Ability to prioritize and plan work activities, use time efficiently and develop realistic action plans.

Work Environment & Conditions:

• Work environment is typical of a health clinic setting with occasional exposure to communicable diseases, bodily fluids, and hazardous chemicals.
• Work requires reliable transportation as position requires occasional travel and extended hours to include early mornings, evenings, and weekends.
• Work requires the ability to be contacted by cell phone during or outside of regular work hours.