Demo

Case Manager - Managed Care Operations- Contract

Macomb County Community Mental Health
Clinton, MI Full Time
POSTED ON 1/13/2025
AVAILABLE BEFORE 4/2/2025

GENERAL SUMMARY

Under direction, provides telephonic linkage and referrals to individuals seeking Macomb County Community Mental Health (MCCMH) services. Conducts crisis intervention, advocacy, linking and monitoring for persons served.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Working within a call center environment, completes screenings, the majority of which are provided via telephonic interaction, for a variety of populations including MI, SUD, and I / DD to provide linkage and referrals to MCCMH services.

Conducts crisis intervention, advocacy, linking and monitoring for persons served.

Completes case documentation in accordance with MCCMH policies and procedures, including clinical records and statistical reports.

Provides care coordination as needed for the completion of Managed Care duties.

Works cooperatively with members of other disciplines, other agencies, and community providers to ensure timely and accurate service provision.

Maintains and updates clinical knowledge by completing in-services, trainings, and other activities determined in consultation with the agency’s annual plan and clinical supervisor or designee.

Participates in staff meetings, in-service training, and supervision with Clinical Supervisor.

Develops effective relationships with service providers.

Serves on Community Mental Health or community-based committees.

Assists in the measurement of effectiveness of interventions to determine outcomes and identify needs of the person served and process improvement.

Must be available to work flexible hours and on call rotation as required.

Performs other duties as assigned.

QUALIFICATIONS

Required Education and Experience

  • A Bachelor’s Degree in Psychology, Social Work, Special Education, Counseling or other mental health related field from an accredited college or university.

Preferred Education and Experience

  • A Master’s Degree in Psychology, Social Work, Special Education, Counseling or other mental health related field from an accredited college or university.
  • Two (2) or more years of clinical experience working with persons who have mental illness.
  • One (1) or more years of experience working in utilization management.
  • Required Licenses or Certifications

  • Possession of a valid Michigan driver’s license and operable, insured automobile for authorized travel.
  • Preferred Licenses or Certifications

  • None
  • COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES

    Knowledge of :

  • Knowledge of applicable computer applications.
  • Working knowledge of current information of appropriate resources within MCCMH and outside of MCCMH.
  • Knowledge of the Michigan Mental Health Code and the Michigan Medicaid Provider Manual.
  • Knowledge of severe mental illness, serious emotional disturbance, substance use disorders, and intellectual / developmental disabilities.
  • Skill in :

  • Using good professional judgement for the welfare and safety of persons served.
  • Excellent organizational skills with the ability to manage multiple priorities.
  • Providing excellent and timely customer service.
  • Ability to :

  • Collaborative : Approaches all situations with a teamwork and solution focused mindset demonstrated through active participation in meetings, volunteering to assist teammates and other departments as appropriate. Examples include participation in internal and external committees, subcommittees, process improvement groups or other multi-organizational initiatives. Accountable : Takes ownership and empowers others to do the same as evidenced by identifying solutions and acting on job responsibilities and organizational objectives, daily. Respectful : Treats people with dignity while honoring individual differences demonstrated through use of positive and encouraging statements and / or interactions to, about and / or with colleagues and persons served; evidenced by supervisor observation, feedback from other department staff and leadership. Effectively speak, write, and understand the English.
  • Effectively speak, write, and understand a language other than English is preferred.
  • Understand and carry out oral and / or written instructions.
  • Accurately organize and maintain paper documents and electronic files.
  • Maintain the confidentiality of information.
  • Work independently.
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