Engagement and Recovery Case Manager

Immediate full-time position for Engagement and Recovery Initiative Team Care Manager. Location to be determined. Possible remote position.

Engagement Duties
The primary responsibilities focus on engaging the client during the intake process and making appropriate referrals based on assessment recommendations. As this is the clients first contact with a care manager, it is vital to explain the value of care management to the overall success of client’s recovery journey. Medication management, individual therapy and group therapy may be the blocks upon which recovery is built but care management is the mortar that holds it all together. It is also the link to those physical health providers who are vital to the overall outcomes of our clients. The care manager completes the DLA-20 assessment, begins the integrated care plan, discusses the value of the individual treatment components, and with consent of the client, begins scheduling the necessary services.

Specific Duties Include:

• Contacting clients referred for CM services through Engagement Therapist or NP from engagement process.
• Give clients overview of their services including care management services, explaining to them what Care Management is and how it benefits their experience with VBHCS on their road to recovery.
• Complete DLA-20 on all clients.
• Begin initial development of ITP
• Complete Hot Sheet
• Add CM services to ITP for all clients.
• Complete Emergency ROI for clients.
• Contact location for medical provider visits as appropriate
• Inform clients of appointments at the center.
• Contact client next day for 24 hour follow up (this will be added they do not do this now)
• Follow hospital daily until first kept appointment with therapists and NP. (this will need to change with the addition of 24 hour follow up.

Initiative Duties

The primary responsibilities focus on ensuring the needs of the client identified during the engagement process are being appropriately addressed. This involves working closely with the assigned therapist, ensuring medication follow-up visits are scheduled within guidelines, building the connection between the RIT and the local center to which client will be assigned and working to eliminate any barriers to treatment compliance.

The transfer from the RIT and the local center care management teams is vital to the continued recovery of our clients. A major focus of this position will be ensuring the successful transition between the two teams. The discussion with the client on this transition begins at the first contact following intake and continues throughout the process until the transition is complete.

Specific Duties Include:

• Verify appropriate appointments have been scheduled (medication management and therapy) and client has transportation available.
• Discuss current efforts in therapy and if client believes therapy is helpful
• Discuss any current medications regarding ability to fill any prescriptions and if they are helping.
• Provide feedback to relevant providers.
• Work closely with local teams on needed resources for clients as appropriate.
• Connect client with local teams via phone or Fuze to review status and begin the transition process as appropriate.
• Clients will be contacted a minimum of once a week to reinforce engagement and ensure treatment services remain adequate for addressing client’s needs. Clients may need additional contacts as requested by therapist, medical providers or other treatment providers.

Other Duties:

1. Reports / Record keeping

2. Engagement

• Treat consumers with respect as individuals.
• Connect in a positive manner with consumers, family members and other natural supports.
• Solicit consumer opinions and input.
• Listen and respond with respect.

3. Promote the Care Management Team

• Actively participate in team process and utilize team resources.
• Meet with team on scheduled staff meetings and discuss any concerns regarding working with consumer, etc.
• Employ good communication skills (listening, reflecting, role model, etc.)
• Report and share information promptly with doctor, team, and others, as appropriate.

General Characteristics of Duties:

Provide care management to adults and children focusing on strengths of individuals and families. Care management services assist individuals in gaining access to and maximizing the benefit of needed medical, social, educational and other support services. Care Management services as outlined in the TN Health Link model perform six distinct activities: Comprehensive Care Management, Care Coordination, Referral to Social Supports, Patient and Family Support, Transitional Care and Health Promotion. Care Management as a service is provided both at the office and within the community as appropriate to the needs being addressed.

1. Initiate, complete, update, and monitor the progress of a comprehensive person-centered care plan (as needed).
2. Participate in the patient’s physical health treatment plan as developed by their primary care provider as necessary. Support scheduling and reduce barriers to adherence for medical and behavioral health appointments. Proactive outreach and follow up with primary care and behavioral health providers.
3. Identify and facilitate access to community supports (food, shelter, clothing, employment, legal, entitlements and all other resources). Communicate patient needs to community partners. Provide information and assistance in accessing services.
4. Provide high-touch in-person support to ensure treatment and medication adherence. Provide caregiver counseling and training. Identify resources to assist individuals and family supporters.
5. Provide additional high touch support in crisis situations. Participate in development of discharge plan for each hospitalization. Develop a systemic protocol to assure timely access to follow-up care post discharge. Establish relationships with other treatment settings. Communicate and provide education.
6. Education the patient and his/her family on independent living skills with attainable increasingly aspirational goals.

EDUCATION / EXPERIENCE

Must have a Bachelor’s degree in a health-related field of counseling, psychology, social work or other behavioral sciences.

Job Type: Full-time

Pay: From $42,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Schedule:

• Monday to Friday

Application Question(s):

• Do you have a bachelor’s degree in a health-related field of counseling, psychology, social work or other behavioral sciences?

Education:

• Bachelor's (Required)

Experience:

• Behavioral health: 1 year (Required)

Work Location: In person

Salary : $1,000 - $42,000