Behavioral Health Community Case Manager (HHS)

 
Provide comprehensive community-based case management, psychosocial rehabilitation, skill development, supportive psychotherapy, symptom education, vocational support and assistance with benefits to empower consumers to live in the least restrictive setting with maximum opportunity to function in the community and meet their individual needs.
 
Provide services for an assigned group of consumers, including face-to-face visits with consumers in their home or in the community. At least 50% of service contacts are to be provided in the home or community, in non-office/non-facility based settings.
 
Conduct comprehensive initial assessments at the time of consumer admission into the program and assure that urgent needs identified are addressed in a timely manner. Perform ongoing assessment updates to accurately reflect the consumer's status, as required by program mandates.
 
Provide ongoing clinical assessment of mental status and symptomatology. Adjust treatment interventions to address any immediate health and/or safety concerns, as well as meet the current needs of the consumer in order to foster their recovery.
 
Facilitate the initial and ongoing development of treatment/recovery plans and assist with the identification of consumer needs, strengths, goals, and their priority in the coordinated plan. Implement and carry out the plan, coordinate and monitor services/treatment, evaluate and assess consumer/family psychosocial difficulties, review and adjust treatment interventions and services as required by program mandates, or sooner as determined by changes to a consumer's status or needs.
 
Ensure compliance with all program mandates, department requirements, division policies and applicable state statutes and regulations including, but not limited to DHS 34, 36, 51, 55, 92 and 94. Maintain accurate and timely clinical records and documentation in accordance with federal, state and agency requirements.
 
Continually monitor and assess the current level of service needs and adjust accordingly to ensure the appropriate degree of services is provided. Recommend additional services to support consumers when there is an assessed clinical need, a reduction in service provision, program discharge and referral to an alternative case management program, community agency and alternative supportive services when indicated.
 
Collaborate with contracted providers and closely monitor purchased services that are provided to consumers. Based on assessment findings make a determination regarding ongoing clinical need and effectiveness of provided services.
 
When working in CRS, provide initial and ongoing documentation training to contracted service providers.  Audit all progress notes received to ensure that the services provided are in alignment with the consumer's treatment/recovery plan and that the documentation is complete in compliance with all Medicaid, state and program requirements.  Communicate to division leadership, and when indicated, key contract/fiscal staff members all incidents of provider non-compliance.
 
Assist consumers in identifying community and other informal individuals to support their recovery.
 
Administer mandated functional and fiscal screens within state/federal guidelines to determine program eligibility.
 
Respond to crisis situations, assess level or risk and provide needed services, safety precautions and interventions for their resolution. Develop and maintain an active crisis plan in the consumer's electronic record to ensure that critical information is communicated effectively to crisis intervention after-hours staff, as well as other internal department staff. 
 
Coordinate and monitor services with court related responsibilities and expectations. Prepare court documentation, serve court notices to consumers and provide testimony in court. Complete annual protective placement reviews for persons who are intellectually disabled, elderly or physically disabled.

 

Participate in trainings in order to update knowledge and skills regarding evidence-based treatments for the treatment and recovery of individuals with mental health and/or substance use disorders to ensure certification/personal licensure. Develop, implement and provide evidence-based services to consumers and their families in order to maintain program standards.
 
Incorporate current best practice models into daily service provision with individuals, as well as their families and significant others when indicated.
 
For consumers residing in a residential facility; assess consumer needs, identify areas of habilitation and rehabilitation for providers to address and actively participate in monthly residential division meetings and annual reassessments. Ensure that consumer ability to pay is determined and implemented in a timely manner so that tax levy dollars are used effectively and is the payer of last resort.
 
Collaborate with other programs/individuals across the department to ensure coordination of care.
 
Consult, coach and collaborate with team members, families, individuals, providers, internal HHS staff and external providers.
 
Advocate for consumers and provide community education.  Educate consumers, as well as their support system, to enable the consumer to achieve their personal goals and to reach his/her maximum potential.
 
Participate in Behavioral Health division functions related to the general operation including trainings, supervision, progress meetings for consumers, division/program staff meetings, supervision, resource development, marketing and outreach.
 
Work closely with the division manager and direct supervisor on personal development, program development, task delegations, new staff orientation and workforce development to ensure that program goals and objectives have been met and staff can appropriately conduct all duties. Monitor personal productivity levels, chart quality and ensure that standards are achieved and that all Medicaid guidelines are met.
 
Take a leadership role in assigned division administration activities including, but not limited to, timecard approval, program evaluation, electronic chart audits and reviews, division policy and procedure development/updates and preparation for audits conducted by the state, Medicaid and the Office of the Inspector General.
 
Utilize personal vehicle to transport consumers who need assistance getting to and from appointments and/or other related psychosocial activities.
 
Monitor and manage email, assign or provide direct assistance for service requests.
 
Demonstrate a commitment to county safety and risk management efforts.

 
Certificates, Licenses, Registrations  
Valid driver's license.
Proof of minimum liability insurance coverage.
State of Wisconsin license issued by the Department of Safety and Professional Services (DSPS) in social work or professional counseling is preferred.
Completion of all training/certification requirements listed below within the first three (3) months of employment. Failure to complete program mandated training will be grounds for termination.

 
Interactions and Communications 
Maintain effective relationships with department staff, law enforcement agencies, other human services organizations, community agencies and resources, court system, hospitals and/or the general public. Proven ability to effectively communicate specialized information and/or recommendations to others regarding an area of expertise.
 
Decision Making 
This position has authority to make decisions that are consistent with policies and precedents; supervision and managerial direction is available as requested.  These decisions directly impact performance in the job and/or the work unit within the department and information is provided with additional research and observations which contributes to the decision making process.
 
Thinking and Problem Solving 
In relation to established procedures, protocols and policies of the county, challenges occurring in this position tend to be diverse, but are typically covered by precedent or established practice.  Ability to utilize critical thinking skills and at times have to make difficult safety related decisions is critical. At times, problems encountered in this position must be addressed within broader, department-wide procedures and practices.
 
Tools & Equipment Used 
Telephone              Copy Machine
Calculator              Personal Computer/Printer
Fax Machine          Electronic Mobile Devices
 

While performing duties of this job, the employee is occasionally exposed to wet and/or humid conditions, unclean homes, outside weather conditions, and extreme heat. The noise level in the work environment is usually moderate and the employee is expected to travel to consumer homes as part of their normal work duties.

While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel; talk or hear; and taste or smell. The employee frequently is required to stand, walk, and sit. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and ability to adjust focus.