Adult Outpatient Community Support Case Manager

East Bay Community Action Program • Barrington, RI

21h

About The Position

The ACT- Adult General Outpatient Community Treatment Specialist provides wraparound case management and community-based support to adults with Severe and Persistent Mental Illness (SPMI) and co-occurring disorders who need additional assistance but do not require a more intensive level of care. The Specialist works with clients and the treatment team to identify needs, connect clients with community resources, coordinate services, and support stability and well-being. As EBCAP transitions to a Certified Community Behavioral Health Clinic (CCBHC) model, the role integrates support across medical, behavioral, vocational, and substance use domains to advance whole-person care.

This entry-level, highly active community-based position travels regularly to client homes, medical facilities, pharmacies, courts, and other community settings throughout the service area. The Specialist serves as a primary care coordinator for a caseload of SPMI clients and provides health home services, advocacy, substance use support, vocational referral support, and documentation in accordance with applicable standards and organizational requirements.

Requirements

• Bachelor’s degree in social work, psychology, human services, or a related field; alternatively, an associate’s degree combined with education and relevant experience demonstrating required knowledge and skills.
• Ability to maintain professional boundaries and personal stability while working with high-acuity behavioral health populations in unsupervised community settings.
• Valid Rhode Island driver’s license with a clean driving record and proof of liability insurance; driving record is reviewed at hire and periodically thereafter.
• Ability to read, write, and communicate professionally in English.
• Ability to work independently with individuals in psychiatric crises, including people experiencing active psychosis, suicidal ideation, or co-occurring substance use disorders, while exercising sound judgment and de-escalation skills.
• Knowledge of community-based treatment and rehabilitation for individuals with SPMI.
• Working knowledge of BHDDH, Medicaid, CCBHC, and JCAHO standards applicable to the role.
• Ability to build therapeutic relationships while maintaining professional boundaries.
• Strong written and verbal communication, active listening, and collaborative problem-solving skills.
• Ability to work independently in community settings and exercise sound clinical judgment.
• Proficiency with electronic health record documentation, such as NextGen or an equivalent system.
• Ability to travel regularly and manage the role’s physical activities, including extended standing, walking, and driving; navigating stairs, narrow spaces, and outdoor terrain in all weather; assisting clients with daily living tasks involving bending, kneeling, stooping, reaching, and lifting up to 25 pounds using proper technique; sitting for documentation; operating a computer and standard office equipment; communicating clearly through speech and hearing; and meeting close and distance vision, peripheral awareness, depth perception, and focus adjustment requirements.

Nice To Haves

• Experience working with clients with SPMI and co-occurring disorders in a community setting.
• Bilingual fluency in Portuguese or Spanish and English, written and spoken.
• Familiarity with Rhode Island vocational benefit programs and supported employment frameworks.

Responsibilities

• Provide comprehensive care management, care coordination, health promotion, transitional care, and individual and family support for a caseload of SPMI clients.
• Coordinate, schedule, transport, and accompany clients to medical, dental, and specialty appointments in collaboration with the treatment team, and support treatment follow-through.
• Support medication adherence through assistance with deliveries, pharmacy visits, reminders, medication monitoring, and motivational interviewing as appropriate.
• Support discharge planning with the hospital liaison and/or team nurses and help ensure clients see a licensed provider within seven days after discharge from inpatient, partial hospitalization, or long-term care facilities.
• Provide counseling on chronic disease management, medication purpose, and symptom management in alignment with guidance from clients’ primary and specialty care teams.
• Help clients secure and maintain necessities of daily life, including food, housing, benefits, hygiene, transportation, financial management, and legal advocacy.
• Serve as a community liaison and advocate in collaboration with schools, landlords, legal guardians, family members, DCYF, OOHA, law enforcement, judicial personnel, healthcare providers, and social service systems.
• Participate in multidisciplinary treatment planning meetings, case reviews, and collaborative care coordination.
• Maintain documentation, clinical paperwork, and productivity standards in accordance with CCBHC, BHDDH, Medicaid, Joint Commission, and organizational requirements; support BHDDH certification site visits.
• Immediately escalate safety concerns, significant declines in functioning, unsafe or unsanitary living conditions, and other conditions outside acceptable norms to a supervisor.
• Assist with grocery shopping when medically indicated and directed by the client’s medical and/or psychiatric providers.
• Help clients identify substance-use triggers, develop relapse prevention skills, and strengthen support systems.
• Conduct and supervise urine toxicology screens and breathalyzer tests as directed, including court-ordered supervised screens.
• Discuss physical, medical, and pharmacological aspects of substance use and recovery under the guidance of clients’ substance use disorder providers.
• Assess clients’ educational and vocational interests, capabilities, and readiness for referral to the Vocational Specialist.
• Participate in ongoing education, training, professional development, organizational committees, and workgroups as assigned.
• Support implementation of new or enhanced services, procedures, and policies as EBCAP transitions to the CCBHC model.

Benefits

• Subsidized comprehensive medical insurance through BCBSRI and dental insurance through Delta Dental for full-time employees working 30–40 hours per week.
• Supplemental vision insurance through Delta Dental.
• Voluntary medical and dependent care flexible spending accounts.
• Up to 3% matching 403(b) retirement plan, eligible after one year of service.
• Employer-paid life insurance.
• Paid time off, including vacation, holidays, personal days, and sick time.
• Mileage reimbursement.
• Tuition reimbursement.
• Employer-paid professional development.
• Employee assistance program.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level