Adult Outpatient Community Support Case Manager

East Bay Community Action Program•Barrington, RI

12d•$24 - $26•Onsite

About The Position

The ACT- Adult General Outpatient Community Treatment Specialist provides wraparound case management to adults who need additional support but whose DLA scores do not warrant a more intensive level of care. The Specialist works collaboratively with clients and the treatment team to identify needs, connect clients with community resources, coordinate services, and support stability and well-being. As a direct-service member of EBCAP’s high-acuity programs, the Specialist provides wraparound case management, care coordination, and community-based support to adults living with Severe and Persistent Mental Illness (SPMI) and co-occurring disorders. In support of EBCAP’s transition 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 regularly involves travel to client homes, medical facilities, pharmacies, courts, and other community settings throughout the service area. The Specialist may work in varied environments and weather conditions and assist clients with tasks of daily living. The role also includes documentation and other office-based work.

Requirements

Bachelor’s degree in social work, psychology, human services, or a related field; or an associate’s degree combined with education and relevant experience demonstrating the 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 using 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 to client homes, medical facilities, pharmacies, courts, and community settings; stand, walk, and drive for extended periods; navigate stairs, narrow spaces, and outdoor terrain in all weather; assist clients with daily-living tasks involving bending, kneeling, stooping, reaching, and lifting up to 25 pounds using proper technique; sit for documentation work; operate a computer and standard office equipment; communicate clearly through speech and hearing; and meet the stated vision 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

Serve as primary care coordinator for a caseload of SPMI clients, providing comprehensive care management, care coordination, health promotion, transitional care, and individual and family support.
Coordinate medical, dental, and specialty appointments, including scheduling, transportation, accompaniment, and follow-through in collaboration with the treatment team psychiatrist and nurse.
Support medication adherence through assistance with deliveries, pharmacy visits, phone reminders, medication monitoring, and motivational interviewing as appropriate.
Assist with discharge planning and help ensure clients see a licensed provider within seven days of 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 food, housing, benefits, hygiene, transportation, financial management, and legal advocacy to promote independence and safety.
Serve as a community liaison and advocate 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 compliance with CCBHC, BHDDH, Medicaid, Joint Commission, and organizational requirements; support preparation for BHDDH certification site visits.
Immediately escalate safety concerns, significant declines in client 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 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, and professional development relevant to the role and client population.
Serve on organizational committees and workgroups as assigned.
Support implementation of new or enhanced services, procedures, and policies as EBCAP transitions toward the CCBHC model.

Benefits

Subsidized comprehensive medical insurance (BCBSRI) for full-time employees working 30–40 hours per week.
Dental insurance (Delta Dental) for full-time employees working 30–40 hours per week.
Supplemental vision insurance (Delta Dental) for full-time employees working 30–40 hours per week.
Voluntary medical and dependent care flexible spending accounts.
403(b) retirement plan with up to 3% employer matching, 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.