Behavioral Health Case Manager III

Dhss/Samh•Dover, DE

About The Position

Make a Difference with DHSS Our mission at the Department of Health and Social Services (DHSS) is to improve the quality of life of Delaware citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. We prioritize personal and family independence by assisting individuals and families in a variety of life areas. We offer numerous career opportunities and are dedicated to attracting and retaining highly talented individuals who are ready to make a difference in their community today. DHSS is a great place to kick-start your profession. For more information, please visit https://dhss.delaware.gov/dhss/ today! Summary Statement Serves as a team lead within the Eligibility and Enrollment Unit (EEU), providing day-to-day guidance and support to staff and assisting with workflow coordination and complex cases. Performs utilization review, treatment authorization, case management, eligibility and enrollment, and transition planning. Reviews clinical information for medical necessity and level of care and collaborates with providers to ensure timely access to services.

Requirements

Possession of a Bachelor's degree or higher in Behavioral or Social Science or related field.
Three years' experience in case management which includes assessing, planning, developing, implementing, monitoring, and evaluating options and services to meet an individual's human service needs.
Three years' experience in providing clinical treatment, counseling or determining eligibility for services or benefits as part of a treatment team.
Six months' experience in interpreting laws, rules, regulations, standards, policies, and procedures.
Six months' experience in narrative report writing.

Responsibilities

Serves as a team lead within the Eligibility and Enrollment Unit (EEU), providing day-to-day guidance and support to staff and assisting with workflow coordination and complex cases.
Performs utilization review, treatment authorization, case management, eligibility and enrollment, and transition planning.
Reviews clinical information for medical necessity and level of care and collaborates with providers to ensure timely access to services.
Oversees the operation of a case management unit in a behavioral health or institutional setting by assigning, monitoring, and reviewing work of professional and paraprofessional staff, and providing on-the-job training, guidance, and direction.
Refers or assigns cases to the appropriate unit or staff for effective service delivery.
Ensures quality of services provided by staff.
Provides consultation to staff to enable them to intervene in crisis situations or directly handles explosive situations.
Assists in analysis of operations, making recommendations with a view to improving division/department policy and procedures.
May maintain a caseload, providing guidance and related information to clients and families.
Interviews clients, family members, or persons deemed necessary to obtain the most complete case history possible.
Participates as a member of a multi-disciplinary team to formulate or evaluate treatment plans.
Prepares narrative statistical and court reports, as necessary.
May prepare application forms for benefits or services.
Provides consultative services to state and private agencies and may participate in community projects.
Uses automated information systems and computer software to research, review, evaluate, and report on health/human service data.
May supervise two or more merit full-time positions. The elements of supervision include performing the following on a regular and continuing basis: planning, assigning, reviewing, evaluating, coaching, training, disciplining, and recommending hire, termination, and promotion.
Communicates and interacts effectively with people across cultures, ranges of ability, genders, ethnicities, ages, and races.
Performs other related duties as required.