Case Manager - Adolescent PHP

Summit BHC•Santa Teresa, NM

11d

About The Position

PURPOSE STATEMENT: The Case Manager supports the department by providing case management to the different units within the facility. Manages the patient’s cases with a solid background of clinical knowledge and expertise and may provide some therapeutic services to patients. Responsible for the overall discharge and aftercare planning needs and placement of the patient. Maintains routine contact with referral sources and providers while maintaining resource file. Participates in quality care monitoring for the department.

Requirements

Bachelor’s Degree in a behavioral health area, marketing, business administration or related field preferred.
One or more years previous related experience in Behavioral Health preferred.
Previous experience in case management and/or utilization review preferred.
CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility requirements.

Responsibilities

Participates in the development of the service plan.
Implements appropriate therapeutic activities and/or programs. Implements services to patients in accordance with their individualized service plan (ISP).
Collaborates with the patient and patient’s family or significant others to implement an effective service plan, explaining the available clinical options to the team, including the advantages and disadvantages of each option.
Maintains the patient’s comprehensive clinical record, including documentation of activities performed as part of the service delivery process (e.g., assessments, provision of services, coordination of care, discharge planning) and patient’s progress toward their recovery. Coordinates releases and faxing records to providers.
Pursues best practice outcomes for patient with mental illness including accessing psychiatric services, therapy services, continuing education, employment, independent housing or other placement options and community tenure.
Works collaboratively with the clinical team to engage, educate, communicate, and coordinate care with patient, their family, behavioral and general medical and dental health care providers, community resources and others to ensure that all services prescribed in the individualized service plan (ISP) are implemented.
Ensures all appropriate referrals for identified services on the service plan are made and coordinated with service providers via contracted network providers or community resources; Ensures all covered services identified on the service plan are evaluated and updated monthly.
Coordinates referral or completes the screening and assessment on all patients on caseload for financial entitlements (AHCCCS, SSI/SSD etc.); completes AHCCCS applications on all patients on caseload meeting criteria.
Assures that discharge planning begins at admission. Obtains collateral input from providers and supports.
Ensures the development and implementation of transition, discharge, and aftercare plans prior to discontinuation of behavioral health services.
Ensures all contact with referral source and/or other treatment providers is done within designated time frame and documented accordingly.
Makes arrangements for community resources to facilitate discharge. Provide all needed documentation to other providers to facilitate the continuum of care.
Employs appropriate crisis intervention techniques as needed.
Communicates appropriate patient information to the treatment team; participates in team discussion and evaluation of patient goals, objectives and motivations.
Conveys medical criteria and clinical information between the insurance provider and treatment team as warranted.
Schedules after care appointments for patients with PCPs, psychiatrists, next level therapy programs, living arrangements, etc.
Provides transfer or transportation for clients or coordinates transportation with appropriate staff as required.
Facilitates client educational-rehabilitative groups which cover a variety of topics including social skills, coping skills, anger management and independent living skills