Case Manager, Quality

Macomb County•Clinton Township, MI

10h•$50,007 - $64,680

About The Position

Under direction, maintains a provider monitoring list, schedules monitoring visits to provide rs, and utilizes monitoring tools. M ai ntains administrative records. C oordinates, consults, and provides liaison work with provide rs to ensure quality services. C ontributes expertise from professional discipline to team p lanning and quality processes.

Requirements

A Bachelor’s Degree in Psychology , Social Work, Special Education, Counseling or other mental health related field from an a ccredited college or university
One (1) or more years of professional experience working in case management or supports coordination with persons who have mental illness or intellectu al/ developmental disabilities
Meet qualifications as specified in the MDHHS Michigan PIHP/CMHSP Qualifications per Medicaid Services as a Qualified Mental Health Professional ( QMHP ) and or Qualified Intellectual Developmental Professional (QIDP) ; Individual with specialized training or one year of experience working with a person who has mental illness; and is a psychologist, physician, educator (with a degree in education from an accredited program), social worker, physical therapist, occupational therapist, speech-language pathologist, audiologist, registered nurse, therapeutic recreation specialist, licensed or limited licensed professional counselor licensed/limited-licensed professional counselor, licensed or limited licensed marriage and family therapist, or a licensed physician’s assistant; or An individual with at least a bachelor’s degree in a human services f ield
Possession of required state licensure appropriate to position and ability to meet privilegi ng and credentialing guidelines
Possession of a valid Michigan driver’s license and operable, insured automobile for authorized travel
Knowledge of a pplicable computer applications
Skill in Using good professional judgment for the welf are and safety of people served
Excellent organizational skills with the abilit y to manage multiple priorities
Analyzing information and completing reports
Collaborat ive : Approaches all situations with a teamwork and solution focused mindset demonstrated through active participation in meetings, volunteering to assist teammates and other departments as appropriate .  Examples include participation in internal and external committees, subcommittees, process improvement groups or other mu lti-organizational initiatives
Accountable: Takes ownership and empowers others to do the same as evidenced by identifying solutions and acting on job responsibilities and o rganizational objectives , daily
Respectful: Treats people with dignity while honoring individual differences demonstrated through use of positive and encouraging statements and/or interactions to, about and/or with colleagues and persons served; evidenced by supervisor observation, feedback from other department staff and lea dership
Engage effectively with diverse communities; interact with people in an inclusive manner that respects cultural and socio-economic differences
Ability to establish and maintain effective working relationships with elected officials, Administrators, Department Heads, staff, union officials and the public
Work in an environment which embraces the county’s Dignity Campaign
Effectively speak, write, and understand the English
Under stand and carry out oral and/or written instructions
Accurately organize and maintain paper documents and electronic files
Maintain the confidentiality of information
Work independently

Nice To Haves

A Master’s Degree in Psychology , Social Work, Special Education, Counseling or other mental health related field from an a ccredited college or university
Three (3) or more years of case management or supports coordination experience working with persons who have mental illness and/or Intellectual Developmental Disabilities
One (1) or more years experience providing Severity Intensity Scale (SIS) assessments and reviewing the interrater reliability of standardized tests
Licensed Master Social Worker (LMSW), Limited Licensed Master of Social Work (LLMSW), Licensed Professional Counselor (LPC), Limited License Professional Counselor (LLPC), Temporary Limited Licensed Psychologist (TLLP) , or Licensed Psychologist (LP)
Effectively speak, write, and understand a language other than English is preferred

Responsibilities

Performs quantitative reviews of the individual records and provider settings.
Completes quality assessment tools, compiles information from the surveys, consults with the Quality Coordinator regarding corrective action plans, monitors corrective action plans, and reports compliance to standards and adherence to provider contractual obligations in an effort to ensure the least restrictive level of care is provided to persons served.
Monitors a subset of individual progress notes to ensure they have been monitored by the primary provider of service, tie back to the person-centered plan and support medical necessity.
Maintains accurate and up-to-date documentation, including standardized assessment forms to ensure accurate documentation of surveys, health and safety issues, training, compliance with Home and Community Based Services ( HCBS ) standards, and incident reports .
Ensures administrati ve paperwork is accurate and up-to- date , including, staff activity logs, statistical reports, attendance, and mileage reports .
Completes and maintains Community Mental Health and Department of Mental Health statistical reports, as needed.
Participates in agency and system staff meetings, provider meetings, and compliance meetings as assigned.
Documents clinical concerns regarding individual and/or provider services and requests consultations when indicated .
Performs assessments in both licensed and unlicensed settings to assist in the provision of a more individualized plan of service and payment structure.
Serves on Community Mental Health or community-based committees, as assigned.
Operates an automobile to perform assigned job functions.
Performs related duties as assigned.