Clinical Care Manager - Care Coordination for Involuntary Certification (CCIC) Program

ROCKY MOUNTAIN HUMAN SERVICES

About The Position

Clinical Care Managers (CCMs) provide vital support to individuals with severe and persistent mental illness (SPMI) as they transition from behavioral health care settings to living successfully in the community. Clinical Care Managers assist clients in achieving goals such as benefits acquisition, housing stabilization, and securing both behavioral and physical health services. They work collaboratively with clients, providers, community partners, and systems to ensure that care plans are tailored to meet the unique needs of each individual. CCMs may serve adult clients transitioning from mental health hospitals, inpatient psychiatric units, or acute treatment settings, helping them stabilize and integrate into the community. They also support justice-involved adults who are in the competency process, including those still in custody or receiving restoration services at state mental health hospitals. CCMs may also serve youth clients aged 20 and younger with SPMI, helping them navigate complex systems such as child mental health services, child protection, juvenile justice, and education. They collaborate with multidisciplinary teams to ensure comprehensive support for young clients transitioning from inpatient psychiatric hospitals, acute treatment units, or long-term residential treatment centers. CCMs may be required to comply with the Colorado Mental Health Hospital at Pueblo and the Colorado Mental Health Hospital at Fort Logan’s infectious disease and drug screening policies and procedures. This includes meeting requirements for COVID, Flu, Hepatitis-B, Tuberculosis vaccines, fingerprinting, and urinalysis testing.

Requirements

Bachelor’s Degree in Social Work or a related field, including specific training in behavioral health disorders.
3 years of experience providing direct services or intensive case management for individuals with serious and persistent mental illness and/or substance use disorders.
Valid driver’s license
Proof of motor vehicle insurance
Personal vehicle in good operating condition for use during work
No major violations in the past three years.
No more than two moving violations in the past three years
Ability to meet and maintain agency driving requirements and operate agency vehicles
Drivers must upload proof of ongoing auto insurance every 6 months into Paycom/Relias.
Any Accidents and/or damages while using a personal vehicle for work purposes shall be the sole responsibility of the employee. RMHS is not responsible for any damage incurred to the employee’s personal property.
Knowledge related to clinical diagnoses, including serious and persistent mental illness and substance use disorders, and ability to interact effectively with individuals experiencing these disorders.
Knowledge of general standards of practice in behavioral health settings and ability to communicate effectively with psychiatrists and other behavioral health clinicians.
Ability to work independently in the community and from a home office, and to travel to the RMHS office as required.
Ability to work regular business hours as determined by the needs of the program.
Strong communication skills with individuals served in the program, team members, colleagues, and community partners.
Ability to independently assess crisis situations and connect individuals to appropriate resources.
Knowledge of community resources related to the behavioral health needs of the individuals in the programs.
Familiarity with DSM 5, behavioral health symptoms, and general medication side-effects.
Comfortable utilizing de-escalation strategies and Motivational Interviewing as needed
Maintain strict confidentiality and fulfill requirements of HIPAA and other relevant rules and regulations.
Maintain appropriate boundaries and professional demeanor.
Track client spending to a budget per program requirements.
Document timely utilizing standards of practice for the profession.
Work independently with minimal supervision.
Enter data timely and accurately per program requirements.
Understand and use a person-centered, culturally informed and trauma informed principles.

Nice To Haves

4 or more years of direct services AND intensive case management experience for individuals with serious and persistent mental illness and/or substance use disorders.
Master’s degree and license-eligible in social work, counseling, human services or related field.
Bilingual Spanish speaking

Responsibilities

Provide intensive care management for individuals to ensure a successful transition into community-based living and treatment from state hospitals, acute treatment centers, crisis services facilities, withdrawal management facilities, criminal justice settings, or other higher levels of care. This includes meeting with individuals supported face to face in the community and in the hospital or through virtual means, at a frequency that meets minimum contractual requirements and is sufficient to provide the intensity of supports for successful community transition.
Ability to clinically assess an individual’s needs, including understanding mental health symptoms, coordinating behavioral health services and attending the first behavioral health appointment. Ability to utilize clinical skills such as motivational interviewing and brief interventions.
Complete health needs assessments and collaboratively develop person-centered individualized care plans that includes all activities and services that are essential to meet the specific needs of the client. Monitors, evaluates, and updates the services listed in the care plan for their effectiveness in a timely manner.
Assist in accessing services and coordinating care while ensuring individuals have all the resources required for daily living (such as: food, housing, therapies, and transportation).
Assist individuals and families in coordinating wraparound services and funding sources to secure needed behavioral health and physical health care needs. This will include coordination with providers such as community mental health centers, primary care, case management, Assertive Community Treatment teams, Regional Accountable Entities, and others.
Advocate for the best interest of the individual by working with providers to resolve conflict as it relates to the individual’s care plan.
Collaborate with Peer Support Specialists to implement care plans, coordinate services, and communicate with treatment providers.
Educate Alternative Care Facility and Skilled Nursing Facility staff about successful interventions and care strategies for individuals, as needed to increase individual’s success in maintaining the least restrictive setting that can meet their needs.
Assist in linking with CMHC or other identified provider to enroll the client in the necessary and required behavioral health services.
Assist individuals to apply for appropriate housing vouchers when needed, and support them in locating, applying for, and attaining rental housing.
Assist with benefits acquisition where appropriate, including state and federal programs such as SSDI, SSI, Medicare and Medicaid.
Support individuals and families by securing needed services and goods that do not have another funding source.
Track spending to a budget and obtain approval for spending that exceeds pre-approved limits.
Identify and report to supervisor any team activities and issues that influence the delivery of services under the contract.
Complete all documentation as required according to contractual, organizational, and legal requirements.
Actively participate in supervision and case consultation.
Performs other duties as assigned.