Recovery Manager

Diadem Hearts Inc•DeSoto, TX

8d•$28 - $30•Hybrid

About The Position

Recovery Management includes services to assist the individual in gaining access to needed Medicaid services, as well as medical, social, educational, and other resources, regardless of funding source. Individuals providing recovery management, Recovery Managers (RM), are responsible for monitoring the provision of services included in the Individual Recovery Plan (IRP) to ensure that the individual’s needs, preferences, health, and welfare are promoted. The following section outlines the roles and responsibilities but is not limited to the roles of the Recovery Manager.

Requirements

Minimum training and credentialing requirements for the provision of recovery management.
At least 2 years of experience working with people with serious mental illness (SMI).
Master’s degree in human services or a related field.
Demonstrate knowledge of issues affecting people with severe mental illness and community-based interventions/resources for this population.
Complete DSHS-required training in the HCBS-AMH program and Person-Centered Recovery Planning Process.

Nice To Haves

Caseload sizes for the individual RM shall preferably be 10 individuals or less.

Responsibilities

Meet the minimum training and credentialing requirements for the provision of recovery management.
Be Available to the Individual, with caseload sizes preferably of 10 individuals or less and no more than 15 individuals. Provide recovery management at an intensive level, three contacts per week, for the first three months of the individual’s participation in HCBS-AMH services while in the community. Update the individual’s IRP every 90 days. Documentation generated by the RM and service encounters shall provide evidence of compliance with the requirements. The RM’s availability shall be identified as part of the individual’s crisis plan. If the RM is not available to the individual 24/7 then alternative contacts must be identified on the Crisis Plan. If the RM is part of an LMHA, the RM may also utilize the LMHA Crisis Services Program as an alternate contact for the individual.
Meet with the individual within 5 days of notification of Recovery Management Entity selection. During the initial meeting, begin the Person-Centered Recovery Planning (PRCP) process, explaining PCRP, assisting the individual in the identification of the individual’s interdisciplinary team (IDT), and educating the individual regarding his/her selection of and role on the IDT.
Educate and inform the individual about HCBS-AMH services, the Person-Centered Recovery Planning Process, recovery resources, client rights, and responsibilities. This includes explaining the individual’s rights, services available, assisting with fair hearing requests, completing necessary consent forms and other program documentation, and assisting with retaining HCBS-AMH and Medicaid eligibility.
Coordinate with the referring entity (i.e. State Hospital Staff, LMHA) to complete the necessary functions to facilitate a successful transition and tenure in the community for individuals enrolled in HCBS-AMH. If the individual is in a state hospital at the time of enrollment in HCBS-AMH, the RM will be responsible for recovery management transitional services—coordinating the provision of allowable HCBS-AMH services inside the state hospital for up to 180 days before discharge from the hospital. Planning for the recovery management transitional services is a collaborative effort between the RM and the interdisciplinary team (IDT) at the state hospital. During Recovery Management Transitional services, the RM will complete fingerprinting form and credentialing instructions, meet with the individual and hospital IDT and complete the Initial Individual Recovery Plan (IRP) and Provider Selection Form, provide selected service providers with instructions to complete fingerprinting form and credentialing needed before working in a state hospital, coordinate services with providers and meet with the individual one time per week to monitor the provision of services, meet with the individual two weeks before discharge from the hospital, monitor service provision, ensure coordination of services, and address potential barriers for the individual, update the individual’s IRP as necessary, and assist the SHSW with the Social Security Administration Pre-Release Application Process, while the individual is still in the hospital as applicable.
When applicable, coordinate with courts, probation or parole officers, hospital staff, and crisis service providers to ensure the individual gains access to any needed services.
Coordinate with other HCBS Programs in the disenrollment of the individual if the individual is currently enrolled in another HCBS program that precludes the individual from participating in HCBS-AMH but is interested in receiving services in the HCBS-AMH program. This coordination will include obtaining preauthorization through DSHS for RM conversion services, contacting the individual’s HCBS program and obtaining necessary documentation about the individual, and identifying needs of the individual and identifying new providers and resources.
Provide recovery management conversion service. Conversion services are offered to individuals disenrolling from another HCBS program, individuals in correctional facilities, or those individuals residing in nursing facilities. To provide RM conversion services, the RM must obtain preauthorization.
Coordinate the development of the IRP using Person-Centered Recovery Planning and submit the IRP to DSHS for approval. The RM identifies services that will help the individual achieve his/her recovery goals and meet the needs of the individual as identified on the UA. The initial IRP must be completed with the individual within 10 days of enrollment.
Assist the individual in the selection of HCBS-AMH Provider Agency and direct service staff within the HCBS-AMH Provider Agency, when applicable. The RM shall work with the individual to choose a contracted HCBS-AMH Provider Agency for the provision of services; this includes completion of the Provider Agency Selection Form. When applicable, the RM shall further assist the individual in choosing direct service staff for the provision of individual services identified on the IRP.
Facilitate the provision of services to support the individual’s recovery goals through facilitation of the person-centered recovery planning process, development and pursuit of resources (including non-HCBS-AMH Medicaid services, services provided under Medicare, private insurance or other community resources, and identifying and developing natural supports), integration and coordination with managed care organizations, private insurances, private providers, and Local Mental Health Authorities, and advocating on behalf of the individual to resolve issues that impede access to needed services.
Monitor the health, welfare, and safety of the individual through regular contacts (visits with the individual, paid and unpaid supports, and natural supports). Respond to and assess emergencies and incidents and ensure that appropriate actions are taken to protect the health, welfare, and safety of individuals. Monitor and update the IRP as clinically indicated using PCRP to meet the needs and recovery goals of the individual.
Aid in the accuracy of the HCBS-AMH Uniform Assessment (UA). Provide supporting documentation to be considered by individuals completing the UA as requested, verify that services on the IRP are identified on the UA, notify DSHS if another HCBS-AMH UA is clinically indicated, and if necessary, complete an additional assessment of the individual.