Sr. Case Manager - Full-time; 4411-605-N

Catholic Charities Brooklyn and Queens•Brooklyn, NY

4d•Onsite

About The Position

The Sr. Case Manager is a direct care position on the Pathway Home transition team in Brooklyn, embedded at Kingsborough State Psychiatric Center. The role is part of a multidisciplinary, field-based Care Transition team serving individuals moving from a higher level of care into the community. Under the supervision of the Team Leader, the Sr. Case Manager helps participants prepare for discharge and community living, develop daily living skills and coping mechanisms, and connect with community providers and support networks. Services include group and individual work in the community, and the role requires on-call coverage and flexibility to work hours responsive to client needs. The Pathway Home program provides intensive wraparound services to people with severe, chronic mental illness and recent psychiatric hospitalization. Its critical time intervention lasts 6 to 9 months and includes coordination of psychiatric and medical care, community service access, housing connections, counseling, nursing, and medication management.

Requirements

Bachelor’s degree, preferably in psychology, social work, or sociology; a New York State Licensed Practical Nurse (LPN) may be substituted.
Case management work experience in a social service agency, preferably serving a mental health population.
Knowledge of mental illness and the needs of people living with severe and persistent mental illness.
Knowledge of substance abuse disorders, physical health conditions, and behavioral health legislation and regulations.
Knowledge of treatment, rehabilitation, and community support programs for consumers or residents, families, and staff.
Knowledge of techniques for identifying and preventing potentially violent behavior, including crisis management techniques.
Ability to develop, evaluate, implement, and modify clinical treatment interventions to meet individual client needs.
Ability to manage multiple projects, ask for help when needed, and demonstrate strong organizational and time-management skills.
Ability to work as part of a team and collaborate with members, support networks, families, and government staff in a caring, respectful, and culturally considerate manner.
Ability to prepare accurate and timely reports.
Strong oral and written communication skills.
Computer proficiency with Microsoft applications such as Word, Excel, and PowerPoint.
Availability to work a flexible schedule in response to client needs and participate in emergency on-call and office coverage rotations.
Ability to talk, hear, walk, stand, and sit; lift up to 10 pounds; climb stairs; make home visits; stretch and bend to retrieve files; operate a computer keyboard, mouse, and office equipment; read printed materials and computer screens; write; sit and work at a computer for extended periods; and travel to multiple locations as needed.

Responsibilities

Engage inpatient clients at acute care hospitals, state psychiatric centers, or state-operated residences and participate in discharge coordination and transition planning, including assessment of community support needs.
Provide intensive emotional and practical support as clients transition to their communities, including conducting assigned home visits.
Accompany clients to appointments with community-based treatment providers and other services as needed.
Conduct individual sessions focused on prevention, independent community living, and mental and emotional health.
Help clients address issues involving relationships, stress and symptom management, activities of daily living, medication management, and housing readiness.
Work with clients and housing providers to resolve clinical issues affecting the client’s ability to obtain, manage, and retain supportive housing.
Connect clients with community organizations that support purpose, physical wellness, education, employment, socialization, and community involvement.
Support community navigation, including attending first behavioral health and medical appointments, travel training, reengagement in community care, and referrals; identify and address barriers to accessing and maintaining services.
Build collaborative relationships with referring treatment teams and other partners and coordinate appropriate client discharges with them.
Review documentation and conduct comprehensive psychosocial assessments of medical, psychiatric, housing, and other community needs.
Develop short-term, person-centered care plans and monitor client progress, modifying plans according to client needs and preferences.
Assist and instruct clients in daily living skills, including hygiene, grooming, laundry, nutrition and meal preparation, budgeting, socialization, and maintaining a safe living environment.
Support clients’ continued community tenure through strong connections to community-based treatment programs and resources.
Provide after-hours, on-call crisis intervention when needed, including respite referrals and other diversion and stabilization services.
Maintain timely and accurate client documentation in health information technology platforms.
Meet monthly service delivery, health outcomes, and billing requirements for HH+ clients.
Attend team meetings and supervisory sessions and complete required in-service training and staff development.