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

Catholic Charities Brooklyn and Queens•New York, NY

6d•$30 - $34•Onsite

About The Position

This is a direct-care position on the Pathway Home transition team in Brooklyn, embedded at Kingsborough State Psychiatric Center. The Sr. Case Manager is part of a newly funded, field-based Care Transition team serving individuals moving from a higher level of care into the community. The position works under the supervision of the Team Leader and facilitates transitions by addressing participants’ early recovery needs, discharge planning, daily living skills, and coping mechanisms through individual and group work in the community. The team follows participants after discharge to support linkage and engagement with community providers and ensure their support network can meet their needs. The role includes on-call coverage and flexible hours. The Kingsborough Transition Team provides intensive wraparound services for people with severe, chronic mental illness and a history of recent psychiatric hospitalization. This critical-time intervention lasts 6 to 9 months and includes coordinating psychiatric and medical care, access to community services, housing connections, counseling, nursing, and medication management.

Requirements

Bachelor’s degree; a degree in psychology, social work, or sociology is preferred. A New York State Licensed Practical Nurse (LPN) may substitute for the bachelor’s degree.
Case management work experience in a social service agency; experience serving a mental health population is preferred.
Knowledge of mental illness and the needs of people living with severe and persistent mental illness.
Knowledge of substance use disorders, physical health conditions, and behavioral health legislation and regulations.
Knowledge of treatment, rehabilitation, and community support programs as they relate to 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, seek help when needed, and demonstrate strong organizational and time-management skills.
Ability to participate on a team to accomplish tasks.
Ability to work respectfully and caringly with members, networks, families, and government staff, with consideration for cultural differences, and to serve as a role model to staff and stakeholders.
Availability to work a flexible schedule in response to client needs.
Ability to prepare accurate and timely reports.
Strong oral and written communication skills.
Computer proficiency with Microsoft applications, including Word, Excel, and PowerPoint.
Ability to talk, hear, walk, stand, and sit; lift up to 10 pounds; climb stairs; make home visits; stretch and bend to retrieve files; use a computer keyboard, mouse, and office equipment; read printed materials and computer screens; write; sit and work at a computer for long periods; and travel to multiple locations as needed.

Nice To Haves

Bachelor’s degree in psychology, social work, or sociology.
Case management experience serving a mental health population.

Responsibilities

Engage in-patient clients at acute-care hospitals, state psychiatric centers, or state-operated residences and coordinate discharge planning, including assessment of community transition support needs.
Provide intensive emotional and practical support as clients transition back into their communities.
Conduct assigned home visits.
Accompany clients to community treatment appointments and other services as needed.
Conduct individual sessions focused on prevention, independent community living, and mental and emotional health, including support with relationships, stress and symptoms, 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.
Navigate the community with clients, including accompanying them to initial behavioral health and medical appointments, providing travel training, supporting reengagement in community care, and identifying service referrals and barriers.
Develop collaborative relationships with referring treatment teams and other partners and plan appropriate client discharges with them.
Review documentation and conduct comprehensive psychosocial assessments of clients’ medical, psychiatric, housing, and other social needs.
Develop short-term, person-centered care plans to help clients achieve their goals.
Monitor and document client progress and adjust care plans to reflect needs and preferences.
Assist and instruct clients in daily living skills, including personal hygiene, grooming, laundry, nutrition and meal preparation, budgeting, and socialization, to support safe and successful community living and working.
Support clients in maintaining 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 and health-outcome metrics and billing requirements for HH+ clients.
Attend and participate in team meetings and supervision.
Complete required in-service training and staff development.
Share staff rotation for emergency on-call and office coverage.