Acute TCM

WESTMORELAND CASEMANAGEMENT AND SUPPORTS INC•Hempfield Township, PA

1d•$24 - $25•Hybrid

About The Position

This is a full-time non-exempt position primarily responsible for the assessment of client functioning and the development, preparation, and implementation of a comprehensive Targeted Case Management Plan for individuals preparing for discharge from or recently discharged from the State Mental Hospital (SMH) system or discharged from a community inpatient psychiatric facility. Responsible for monitoring all services received by TCM clients, resource development, service linkage, crisis intervention services and client advocacy. Works as an interdisciplinary team member. Work assignments will be discussed at bi-weekly planning meetings. Goals and objectives will be developed, and priority assignments identified. Maintains all TCM records and other relevant paperwork accurately and promptly. Primary work hours will be Monday through Friday, 8:30am to 4:30pm with a 30-minute lunch (37.5 hours/week) unless otherwise agreed upon. This position requires flexibility to work non-traditional hours, including evening and weekends, to participate in an after-hours on-call rotation, as scheduled, and outreach events and WCSI activities. The Acute TCM must be willing to adjust their schedules as needed to support these initiatives. While the primary focus of this role is working with adults, the position also requires occasional interaction with children during on-call responsibilities. Compliance: As with all WCSI positions, it is the expectation that employees adhere to WCSI, County, State and Federal guidelines, regulation, policies, and laws which govern the business and service of WCSI. This position requires the employee to perform their daily duties and responsibilities in an unstructured work environment.

Requirements

Bachelor’s degree in social services related field.
Previous case management experience required.
Valid PA Driver’s License
Proof of Valid Auto Insurance
Act 34 (Criminal Record) Clearance
Act 33 (Child Abuse) Clearance
FBI Clearance
Availability and utilization of the employee’s personal vehicle, for purposes of transportation to and from work appointments.
Adherence to all random drug screening requirements, as set forth by WCSI Policy.
Ability to operate a motor vehicle.
Ability to use a computer, phone, fax, copier, and other essential office equipment.
Substantial problem solving in response to urgent/emergency situations, which may require immediate action.
Ability to apply principles of leadership and management in daily practice.
Skills and ability to perform their daily job duties and responsibilities in an unstructured work environment.

Nice To Haves

Experience with clientele diagnosed with serious and persistent mental illness is preferred.
Associate degree Human Service/Social Science and two years’ experience in direct contact with Behavioral Health clients and two years as a TCM Level 1 at WCSI.
A high school diploma and 12 semester credit hours in sociology, social welfare, psychology, gerontology, or other social science and two years of experience in direct contact with mental health clients and two years as a TCM Level 1 at WCSI.

Responsibilities

Coordinate care with the involved treatment team.
Link the client with housing and benefits, assist with setting up treatment services, and arranging for the client’s discharge from the hospital.
Monitor the client closely during the initial ninety (90) days, with more frequent visits than traditional TCM to ensure continuity and assist with prevention of readmission.
Assess clients need utilizing the Environmental Matrix and Strength Based Assessment (SBA), client and/or collateral interviews, and reviews of clinical and social information.
Develops, prepares, and implements a comprehensive Targeted Case Management Service Plan which includes short- and long-term goals/outcomes based on client, provider and TCM team input.
Conducts regular, documented reevaluations of client progress.
Ensures face-to-face contact with the client based on program requirements, working on a variable schedule as assigned by supervisor.
Participates in a rotating system to ensure that 24-hour crisis services are available.
Responds to both face-to-face and telephone requests for intervention.
Evaluates clients and works with Crisis Intervention services to arrange for urgent psychiatric care, if needed.
Ensure that all alternatives to hospitalization have been explored.
Monitors all services received clients by reviewing cases; meeting with family, significant others, relevant providers, advocates, and attorneys; and attending TCM team meetings.
Participates in interdisciplinary and psychiatric treatment team meetings as required.
Ensuring client needs are met through utilization of natural support and other social services.
Investigate new resources and communicate with respective providers on the client's behalf.
Maintains the current directory of community resources.
Assist clients with identification, linkage, access, and coordination of these resources.
Advocates for the client to ensure responsiveness from natural, community, generic and specialized services.
Maintains Targeted Case Management records and documents all client activity, including contacts with clients and collateral contacts.
Reviews charts for compliance with regulations.
Prepares for annual record audits by the county and state.
Efficiently completes paperwork and other program related material and meets monthly performance standard expectations.
Ensures that all services provided align with the established WCSI service provisions standards, including actively promoting high-quality client-centered care while monitoring service delivery to meet productivity benchmarks.
Actively participate in community engagement and outreach efforts.
Attending and contributing to at least two outreach events and/or WCSI activities annually.
Representing the organization, fostering relationships with community partners, and promoting the organization’s mission and services.