TCM Acute

WESTMORELAND CASEMANAGEMENT AND SUPPORTS INC•Hempfield Township, PA

6d•$24 - $22•Remote

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

Master’s degree in social work, psychology, rehabilitation, activity therapies, counseling, education, or other related social sciences and 2 years’ mental health direct care experience or: Bachelor’s Degree which includes or is supplemented by at least 12 college credits in sociology, social welfare, psychology, gerontology, criminal justice, or other related social science AND three years of direct experience in behavioral health, of which two years must be experience working with or providing services to adult individuals with serious mental illness or to children with serious emotional disturbance or at risk for same.
Bachelor’s degree in nursing and 3 years of direct mental health care experience.
Strong Interpersonal skills, effective oral and written communication skills.
Valid PA Driver’s License
Proof of Valid Auto Insurance
Act 34 (Criminal Record) Clearance
Act 33 (Child Abuse) Clearance
FBI Clearance
Monthly screenings of PA Medicheck List, LEIE (List of Excluded Individuals/Entities) and SAM (System for Award Management).
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.
Regularly required to operate a motor vehicle, sit, stand, walk, bend and lift objects of up to 10 pounds.
Regularly uses a computer, phone, fax, copier, and other essential office equipment to carry out daily work assignments.
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 as a case manager is preferred, but not required
Experience with clientele diagnosed with serious and persistent mental illness is preferred.

Responsibilities

Coordinate care with the State Hospital Liaison and/or Community Hospital Liaison for individuals preparing for discharge within the last thirty (30) days of the anticipated SMH or Community Inpatient Psychiatric Facility stay.
Link the client with housing and benefits and assist the Liaison with setting up treatment services and arranging for the client’s departure 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 recidivism.
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.
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.
Ensures 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.
Attend and contribute to at least two outreach events and/or WCSI activities annually.
Represent the organization, fostering relationships with community partners, and promoting the organization’s mission and services.
Extensive knowledge of theories, principles, and techniques related to service provided.
Ability to establish/maintain effective working relationships with clients, associates, and agency personnel.
Knowledge of community resources and ability to facilitate coordination activities.
Ability to prepare clear, concise reports and to communicate effectively, both orally and in writing.