Promotes the ability of high risk individuals to achieve independent living skills and stability in their psychiatric or medical conditions. Case/care management links individuals to service systems, then coordinates and monitors the provision of services. Services are individualized to the specific identified needs of each person in a culturally sensitive way. This is achieved using a holistic approach considering several areas of strengths and needs including, but not limited to the individual’s: history, culture, spiritual preferences, education and employment information, social involvement, mental health and substance abuse status, medical needs, housing advocacy and needs, safety issues, legal issues and financial issues. The case/care manager encourages and assists the recipient to develop natural community supports and use community resources to encourage stabilization and integration into the community.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Meets consistently with each service recipient to provide one on one support.
Monitors food, supplies and upkeep in the housing unit, helps the individual/families make appropriate purchases or assists in the cleaning whenever necessary. (Gateway)
Reports to the supervisor all pertinent information concerning illnesses, accidents, untoward events, staff difficulties, repair needs, etc.
Serves as coordinator of all services the person will receive while admitted to case/care management services.
Develops written care management plan/IAP based on assessed strengths and individualized needs per program requirement.
Links person to all services and supports listed on the individualized care management plan/IAP.
Advocates on behalf of the individual to gain access to needed services and supports in the least restrictive setting.
Provides ongoing case/care management services as needed.
Maintains adequate and appropriate written progress notes according to agency guidelines
Develops and maintains community/provider relationships. Resolves problems that interfere with self sufficiency.
Develop professional relationships with landlords working together to maintain housing for individual.
Assists program participants in securing and maintaining adequate housing including negotiating leases.
Assists program participants with rehabilitation, social, employment and health supports.
Coordinates treatment with other agencies; gathering input for care management plan/IAP.
Increases use of appropriate community resources.
Assists in the development, review, and update of the care management plan/IAP.
Encourages participation in client’s own care management plan/IAP.
Performs problem solving functions that overcome obstacles faced by the individual.
Ensures resident records are maintained in a manner compliant with federal, state, local and agency policies, procedures and regulation and conducts regular record keeping reviews and completes audits according to procedure.
Works within program budget
Monitors and maintains high standard of service delivery.
Collects data for statistical purposes.
Maintains client confidentiality at all times.
Follows agency policies and procedures in all program areas.
Other job related duties as assigned.
EDUCATION and/or EXPERIENCE
- Bachelor’s degree in any of the following: child and family studies, community mental health, counseling, education, nursing, occupational therapy, physical therapy, psychology, recreation, recreational therapy, rehabilitation, social work, sociology, or speech and hearing AND two years’ experience either; providing direct services to persons with serious mental illness, developmental disabilities, alcohol or substance abuse, co-occurring disorders, geriatric population; OR linking persons who have serious mental illness, developmental disabilities, alcohol or substance abuse to a broad range of services essential to successfully living in a community setting OR
- NYS licensure and current registration as an RN with a bachelor’s degree AND two years’ of the above experience OR
- A credentialed Alcoholism and Substance Abuse Counselor (CASAC) and two years’ of the above experience OR
- Bachelor’s level education or higher in any field with five years of experience working directly with persons with behavioral health diagnoses; OR
- A Master’s degree in the above related fields may substitute for up to one year of experience
CERTIFICATES, LICENSES, REGISTRATIONS
Must have a valid driver’s license.