Case Manager (4045)

Under general supervision, Provides on-going supportive and/or case management functions to individuals having long-term mental illness in accordance with the problems, needs, and strategies identified within the service plan in order to help the clients achieve the stated goals and objectives. Participates in regular interdisciplinary staff meetings with the interdisciplinary team to best help consumer, including Behavioral Health Specialists, counselors, Staff Psychiatrist, Registered Nurses, quality assurance specialists, paraprofessionals. Gathers information for assessment of needs and treatment planning, assisting individuals and connecting them with service options, engagement in services, transitions in services or providers.

Essential Functions: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Productivity

• Records services accurately that related directly to the treatment outcomes, within approved timeframes.
• Completes required documentation according to agency standard.
• Maximum face to face ratio 50 individuals to 1 Care Manager.
• Frequency in which individuals are seen is based on current Gateway policy for Level of Care.
• Additional contacts may be either face to face or telephone collateral contact, depending on the individuals support needs. More than 50% must be face to face.
• At least 28 hours of a 40 hour work week should be providing direct documented service.

Documentation and Compliance

• Records services accurately that relate directly to the treatment outcomes, within approved timeframes. Completes required clinical documentation according to agency standards.
• Maintain all documentation in accordance with applicable policies, laws and instructions.
• Ensure that all services provided are within the guidelines and document care in compliance with agency requirements and standards.
• Ensure that all notes are in Care Logic and signed within 24 hours of service delivery.
• Authorization is checked and if needed is completed prior to service provision.
• Maintain a minimum chart audit score of 70% or better for all consumers on case-load.
• Ensure all weekly reports are addressed and corrected as necessary within timeframe specified by supervisor.
• Billed Staff Hours in comparison to Target Staff Hours must be at least at 100%.
• Treatment plans and orders for services must be signed on the same day as admission or change. Treatment plans and comprehensive assessment documents are sent to a licensed supervisor for review and second signature.
• Failed Activities and Failed Claims must be resolved and cleared in less than 5 days.
• Staff cancellation rates must be less than 5%.
• Must be in compliance with Human Resources requirements with all trainings (including Relias).

Community Outreach

• Collaborate with behavioral health providers and the community through regular meetings in order to engage and transition consumers throughout systems of inpatient and or community care.

Corporate Responsibilities

• Treat those we serve, co-workers and supervisors with respect.
• Provide high quality customer service focused on outcomes of improved health.
• Carry out job responsibilities in a competent and ethical manner.
• Utilize our resources effectively, efficiently and without abuse.
• Contribute to an environment that encourages passion, creativity and team work.