Case Manager - Community Outreach - Union Position

at  Central City Health

WEBSITE: WWW.CENTRALCITYHEALTH.COM

Who We Are: Central City Health (CCH) has been serving the underhoused and at-risk population in metro Detroit since 1972, by providing integrated healthcare services. Our services include primary and pediatric care, dental care, behavioral and SUD care, supportive housing, and community re-entry services, to name a few. In 2024, our President/CEO, Dr. Kimberly Farrow-Felton received the esteemed Healthcare Hero Award from Crain’s Detroit Business honoring her exceptional contributions to the health and well-being of our community.
Our Mission: To achieve wellness in the community by providing an array of primary and behavioral health care, housing, and substance abuse services with dignity and respect. Our Core
Values: CCH is guided by a set of values in fulfilling our mission.

SOME OF OUR VALUES INCLUDE:

• An environment that supports health and recovery.
• Person centered principles in the delivery of care.
• An environment characterized by cultural sensitivity, integrity, teamwork and trust.
• A commitment to service excellence and continuous quality improvement.
• Persons served take both an active part in their treatment and the organization.
• An atmosphere of welcoming and accessibility to people seeking our services that assures “no wrong door.”

GENERAL DESCRIPTION

Provides support and advocacy to clients and their families within the community to educate and promote healthy lifestyles and preventing reoccurring hospitalizations by monitoring, assessing, advocating, supporting and empowering members to improve their quality of life through maintaining stability in the community.

EDUCATION AND EXPERIENCE

• Bachelor’s degree in a human services field required.
• One year of experience in treating or working with a person who is exhibiting mental illness, substance abuse, and/or co-occurring behaviors preferred.
• Valid Michigan driver’s license required. Demonstrated ability to adhere to State of Michigan driving laws, evidenced by maintaining an insurable driving record in accordance with CCH commercial auto insurance carrier required.
• Must be willing to complete requirements for a Michigan Certified Board of Addiction Professionals (MCBAP) Development Plan (Certified Alcohol and Drug Counselor, CADC, or Certified Advanced Alcohol and Drug Counselor, CAADC) within the first 90 days of hire.
• Leading to certification and are timely in its implementation or are functioning under a time-limited exception plan approved by the regional PIHP. (SUD Case Managers only)
• Valid Michigan chauffeur’s driver’s license required; Candidates who do not have a chauffeur’s license, may still apply but must acquire a chauffeur’s license within 30 days of employment. (ACT Case Managers only)
• For intake and case management services: Qualified Mental Health Professional (QMHP) - Individual with specialized training3 (including fieldwork and/or internships associated with the academic curriculum where the student works directly with persons receiving mental health services as part of that experience) OR one year of experience in treating or working with a person who has mental illness; AND is a psychologist, physician, educator with a degree in education from an accredited program, social worker, physical therapist, occupational therapist, speech-language pathologist, audiologist, behavior analyst, registered nurse, therapeutic recreation specialist, licensed/limited-licensed professional counselor, licensed or limited licensed marriage and family therapist, a licensed physician’s assistant, OR a human services professional with at least a bachelor’s degree in a human services field.

• Conducts initial and annual assessments.
• Provides population and age specific case management services to members, including assessment, linking/coordinating, monitoring, reassessment, follow-up, person-centered planning, resource development, transportation, and advocacy.
• Assesses the personal needs of each member such as but not limited to living situation, mental health services, financial base, access to medical services, as well as educational/vocational/employment/substance abuse service needs.
• Participate with members in the development, review, and the delivery of the Individual Plan of Service (IPOS).
• Provides support to members and families in identifying and accessing resources and services needed to meet goals in the Individual Plan of Service (IPOS).
• Maintains required case management documentation
• Participates in in-service training, clinical supervision, consultations, utilization review meetings, and other meetings.
• Participates in group meetings related to substance abuse and mental health recovery.
• Assists in providing education to non-CMH providers regarding mental health and substance use disorders treatment/management, crisis and intervention.
• Assists in the development of community contacts and networks with other service providers.
• Participates in community events.
• Provides additional guidance, advocacy and support continuity of care to members and support systems
• Develops IPOS treatment plans based on evidence-based treatment approaches, measurable objectives, standards of care, and professional practice guidelines.
• Refers members to internal and external supportive services, as medically necessary, or members preference.
• Performs discharge planning activities in accordance with best practice standards for individuals being released from a hospital setting.
• Promotes the members independence, rehabilitation, and recovery, to reduce risks of becoming unhoused, inpatient hospitalization, and other negative outcomes.
• Maintains compliance with productivity requirements ensuring timely completion of documentation (within 24 hours of the kept appointment) and thorough and accurate coding of visits.
• Participates in multidisciplinary care team(s) and identifies problems and provides feedback to team members regarding a solution; contributes to the integration of services inclusive of primary care, behavior health, dental services, and supportive housing; serves as a resource to other providers and staff.
• Demonstrates compliance with all stakeholders, Medicaid, CCH policies, procedures and state/federal regulations; takes part in performance improvement activities such as: quality assurance audits, continuing education, and peer reviews.
• Participates in meetings/conferences and continuing education and demonstrates a genuine desire to develop strategies for improved clinic operations and high-level patient care.
• Assures members’ rights are being always maintained.
• Participates with all pertinent staff in the development, review and the delivery of treatment and advocacy.
• Provides periodic assessment/review of member’s needs, assist with developing person-centered treatment plans with member and supports. Evaluate member’s progress on an ongoing basis and completes discharge summaries.
• Acts as liaison between other agencies, hospitals, legal authorities, caretakers, as well as other community partners/stakeholders.
• Participates in in-service training, clinical supervision, case staffing, consultations, and other meetings.
• Performs other duties as assigned.