CASE MANAGER - ASSERTIVE COMMUNITY TREATMENT (ACT)

Under the direction of the Supervisor for Assertive Community Treatment (ACT) program, the Case Manager participates in the clinical team by providing care and care coordination to individuals with mental health needs. Provides integrated care by ensuring that whole person health needs are met, including primary and behavioral healthcare, as well as substance abuse services. Works collaboratively with other team members. Uses care coordination skills with individuals, their families, and both internal and external providers to ensure seamless care. Links client to health promotion and wellness activities and helps to make linkages to community services. Maintains a therapeutic relationship with clients on his/her team in meeting the biopsychosocial needs of the client.

JOB QUALIFICATIONS

• Minimum Associate’s degree in Social Work, Psychology, or mental health related field with 3 years case management or care coordination experience.
• Preferred a Bachelor’s degree in Social Work, Psychology or a mental health-related field. If in a related field, must have two years care coordination or case management experience.
• A valid driver’s license in the state of Ohio with access to an insured vehicle for client transportation.
• The ability and desire to work closely with other team members.
• The ability to form effective therapeutic relationships to engage clients in the mutual assessment of problems and goal-setting, and to help coordinate care plans from initial contact through end of service.

SKILLS & KNOWLEDGE

• Excellent oral and written communication skills
• The ability to make sound decisions under stressful conditions
• Demonstrated clinical skills, and an ability to organize and prioritize tasks.
• An awareness of and sensitivity to the cultural diversity of the populations served.
• Using creativity and a drive for results, act as a liaison for the client to receive community resources.
• A working knowledge of the stages of growth and development and family dynamics.
• A working knowledge of the stages of change.
• The ability to understand and accept a team approach to service delivery, and agency and program philosophy and goals.
  TRAVEL: Travel within the Cleveland area as needed for training and technical assistance. In addition, community travel needed to satisfy case management needs for clients.
  About Us
  The Centers provide health, family, and workforce services at 11 locations throughout Greater Cleveland, creating life-changing solutions for people to lead healthier and more successful lives. We strive to be a service-oriented workplace that pioneers and co-creates solutions while fostering belonging in a community where our team members thrive.

• Provides individualized supports or care coordination of healthcare, behavioral healthcare, and non-healthcare services. Therapeutic Behavioral Services may involve collateral contacts and may be delivered in all settings that meet the needs of the individual
• Regularly uses tools, such as the Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-9 (GAD-7), Brief Addiction Monitor (BAM), CAGE assessments, Ohio Outcomes Form to monitor Social Determents of Health and to monitor treatment outcomes and trigger needed referrals.
• Provides services to clients as related to social determinants of health including, but not limited to:
• Housing/neighborhood/environmental needs
• Social supports/community and peer needs
• Economic needs
• Education and vocational needs
• Regularly monitors client status and service utilization to ensure that appropriate level of care is maintained.
• Works with clients to develop individualized treatment plans and performs treatment plan reviews and updates.
• Communicates vital treatment information from external providers to The Centers’ treatment team in order to coordinate client care.
• Works on a multidisciplinary service team, in collaboration with nurses, physicians, and pharmacists to achieve positive client health outcomes.
• Actively assists clients in obtaining and maintaining comprehensive healthcare.
• Attends medical appointments with clients as needed. Transports and/or accompanies clients to appointments as needed.
• Provides ongoing communication to client, healthcare teams, and client’s support network to ensure follow-up and coordinated treatment.
• Performs basic administrative tasks related to the job, which includes but not limited to:
• completion of clinical records, forms and reports
• completion and posting of progress notes within 72 hours of service
• Performs other related duties as assigned.