Case Manager (ACT) - Community Support Program

The Bridge, Inc.; Northern, New York (KY, NY); Hybrid; USD 52,000 - 76,000; Full time

Job summary

The Bridge, Inc. is seeking an ACT Case Manager to provide intensive, community-based treatment and rehabilitation services to adults with serious mental illness in their homes and communities.

Work as part of a multidisciplinary team, coordinating care with hospitals and community providers, and ensuring timely documentation and robust service planning. A Bachelor's degree is required and Spanish-speaking ability is highly desirable.

Qualifications

• Bachelor's degree is required.
• Minimum of three years of experience with adults with serious mental illness.
• Spanish-speaking ability is desirable.
• Experience with AWARDS by Foothold is a plus.

Responsibilities

• Collaborate with a multi-disciplinary team to provide ACT services.
• Attend daily team meetings to review client plans.
• Deliver the required number of monthly services, with 80% in the community.
• Document thoroughly and timely in client records.
• Coordinate care with hospitals, treatment facilities, and providers.
• Develop and implement psychosocial assessments and service plans.
• Apply evidence-based treatments for mental health and substance use.

Skills

Multidisciplinary teamwork

CBT

Harm reduction

Motivational interviewing

Trauma‑informed care

Education

Bachelor's degree

Tools

AWARDS by Foothold

Job description

The Bridge offers supportive housing and behavioral health services to vulnerable New Yorkers facing behavioral health and substance use challenges. We provide individuals with the tools they need to pursue their dreams and live meaningful lives. The Bridge envisions a world where adults experiencing serious mental illness can live and thrive within their communities. As a recognized leader in developing and operating supportive housing and community-based programs, The Bridge has 70 years of experience helping New Yorkers with mental illness, including those affected by homelessness, incarceration, and institutionalization.

ACT Case Manager provides intensive, community-based treatment, support, and rehabilitation services to individuals in their natural living environments rather than in clinic or hospital settings. Working as part of multidisciplinary team that shares responsibility for client outcomes, the case manager uses assertive engagement to proactively support individuals with serious mental illness. Services are delivered where people live, work, and socialize, with focus on skill building, recovery, housing stability, employment support, family involvement, and wellness self-management to promote community integration and reduce hospitalization.

Essential Position Functions

• Collaborate with a multi-disciplinary team to provide services consistent with the ACT model.
• Participate in daily team meetings to review and plan client services.
• Provide the expected number of services to clients each month, with 80% delivered in the community.
• Complete required documentation in a timely and high-quality manner.
• Work collaboratively with clients, their families, and community partners to assist clients in achieving their treatment and recovery goals.
• Coordinate client care through close involvement with hospitals, substance use treatment facilities, and other providers.
• Complete immediate needs assessments, comprehensive psychosocial assessments, individualized service plans, and crisis/relapse prevention plans.
• Use evidence-based treatments in the areas of mental health and substance use to address client needs (e.g., cognitive behavioral therapy, harm reduction, motivational interviewing, trauma-informed care).
• Provide services to assist clients with needs such as family support, housing, entitlements, employment, education, vocational interests, community integration, and connection to physical health care.
• Provide services to assist clients with needs such as legal advocacy, navigating the criminal justice system, and coordination with legal agencies.

Qualifications

• Bachelor’s degree required.
• Minimum of three years of experience providing services to adults with serious mental illness preferred.
• Must have or be eligible to obtain New York State identification (non-driver ID or driver’s license).
• Knowledge and experience with electronic health records, specifically AWARDS by Foothold, preferred.
• Spanish-speaking ability is highly desirable.

The Bridge Inc. is an Aff