Peer Case Manager- CTI Program

Main Street Direct; City of Ogdensburg (NY); On-site; USD 42,000 - 62,000; Full time

Job summary

Main Street Direct seeks a Peer Care Manager to deliver CTI services from a lived-experience perspective. You will develop person-centered care plans, connect individuals to community resources, and help them navigate health and behavioral health systems.

Based in New York, the role requires participating in weekly case presentations, collaborating with a multi-disciplinary team, and being part of after-hours on-call coverage while maintaining client confidentiality.

Qualifications

• Must be at least 18 years old with a high-school diploma or equivalent.
• At least six months of direct care experience with individuals with serious mental illness.
• Certified Peer Specialist certification within six months of hire or willingness to obtain.

Responsibilities

• Provide care coordination for a maximum of 15 individuals.
• Develop person-centered care plans and link patients to supports in the community.
• Engage individuals in skills-building and crisis prevention services.
• Maintain documentation in the electronic health record per policy.
• Participate in weekly case presentations and CTI learning activities.

Skills

Empathy

Communication

Care coordination

Education

High-school diploma or equivalent

Certified Peer Specialist

Tools

EHR documentation

Job description

SCHEDULE

Full-Time: Monday-Friday 8am-4:30pm, on call required.

Description

Full-Time: Monday-Friday 8am-4:30pm, on call required.

Summary

The Peer Care Manager provides CTI services from a lived- experience and non-clinical perspective, have experienced directly one or more of the following: mental illness, substance use, homelessness or trauma. The Peer Care Manager will develop person-centered care plans, share knowledge of community resources, provide linkage to resources, engage individuals in skill building, offer crisis management, collaborate with other providers, assist individuals in navigating complex systems, and work with informal supports.

Essential Duties and Responsibilities

• Complete all CTI, agency and state required trainings, as assigned.
• Foster a beneficial working relationship with the partnering hospital by attending regular meetings with hospital staff and communicating effectively.
• Provide care coordination services for a maximum of 15 individuals. Link individuals to supports in the community to promote community tenure and management of their behavioral and physical health needs.
• Maintain documentation in the electronic health record according to the requirements of the CTI manual and agency policies and procedures.
• Provide CTI core services to individuals to include: person-centered planning, psychosocial rehabilitative services, crisis prevention services, health services and care coordination services.
• Participate in weekly case presentations to review caseload and provide updates to include an individual’s CTI phase, upcoming transitions in care, completed activities and planned activities for the week.
• Provide reporting data to the Team Lead, including the Implementation Self-Assessment Form.
• Adhere to the guiding principles of the trauma-informed approach (via SAMHSA’s National Center for Trauma-Informed Care).
• Attend case conferences to troubleshoot and problem solve treatment challenges and coordinate care between providers and/or collaterals.
• Assist the Team Lead in maintaining an up-to-date community resources list and necessary information on how to access these resources.
• Participate in CTI Learning Collaborative.
• Participate in the CTI Learning Community. This community is a collaboration with the Office of Mental Health (OMH) to review progress, outcomes and develop best practices for the CTI Team.
• Function as a member of a multi-disciplinary team.
• Must be part of the after-hours on-call rotation.
• Maintain client confidentiality at all times.
• Performs other duties as assigned or that may develop.

Management has the right to add or change the duties of this position at any time.

Requirements

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education And/or Experience

Required: Must be at least 18 years of age, have attained a high-school diploma or equivalent, and at least six (6) months of direct care experience with individuals with serious mental illness. Certified Peer Specialist through nypscb.or or willingness to obtain certification within six (6) months of hire.

Certificates, Licences, Registrations

Must maintain valid driver’s license and acceptable driving record.