Targeted Case Manager - Adult

Sweetser; Saco (ME); On-site; USD 30,000 - 33,000; Full time

Benefits offered by this job

Health insurance

Dental/vision insurance

HSA/FSA options

Employer-paid life insurance

Disability coverage

EAP

403(b) retirement plan

Paid time off

Paid holidays

Floating day

Paid Family Leave

Employee discount

Mileage reimbursement

Tuition assistance

PSLF program

Professional development

Job summary

Sweetser seeks a Targeted Case Manager in Maine to support individuals and families within a Certified Community Behavioral Health Center (CCBHC). You will conduct assessments, coordinate care, and connect clients to health and social services, while documenting thoroughly in the EHR.

You'll work with an interdisciplinary team to support care transitions, promote wellness, and aid clients in maintaining health insurance and housing where needed.

Qualifications

• Bachelor's degree or higher in Human Services or related field.
• MHRTc certification or eligibility is preferred.
• Experience in primary care or behavioral health settings strongly encouraged.

Responsibilities

• Conduct assessments with participants and guardians for health, mental health, and social service needs.
• Provide information on primary and emergency care and explore alternatives to hospitalization.
• Coordinate and monitor the Individual Treatment Plan with the integrated team.
• Determine appropriate level of care using evidence-based screening tools.
• Provide care coordination to respond to changes in needs and follow up.
• Refer participants to behavioral health, medical, housing, food, and basic needs resources.
• Be available for in-person coverage at the CCBHC walk-in center.
• Assist in wellness planning and self-management of chronic conditions.

Skills

Case management

Outreach

Health education

Interdisciplinary teamwork

EHR documentation

Education

Bachelor's degree in Human Services

Tools

EHR systems

Care coordination tools

Job description

Becoming part of the Sweetser family means you can make a difference in the lives of Maine children, adults, and families every day. As a nationally recognized and accredited leader, we offer competitive salaries, a wide range of benefits and the opportunity to join a passionate team of more than 700 employees.

Hourly Rate: $22.00 - $24.00 dependent upon experience

The Targeted Case Manager may function at the initial entry point of the care continuum within the Certified Community Behavioral Health Center (CCBHC) by providing outreach, case management, and information about the health care system in general and at care transition points between health care agencies (i.e. emergency department/inpatient unit to community services). Ongoing care includes providing health education/health promotion in partnership with other members of the Interdisciplinary Team. Integrated behavioral health care is the systematic coordination of physical and behavioral health care.

Sweetser has been voted the #1 Mental Health Nonprofit in Sanford/Springvale by the Best of Surveys!

ESSENTIAL FUNCTIONS:

• Conduct assessments of participants with their guardian and/or natural supports for physical health, mental health, and social service needs.
• Provide information on the importance, availability and appropriate use of primary and emergency care. Assist in the exploration of less restrictive alternatives to hospitalization.
• Assist the integrated team with the coordination and monitoring to ensure that the Individual Treatment Plan (ITP) is effectively implemented and adequately addresses the needs of the person.
• Determine appropriate level of care using evidenced based screening tools.
• Provides primary care coordination activities as a part of the CCBHC monitoring and follow-up, including adapting supports, treatment plans, crisis plans, and/or Psychiatric Advance Directives as needed to respond to changes in the needs and preferences of individuals being served.
• Refer participants to other services and resources including, but not limited to, other behavioral health and/or medical services, housing, food, clothing and other basic needs.
• Be available to provide in person coverage and supports to the CCBHC walk-in center.
• Participate in the development of a wellness plan for self-management of chronic conditions and for coordinating services, provide assistance to Integrated Behavioral Health patients to help them achieve their wellness goals through a variety of activities such as accompanying them to appointments or supporting them in these activities as needed.
• Assist in obtaining or maintaining health insurance, assist them in applying for health insurance through application assistance and follow-up to ensure they obtain any insurance for which they qualify.
• Assist in determining whether participants have or are eligible for housing, assist them in applying for housing through applications, available resources, and assist in the follow-up to ensure they qualify.
• Participate in crisis intervention, resolution and follow-up services.
• Proficient in electronic health records (EHR). Document services by entering participant data into (EHR), complying with all organization, state, and federal documentation requirements.
• Facilitate active and timely communication among the members of the CCBHC team.
• Facilitate transportation to and from medical appointments and other community integration activities as needed.

EDUCATION:

• Successfully complete an orientation and training program in wellness case management/advocacy that includes support for assisting patients with making life changes to help them self-manage and/or improve their chronic condition(s).
• Bachelor's degree (B. A.) from four-year college or university in Human Services in psychology, mental health and human services, behavioral health, behavioral sciences, social work, human development, special education, counseling, rehabilitation, sociology, nursing or closely related field, preferred, but not required.

CERTIFICATES, LICENSES, REGISTRATIONS:

• Maintain a valid state driver's license.
• MHRTc Certified or eligible.

EXPERIENCE:

• Experience working in or with a primary care clinic with medical staff strongly encouraged.
• Persons with lived experience in the Mental Health and/or Substance Abuse system are encouraged to apply.

KNOWLEDGE & SKILLS:

• Knowledge in some or all of the following areas: Child development, family systems, special education, mental health, developmental delays, juvenile justice system.
• Skills in being well organized, able to independently prioritize workload, and having excellent interpersonal skills.
• Medical/dental/vision insurance and HSA/FSA optionswith generous employer contributions
• Employer-paid life insurance and disability coverage
• Employee Assistance Program (EAP) for employees andhousehold members
• 403(b) retirement plan with employer match
• Generous paid time off, paid holidays, and float day
• Paid Family and Medical Leave
• Employee discount program
• Milage reimbursement, applicable incentive anddifferential pay programs
• Eligibility for annual increases and referral bonuses
• Tuition reimbursement and educational partnershipdiscounts
• 30% tuition discount for UNE's Online GraduatePrograms
• Public Service Loan Forgiveness(PSLF) Program
• Free professional development and trainingopportunities through the Sweetser Training Institute