CARE MANAGER

GENERAL SUMMARY
Provides direct services for consumers and completes associated case management documentation for the consumer and program. Works within a multidisciplinary team to provide an array of direct (face-to-face) and indirect clinical services to adults in a person-centered, trauma informed, individualized focused approach utilizing evidenced-based practices delivered with fidelity. These services are delivered in multiple settings including field-based services (individual’s home or other identified locations) and clinic-based services. Individuals served may have multi-system involvement such is Criminal Justice, Child and Adult Welfare, Veterans, Homelessness, etc.

ESSENTIAL DUTIES & RESPONSIBILITIES
Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation. The list of essential functions, as outlined herein, is intended to be representative of the tasks performed within this classification. The omission of a function does not preclude management from assigning essential duties not listed herein if such duties relate to the position.

• Completes indirect support activities including documentation, correspondence, death review packets, and prescription assistance consultations.
• Conducts assessments and develops treatment plans for consumers.
• Documents all clinical interactions and updates in electronic medical record and other required platforms.
• Ensures clinical documentation is submitted in accordance with CHCS standards, and contract specific requirements and complies with Quality Improvement Processes.
• Participates in supervision and development opportunities including individual/group supervision, and meetings/trainings as assigned.
• Provides case management support and various activities including care coordination, direct services, discharge planning, referrals, linkage and transition to next level of care, emergency case management assistance as needed, psychosocial rehabilitation services (individual or group), recovery planning, resource development and cross collaboration with interdisciplinary teams.
• Provides direct individualized clinical services at a designated percentage of hours worked assigned by the business unit.
• Supports CHCS No Show Efforts by utilizing appropriate scheduling and communication tools.
• Performs other related duties as required.

SPECIFIC PROGRAM DESCRIPTIONS

• Adult Services – Outpatient – The position works in the Outpatient programs and among the various adult facility locations. Services in this program include individual and group outpatient services for adults, which includes Crisis Services, Medication Management, Psychosocial Rehabilitation, Case Management, Skills Training, Complex Services. Other programs include Substance Use Disorder and Criminal Justice.
• Adult Crisis Services – The position works in the Adult Crisis Unit or the Josephine Recovery Center. Services in the unit include emergency and planned crisis care for adults ages 18 and over who have a behavioral health diagnosis or need. The Adult Crisis Unit program provides meals, medication monitoring, supervised recreation, skills training, community referrals, and 24-hour supervision in a secure environment. The Josephine Recovery Center is a crisis respite step-down program that provides medication stabilization and discharge planning. In addition to these sites, CHCS operates a Mobile Crisis Outreach Team (MCOT), a resource designed to bring a crisis worker into the community to provide a face-to-face assessment and intervention, follow-up and relapse prevention services.
• Program for Intensive Care Coordination (PICC) – is a multidisciplinary mental health team in partnership with San Antonio Police Mental Health Unit (SAPD), San Antonio Fire Department (SAFD) and The Southwest Texas Regional Advisory Council (STRAC). The team consists of mental health professionals, mental health officers and medic. As part of this team, an approach was created in effort to reduce emergency detentions and the subsequent use of emergency and inpatient services by providing ongoing engagement and wraparound care tailored specifically to each patient’s unique needs. This program requires a rotating on call work schedule as well as working on holidays.
• Texas Correctional Office on Offenders with Medical or Mental Impairments (TCOOMMI): Intensive outpatient program for felony probationers and parolees with serious and persistent mental illness (SPMI) and substance use challenges. This program is intended to divert individuals from the criminal justice system. Criminal Justice referrals only.
• Severe and Persistent Mental Illness (SPMI): Serves individuals on Pre-Trial supervision. Program individuals may be eligible to receive case management services, medication management, psychosocial rehabilitation, and substance abuse interventions.
• Court Ordered Treatment (COT): Comprehensive mental health outpatient services court ordered for individuals found not guilty by reason of insanity.
• Outpatient Competency Restoration (OCR): Outpatient services for individuals who have been court ordered to receive competency education because they have been found Incompetent to Stand Trial and have a mental health diagnosis.
• County Court 12 (CC12): Program is comprised of phases in which community, mental health, as well as substance treatment needs are addressed for individuals currently on probation lasting up to one year to further reduce recidivism.
• Assisted Outpatient Treatment (AOT): Civil court-ordered outpatient mental health program for individuals who have severe and persistent mental illness, and have been non-compliant with past psychiatric treatment. Program includes psychiatric medication management, psychosocial rehabilitation services, nursing services, case management and community support services. Community Reintegration: Jail diversion community mental health program that provides immediate assessment for mental health treatment for misdemeanor pre-trial cases to include: psychiatric medication management and comprehensive community support services.
• Mental Health (MH) Court: The Mental Health Court program diverts individuals from jail to comprehensive behavioral health treatment. DDRF: Residential treatment jail diversion program serving adult male and female individuals dually diagnosed with mental health and substance use disorders.
• Justice Intake and Assessment Annex (JIAA): CHCS Clinicians work within the Bexar County’s Justice Intake & Assessment Annex 24/7 to assess arrested individuals with mental health and/or substance use needs. Eligible individuals are given the opportunity to participate in outpatient treatment via a Personal Recognizance (PR) bond release.
• Community Alternatives to Incarceration Program (CAIP): Assists individuals in Felony and misdemeanor drug courts to improve their quality of life and further reduce recidivism by incorporating community based case management services, psychiatric medication management, counseling, and skills training.
• Dual Diagnosis Residential Facility (DDRF): Residential treatment jail diversion program serving adult male and female individuals dually diagnosed with mental health and substance use disorders.
• ACCESS: Provides outpatient mental health services, including medication management and psychosocial rehabilitation for individuals on Parole or Probation working with community supervision officers. Criminal Justice referrals needed.
• PREGNANT PARENTING INTERVENTION: Provides intervention services aimed at reducing the impact, severity, and cost associated with a substance-exposed pregnancy to the mother and child dyad and their families by providing comprehensive case management services, community-based linkage, retention services, and evidenced-based education for mothers with a past and/or present substance use disorder diagnosis and providing support to their families and significant others.

MINIMUM ENTRANCE QUALIFICATIONS
Education and Experience

• Bachelor’s degree from an accredited university or college in a Behavioral Health field such as Social Work, Psychology, Counseling or a related field; or Bachelor’s degree with at least 27 hours of Behavioral Health course work.
• Complete the Qualified Mental Health Professional Community Services (QMHP-CS) within six (6) weeks of hire or transfer.

Licenses or Certifications

• None

Other Requirements

• PICC and SMART Care Managers must pass a CJIS background screening.
• Must maintain a valid driver’s license and automobile insurance coverage, be able to travel as needed, and be able to meet on a consistent basis the driving record requirements of the Company’s auto insurance carrier if you drive your vehicle during company business.
• Must maintain required credentials and mandatory training requirements to ensure compliance with all State regulations and CHCS policies.
• Depending on assigned unit/program, applicants for this position must pass a Criminal Justice Information Systems (CJIS) fingerprint-based background check and maintain CJIS eligibility. Due to CJIS requirements related to system access, the following may result in being disqualified for this position: Felony Convictions, Felony Deferred Adjudication, Class A & B Misdemeanor Deferred Adjudication, Class B Misdemeanor Convictions, an Open Arrest for Any Criminal Offense (Felony or Misdemeanor), and Family Violence Convictions.
• Must be able to meet the physical requirements to complete Nonviolent Crisis Intervention (NCI) and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
• Nonviolent Crisis Intervention (NCI) is a proven safe and harm-free method of behavior modification. All consumer-facing employees of CHCS must take NCI courses facilitated by the CHCS Training team within the first 45 days of employment.
• NCI is intended to support human service professionals in giving aggressive, disruptive, or out-of-control people the best care and welfare possible, even in the most violent situation.
• NCI training provides staff with the skills to safely recognize and respond to everyday crisis situations that may involve more challenging behaviors. It focuses on prevention and offers proven strategies for safely defusing anxious, hostile or violent behavior at the earliest possible stage.

PREFERRED QUALIFICATIONS

• One (1) year experience providing similar services.
• Prior experience with or knowledge of trauma-informed care, crisis intervention and emergency services.
• Bilingual (English/Spanish) preferred. Language Proficiency Pay (LPP) payments are subject to successful testing, certification by CHCS Payroll, and availability of funding. Funding may be renewed in subsequent fiscal years but is not guaranteed.

SUPERVISION

• Job has no responsibility for the direction or supervision of others.

COMPETENCIES FOR SUCCESSFUL PERFORMANCE OF JOB DUTIES
Knowledge of:

• Applicable software applications
• Center for Health Care Services Safety Administrative Directives
• Community resources
• Electronic Medical Records
• Medical terminology
• Modern office procedures, methods and computer equipment
• Requirements of Medicaid and other funding resources

Skilled in:

• Case management principles
• Customer service
• Organization and time management.
• Performing a variety of duties, often changing from one task to another of a different nature.
• Performing basic mathematical functions such as addition, subtraction, multiplication, division, percentages, and ratios.

Ability to:

• Accurately organize and maintain paper documents and electronic files.
• Complete and submit required documentation.
• Effectively communicate, both verbally and in writing.
• Ensure compliance with all State regulations and CHCS policies.
• Establish and maintain effective working relationships.
• Maintain accurate and complete records.
• Maintain the confidentiality of information and professional boundaries.
• Meet schedules and deadlines of the work.
• Understand and carry out oral and written directions.

PHYSICAL DEMANDS
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must be able to meet the physical requirements to complete NCI and CPR training including lifting up to 12 lbs. and supporting up to 55 lbs.; bending, stooping and getting on and off the floor without assistance.
• Must have adequate mobility that requires frequent walking, standing, bending, stooping, kneeling, reaching (vertical and horizontal), using fingers, hands, feet, legs and torso in various care.
• The position requires occasional transport of a consumer.