Care Manager- Hospital- ACS

## Care Manager RVBHH

**Job Summary:**

This position will focus on provision of person-centered services and comprehensive care management including planning and coordination of all physical, behavioral and support services to increase independent living skills and positive community involvement for enrolled participants.

**Essential Functions:**

• Comprehensive Care Management, Community Support Services and Coordination: Provides comprehensive care management and planning and coordination of all physical, behavioral, and support services for identified members as evidenced by:
• Assisting in the development of and functioning as the coordinator of the comprehensive treatment/service plan in a manner that is person-centered and meets both agency and regulatory expectations.
• Identifying and coordinating services and supports for assigned individuals as indicated by treatment/service plan goals.
• Ensuring members and their identified supports have access to medical, behavioral health, pharmacology, and age appropriate resiliency and recovery support services.
• Delivering health education specific to a member’s chronic conditions.
• Coordinating primary, specialty and transitional health care from ED, hospitals and psychiatric residential treatment facilities.
• Providing individual interventions to develop or enhance an member’s ability to make informed independent choices and increase independent functioning in the community.
• Assisting in development of assigned members’ safety/crisis and self-management plans.
• Demonstrating the ability to recognize and assess suicide potential and risk, physical health risk and provide appropriate responses in emergency/crisis situation.
• Service Team Approach: Participates as an active treatment team member serving individuals with behavioral and/or physical health issues as evidenced by:
• Demonstrating the ability to recognize and identify symptoms of mental illness and substance use.
• Demonstrating the ability to identify issues/symptoms associated with physical health issues and chronic medical conditions.
• Participating as a member of a multi-disciplinary team approach to treatment and recovery.
• Coordinating with both internal and external providers regarding service provision.
• Performs appropriate core services of the Health Home.
• Outreach, Engagement, Follow-Up: Provides comprehensive outreach, engagement, and follow up to assigned individuals as evidenced by:
• Providing comprehensive outreach and follow up to all assigned individuals including contact attempts over the phone, in-person, in the home etc.
• Demonstrating the ability to engage and develop rapport with individuals presenting with a variety of symptoms/presentations.
• Cultural Competence and Diversity: Provides culturally appropriate services to diverse populations as evidenced by:
• Providing services that are person-centered.
• Providing services that are culturally relevant.
• Providing a non-judgmental, open, and welcoming approach to diverse populations.
• Documentation: Completes documentation that meets identified expectations as evidenced by:
• Documenting all services provided within expected time frames.
• Documenting all services provided in a manner that meets service definitions, regulatory standards, and agency expectations.
• Documenting all services provided in a manner that is person-centered and meets quality improvement goals.
• Efficiency and Productivity: Consistently meeting established productivity standards as evidenced by:
• Demonstrating excellent organizational skills.
• Demonstrating effective use of time management techniques.
• Demonstrating the use of effective engagement skills.
• Consistently meeting established productivity standards.
• Staff Development Activities: Participates in staff development activities to increase skills and professional development as evidenced by:
• Participating in and completing all required trainings in an accurate and timely manner.
• Identifying and requesting training or skill enhancement opportunities.
• Engaging in cross-training activities with other team members.
• Attending and participating in supervision sessions and demonstrating the ability to apply supervisory recommendations to work performance.
• Other: Completes other administrative support duties and special projects as developed and assigned.

## Bachelor's Degree
**Education and Experience:**

• Master’s Degree in a human services related field OR
• Bachelor’s degree in a human services related field and 1 year relevant experience working with the target population required

**Knowledge and Skills:**

• Ability to manage time to meet all deadlines.
• Ability to recognize and identify symptoms of mental illness and suicide and risk potential and respond appropriately.
• Good verbal and written skills.
• Valid driver’s license