Qualified Professional Case Manager

Job Description

Job Description

Benefits:

• Life
• Dental insurance
• Health insurance
• Vision insurance

• Pay is based on education and experience

Psychiatric Residential Treatment Facilities (PRTFs) provide non-acute inpatient facility care for NC Medicaid (Medicaid) beneficiaries under 21 years of age, and NC Health Choice (NCHC) beneficiaries ages 6 through 18 years of age who have a mental illness or a substance use disorder and need 24-hour supervision and specialized interventions. The primary role of this position is to provide case management services to children/adolescents in the PRTF setting to ensure they receive services appropriate to their needs, and continuity of care.

The QP, in addition to participating in treatment team planning and assistance with PCP development, works with the person receiving services and his/her family to follow-up on progress/lack of progress in meeting treatment goals. The QP assists the clinical team with arranging and providing psychoeducation as indicated in the Person-Centered Plan; assists in monitoring and evaluating the effectiveness of interventions, as evidenced by symptom reduction and progress toward goals identified in PCP, this includes telephone time and collateral contacts to persons who assist the recipient in meeting his/her goals specified in the Person-Centered Plan. The QP assists and supports the person served in developing critical daily living and coping skills. Other responsibilities include, but are not limited to, advocating on the behalf of the person receiving services, documentation of progress notes, oversight in implementation of the interventions identified in the PCP and other duties as assigned. Interventions are strength-based and focused on promoting recovery, symptom reduction, increased coping skills, and achievement of the highest level of stabilization.

The Case Manager will develop, strengthen, and maintain a direct working relationship with mental health professionals, community agencies and the childs/ adolescents own support system. The individual that functions in this role must be able to effectively maintain required records and documentation.

JOB DUTIES AND RESPONSIBILITIES
Essential Functions, include but are not limited to the following:
The Case Manager will:

• Identify strengths, limitations, risk factors, and needs, and to refer and coordinate the provision of concrete services to the child/adolescent/family.
• Complete all non-clinical intake paperwork for case management services according to agency policy and procedure, including but not limited to appropriate releases of information, confidentiality form, PCP, Non-Clinical Assessment/Case
• Management Assessment (if appropriate), updated case plan, CFT notes, etc. This includes the gathering of historical and relevant background information, past records (medical, school and legal, etc.) for the case file, and court.
• Maintain face-to-face and telephone contact with each assigned consumer/family.
• Track dates and attend court with prepared documentation. Assist with notification of all appropriate parties to attend court and all appropriate staffing.
• Arrange visitation schedule structured upon the completed visitation plan with input from the appropriate parties, supervise visitations and document observations as appropriate.
• Notify the biological parents/ legal guardians of any changes in status, placement, medical & clinical treatment, etc., relative to the child.
• Assist direct care staff in implementing tasks and activities according to the case plan.
• Intervene and assist direct care staff in crisis situations.
• Refer the child, as appropriate, for medical care, including developmental, psychiatric, medical evaluations, treatment, etc.
• Assist in the provision of appropriate information when applicable and accompany children to appointments, as necessary, to report progress or lack thereof.
• Complete IRIS Reports and abide by Incident Reporting policy and procedures as applicable.
• Develop and maintain appropriate documentation and concurrent planning in accordance with PSOC policy and procedures.
• Participate in on-call system per agency policy and procedures, if applicable.
• Attend and participate in staffing reviews, administrative reviews/staffing, judicial reviews, permanency staffing, school staffing, CFT meetings, etc.
• Attend and participate in professional development training for professional growth as developed by PSOC, and other state mandated trainings.
• Attend Mandatory trainings as required.
• Other duties as assigned.

SECONDARY RESPONSIBILITIES:
1. Maintain established caseload productivity requirements and established standards for direct client contact.
2. Maintain client confidentiality according to established policies, federal and state statutes, as evidenced by obtaining needed releases of information and maintaining updated releases of information.
3. Provide complete documentation for services rendered within established time frames, including progress notes, PCPs, and other required documentation.
4. Complete assigned paperwork in compliance with standards, including time sheets, leave requests, clients records, client appointments and management information system.
5. Provide quality services to clients as evidenced by assessment of services and the quality improvement system.
6. Other duties as assigned.

QUALIFICATIONS

Bachelors degree in Human Service field with 2 years full-time, post-bachelors degree accumulated MH/DD/SAS experience with population, OR
Bachelors degree in field other than Human Services with 4 years full-time, post bachelors degree accumulated MH/DD/SAS experience with population, OR
An individual who holds a license of Registered Nurse (RN) in North Carolina, and also has 4 years experience with MH/DD/SAS population. The QP function may be completed by a Certified Clinical Addiction Specialist (CCAS) or Certified Clinical Supervisor (CCS), OR
Masters degree in Human Services field and has 1 year of full time post-graduate degree accumulated MH/DD/SAS experience with population.

Qualified Professionals are trained in and provide only the aspects of the practices or models that do not require licensure and are within the scope of their education, training, and expertise.

TRAINING and COMPETENCY REQUIREMENTS:

1. CPR/First Aid, including Seizure Management
2. Confidentiality/HIPAA
3. Client Rights
4. Medication Administration, if applicable for job specific duties
5. Person-Centered Thinking, including Medical Necessity, Service Orders/ Authorizations, and Admission/Discharge Criteria
6. Blood Borne Pathogens/Infectious Disease
7. Cultural Diversity/Sensitivity/Competency
8. Workplace Safety
9. Specialized Training (i.e. Service Definitions and Crisis Response)
10. EBPI
11. Other state or LME required trainings specific to the role of a Qualified Professional

Note: Some training requirements/objectives may be satisfied by level of competency according to professional education, attainment of licensure, and continuing education. These are subject to review and approval by the state, LME, and/or Premier Service of Carolina, Inc.

Work Environment

This job involves both administrative and clinical duties that require willingness to work in an office setting and occasionally within the community. Work performed outside of the office may involve exposure to cigarette smoke, domestic animals/pets, household pests, uncomfortable heating/cooling, and other issues related to the domestic location in which service is delivered.

Note: This job description does not list all your job duties. The position description and job requirements above have been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or to be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to the subject position. To perform this job successfully, an individual must be able to perform each job satisfactorily. Occasionally your supervisor or manager might request that you perform other reasonable duties. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Review of your performance is based on your performance of the duties listed in this Job Description at any time. This Job Description is not a contract for employment. Therefore, either you or Premier Service of Carolina, Inc may terminate the employment relationship at any time, for any reason, with or without notice, with or without cause.