Targeted Case Manager - Cherokee, United States - Cherokee Indian Hospital Authority

Description

Job Description

Job Title: Targeted Case Manager

Job Code: TCM

Department: Cherokee Central Schools

Division: Behavioral Health

Salary Level: Exempt 1

Reports to: Targeted Case Manager Supervisor

Last Revised: February 2022

Job Summary

Targeted Case Manager serves individuals with mental health and substance abuse disorders who require assistance to gain access to necessary care: medical, behavioral, social, and other services appropriate to their needs. Services include case management assessment; person centered planning, referral and linkage, monitoring and follow-up. The Targeted Case Manager will follow specific policies and procedures for the Family Safety Program and Family Intensive Treatment.

Essential Duties and Responsibilities

Direct Service Duties

• Provide the following case management functions according to CIHA policy: case management assessment; person centered planning; referral and linkage; and monitoring and follow-up.
• Provides documentation of all treatment and clinically significant events in Electronic Health Record as prescribed by CIHA policies and procedures and quality assurance standards.
• When assigned to provide services for adults, or for children and families, the employee will fulfill duties as outlined in CIHA policy and procedure related to the specific population served.
• Gather and document necessary information including medical, physical and functional, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas.
• Develop a person-centered treatment plan which incorporates what important to and for the client, and which is geared to achieve clinical outcomes.
• Provide timely information to treatment team members regarding client status, progress and safety. Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention.
• Collaborate with the medical staff and other health professional/agencies to facilitate patient care, discharge and follow-up.
• Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention.
• Collaborate with medical staff and other health professional/agencies to facilitate patient care, discharge and follow-up.
• Provide consultation to patient and family in matters directly related to patients' limitations, finances, adjustments to medical condition and ongoing treatment.
• Develop and implement discharge plans, follow-up care, and transfers to other behavioral health facilities as appropriate.
• Implement and follow the provisions contained in all applicable privacy/confidentiality policies, procedures, and practices for maintenance and release of patient records and clinical information including EBCI CIHA, HIS, DHHS, HIPPA, JCAHO, CFR 42, or other licensing bodies.
• Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of client data, and formulating changes to the treatment plan.
• Participate in meetings to review and identify opportunities to improve the program and treatment provided, and recommend corrective action when problems are identified.
• Assists with changes in CIHA/Analenisgi policy and procedure, as needed.
• Provide written, telephone, and face to face consultation services to various persons and organizations which affect the patient. These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services and community agencies.
• Represents CIHA at regular team meetings for progress review and during emergency meetings dealing with high-risk situations.
• Participate in community planning and implementation of programs to help resolve such complex issues as improving coordination of services or developing programs to serve the community.
• Collect and report on data necessary for client care according to procedure and as directed by supervisor.
• Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops.
• This position may be is expected to provide sufficient billable/reimbursable Targeted Case Management services to achieve the productivity standard established for areas of responsibility if needed. this position. Standard is may be based on "actual minutes" billable/reimbursable hours of service provided, divided by available hours in a given period.
• Effectively utilize an electronic medical record and other software required for operations in the CIHA system.
• This position may require support to care coordinators as defined by standards set for specific populations.
• Other duties as assigned.

Education/Experience/Minimum Qualifications

"Qualified Professional" means within the mh/dd/sas system of care:

• Individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience in mh/dd/sa with the population served; or
• Graduate of a college or university with a Master's degree in a human service field and has one year of full-time, pre or post-graduate degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has one year of full-time, pre or post-graduate degree accumulated supervised experience in alcoholism and drug abuse counseling; or
• Graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, pre or post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has two years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; or
• Graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, pre or post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has four years of full-time, pre or post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.

This category includes Substance Abuse Professional, Certified Alcohol and Drug Counselors (CDAC), Certified Clinical Supervisor (CCS), Licensed Clinical Additions Specialist (LCAS) *

• Must possess valid drivers' license.
• Specific experience working with Native Americans preferred.

Job Knowledge

• Knowledge of population served.
• Knowledge of Cherokee culture preferred.
• Skilled in establishing rapport with a patient and in applying techniques of assessing psychological, behavioral, and psychosocial aspects of patients problems.
• Ability to establish and maintain effective working relationships with members of caseload and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community.
• Ability to express ideas clearly and concisely and to plan and execute work effectively.
• Knowledge of crises intervention with individuals and families experiencing acute episodes of distress.
• Originality and initiative are required in the daily performance of tasks.
• Knowledge of principles, techniques, and practices, and their application to complex casework, group work, and community problems.
• Knowledge of a wide range of medical, behavioral and psychosocial problems and linkage to treatment.
• Knowledge of governmental and private organizations and resources in the community.
• Knowledge of the laws, regulations, and policies, which govern the program.
• Knowledge impact of the mental illness on patient's ability to negotiate treatment recommendations, current treatment approaches, modalities of care, and substance abuse and other programs or services available to patients.
• Willingness learn more about Cherokee culture/population and to have considerations for this when identified.

Complexity of Duties

This position is responsible for assisting in maximizing the available resources that best meets the constantly changing needs of the community. Must have the ability to interpret policy, laws and regulations in order to make decisions when a precedent is not available. Duties require the application of clinical judgment and problem solving skills in order to be effective. Judgment often involves decisions that may have life or death results. At times may be dealing with individuals who are highly agitated, emotional, or out of touch with reality.

Supervision Received

Works under the direct guidance of the Integrated Classroom Supervisor, Child Services Manager, and/or Behavioral Health Clinical Director where goals, objectives, policies, and procedures are well defined. Works independently within applicable licensing regulations where latitude for creative thinking, initiative and discretion are given to achieve department goals and objectives.

Responsibility for Accuracy

Errors should be identified and corrected in a timely manner Failure to properly document, convey or interpret clinical data can adversely impact client care. Ineffective health planning could have adverse effects on the health status of the community by limiting access to necessary resources. Accuracy of data and research is critical in the allocation of tribal resources. Employee is responsible for adherence to policy and procedure. Inappropriate actions or inaccuracies in judgment could result in improper diagnosis and treatment, serious liability for CIHA, or more serious health risks to patients.

Contacts with Others

Interacts frequently with coworkers, hospital staff, patients, stakeholders and other health professionals for the purpose of exchanging information, obtaining, or providing assistance. Serves on various local, community, and health committees, boards and advisory councils, as appropriate. Tact, courtesy, and professional conduct are required to maintain positive working relationships. Utmost sensitivity and confidentiality is required when dealing with patients and families.

Confidential Data

The provision of medical care requires that the incumbent maintain strict appropriate confidentiality regarding all patient information. The employee will have access to patient records and highly confidential information and must function with utmost integrity to safe guard this information. The employee complies with EBCI policy on confidentiality of patient records, Cherokee Indian Hospital Authority Confidentiality policy, HIPAA, and other federal law requirements. Violations of confidentiality regulations may result in disciplinary action and other action as allowed by federal regulations.

Emergency Privileges

In the case of an emergency, any member of the Medical Staff, to the degree permitted by his/her license shall be permitted to do everything possible to save a patient's life or save a patient from serious harm, regardless of the individual's clinical privileges. This shall be defined as those situations in which a delay could result in serious harm or death and in which a more qualified member is not immediately available.

Mental/Visual/Physical Environment

Job duties can be mentally and emotionally stressful at times given the complexity of the duties, management and supervision of staff and the clinical areas being addressed with the people being served. Close mental concentration and attention to detail are required. Physical activities require the ability to be mobile, sit, reach, bend, and be in front of groups and deliver training for extended periods of time. Some physical exertion and stamina is required such as required to transport training materials or to travel. Must have visual acuity, manual dexterity, and the ability to speak and hear. Must be able to lift 30 lbs.

• Position requires: stand (under 1/3 time); walk (under 1/3 time); sit (to 2/3 time); talk or hear (over 2/3 time).
• Weight lifted or force exerted: none.
• Special vision requirements: Close vision (clear vision at 20 inches or less).

Work Environment

The employee works primarily at Cherokee Central School with occasional service provisions in a hospital, inpatient or outpatient clinical environment but may be required to work at other offices and locations as needed. The work environment involves moderate risks of exposure to infectious disease, radiation, electrical hazards, irritant, chemical and explosive gases. Employee must strictly adhere to OSHA guidelines and protocol for maintaining sterile conditions. Some travel is required. Infrequent overnight travel may be required for meetings or to attend training.

Customer Service

Consistently demonstrates superior customer service to patients/customers by displaying Culture of Caring behaviors and skills. Ensure excellent customer service is provided to all patients/customers by seeking out opportunities to be of service.