Position Summary:

Responsible for ensuring that clients receive the individual range of medical care and other comprehensive services necessary to optimize each client's substance use, mental health, and health outcomes.

Essential Job Functions:

Maintain and demonstrates a comprehensive understanding of the Behavioral Healthcare Home model and treatment principles. Participates as member of the treatment team by implementing the therapeutic community concepts. Serves as part of the case management team. Ensure HMIS data is collected and available for data entry in a timely manner.  Enter the HMIS data into the system as required. Participates in agency Case Management activities and completes case management tasks as indicated.  Develop an array of resources such as medical,  housing, employment, educational, financial, public entitlement,  parenting and other resources that meet the needs of clients and builds and maintains working relationships with resource providers, Conduct case management assessments, develop client case management plan with input of client, and incorporate this plan into the client’s master .treatment plan. Facilitates the case management plan, providing transportation to and from appointments, accompanying clients on appointments; obtaining outcomes of appointment  by arranging for the procurement of medical and other records/documents, obtaining prescriptions and lab work and other tasks. Ensures that the medical team (physician, nurses, and psychologist) review clients' off site medical care, including appointment outcomes, new prescriptions, lab and other appointment. Oversees clients' medication management using agency protocols.  Monitors that prescriptions and other medications are filled or purchased using established protocols. Ensures that prescriptions are renewed on time.  Checks medication logs to for errors and reports any errors to medical team. Ensures that funder requirements related to Communicable Disease testing an immunization are completed and compliant with timelines. Coordinate services provided by ancillary agencies; coordinate and participate in treatment planning and reviews with the entire treatment team; consult with each patient concerning attainment of case management plan goals and objectives. Evaluate each client’s need and eligibility for public or other entitlements Assist with facilitation of the health insurance application and enrollment process for eligible uninsured clients; and assist client in accessing all eligible entitlements. Evaluate each client’s documentation of personal identification, immigration status and legal status and assist client in obtaining relevant documentation. Evaluate client’s level of life skills and functioning and provide individual and group counseling training/education in areas of need. Assist medical and other staff in securing health care and medications required by each client. Provide oversight of the healthcare plan. Evaluate client’s level of life skills and functioning and provide training/education in areas of need. Participates in discharge planning assisting each client in securing stable, safe post-discharge housing; securing a stable source of income, including assisting each client in securing employment or public entitlements; Identifying and developing a workable plan to ensure that the client’s medical, child care, legal and other areas of need are met after discharge. Assist clients in planning finances securing and understanding bank accounts and other financially-related areas. Maintains accurate documentation of client case management activities. Along with primary therapist, assure implementation of behavioral management strategies. Attend and participated in training activities, staff meetings, and supervisory sessions. Serves as member of Quality Improvement Team and conducts assigned quality improvement activities. Other assignments requested by Supervisor.