OBJECTIVE/OVERVIEW
Case Management is defined in State Statute as providing coordination and access to services required by people experiencing serious and persistent mental illness (SPMI, adults) or serious emotional disturbance (SED children). The clinic has a contract with Hennepin County and various Managed Care Organizations to provide these services to eligible patients who reside in Hennepin County.   The scope of the work and the requirements for supervision of the work is found in MN. Statute and in the MN. Health Care Provider Manual published by the Dept. of Human Services.

REPORTING RELATIONSHIPS:
This position reports to a Behavioral Health Program Manager

ESSENTIAL FUNCTIONS & PERCENTAGE FOR EACH FUNCTION:

1. Provide adult or child case management services   100%
Assessment:
1. Gather information to identify the recipient’s functioning level and need for services in all domains.
2. Complete and regularly review the written functional assessment
3. Routinely contact and monitoring or communicate with the recipient, family members, providers, or other relevant persons about the status of the recipient, the individual service plan or progress in achieving the goals of the service plan.
4. Maintain records related to the recipient’s status and functioning

Expected Outcomes: 
• Accurate understanding of client’s mental illness, strengths and needs.
• Functional Assessment completed with description of current status, description of functioning and link between the functional impairment and mental illness.
• Client readiness to utilize services will be assessed.

Planning:
1. Develop a service plan (Individual Community Support Plan) with the client designed to meet the needs of the client which were identified in the assessment.
2. Develop and revise goals as needed including written service agreements and routine case supervisory activities
3. Receive clinical supervision for identified recipients with SPMI or SED

Expected Outcomes: 
• Tailor planned services to individual needs and preferences.
• Full range of resources will be utilized including natural and professional supports.
• Clients will be discharged when they have met their goals and have sufficient supports in place.

Referral, Coordination, Monitoring:
1. Make effective linkages with natural and social supports as outlined in the ICSP.
2. Monitor client use of services to assure that services are meeting client needs as planned.

Expected Outcomes: 
• Facilitate effective referrals providing support to the client as needed; including arranging and/or providing transportation to clients when appropriate.
• Client will have needed financial resources to obtain and utilize the services.
• Ongoing contact between CM and treatment team to monitor client progress on goals.
• Adequate oversight of client services to avoid duplication and gaps in service.

Working Relationship with Client:
1.   Develop relationship and trust in order to support the client in achieving their goals.

Expected Outcomes:
• Demonstrate ability to engage client and develop trust.
• Understand and use the recovery model and motivational interviewing
• Manage role clarification, balancing CM and client roles and responsibilities.
• Demonstrate skills and strategies in working with people with mental illness.


Required Skills:

-Attention to detail and persistence in completing tasks.
-Multi-tasking, organization and prioritization skills.
-High-level communications skills to work with patients, staff, providers, and outside agencies.
-Excellent customer service skills.
-Willingness to work with patients and staff from diverse cultures, languages, and backgrounds.
-Capacity to work on a team and make positive contributions to the team.