Case Manager, Adult Mental Health - Charlottesville

General Statement Of Responsibilities

This is a FLSA non‑exempt position. The incumbent is responsible for providing case management services to individuals over the age of 18 years old with a primary diagnosis of serious mental illness. This includes assessing service needs; developing plans for access to services; liaison with client, families, programs, and service providers; ongoing monitoring of client service needs; advocacy; and consultation and education to clients, families and community.

• Assess client service needs, capabilities, and appropriateness for services; present options and services based upon a targeted needs assessment and DLA‑20.
• Develop the individual service plan of care and services appropriate to the evaluation with the client/family consensus; review and update service plans.
• Upon assignment, the Adult MH Case Manager will schedule/complete a preliminary ISP with the client.
• Once an ISP Preliminary has been completed, the Adult MH Case Manager will verify the Consumer’s insurance via Virginia Medicaid Web Portal and then enter the appropriate Authorization request.
• Will complete the services listed in the Credible Admission Form Groups for newly referred/assigned clients.
• Will work toward the electronic completion of releases of information for newly referred clients, to include the following:
  • Emergency contact/next of kin/spouse/partner
  • Primary Care Physician and/or any Specialty Physicians
  • Social Security Administration
  • Department of Social Services
  • Property Manager
  • Charlottesville Commissioner (city of Charlottesville residents only).
  • Legal Guardian
  • Representative Payee
  • Adult Probation Officer
  • Individualized Therapist
  • Legal Aide/Legal Aide Justice Center
  • Preferred Hospital
• Timely completion of a Targeted Case Management Assessment (TCM) and an Individualized Service Plan (ISP).
• Timely completion of Credible Annual Form Groups, to include the following:
  • Annual Acknowledgement
  • PCP Notification
  • Primary Care Screening Choice
  • Auth Rep
  • AR for Medicaid
  • Medicaid Spenddown ROI
  • Release of Information
  • Communication Preference
  • TCM Assessment
  • Case Management Crisis Plan CCS
  • ISP Meeting
  • MH Targeted Case Management face‑to‑face entry
• Timely documentation of an Individualized Service Plan Review.
• Makes referrals and linkages to appropriate agencies for services; coordinates client MH and/or SA services and treatment with multiple service providers and agencies.
• Evaluates the quality of services provided and changes in the client’s condition and counsels the clients as necessary; evaluates client’s environments for safety, security, negative factors and productivity; complies and analyzes data relating to complaints; identifies and works to resolve problems.
• Serves as liaison to public agencies and provides information regarding Authority programs and services.
• Attends integrated team meetings to discuss decisions for client plan of care; provides or arranges transportation; assist with discharge planning.
• Prepares a variety of reports; prepares and maintains client EHR (electronic health record).
• Attends meetings, staffing’s, and conferences as they relate to client, staff, and program needs.

• Enhancing community integration through increased opportunities for community access and involvement and creating opportunities to enhance community living skills to promote community adjustment including, to the maximum extent possible, the use of local community resources available to the general public.
• Making collateral contacts with the individual’s significant others with properly authorized releases to promote implementation of the individual’s individualized services plan.
• Assessing needs and planning services to include developing a case management individualized service plan.
• Linking the individual to those community supports that are likely to promote the personal habilitative/rehabilitative and life goals of the individual as developed in the individualized service plan (ISP).
• Assisting the individual directly to locate, develop or obtain needed services, resources and appropriate public benefits.
• Assuring the coordination of services and service planning within a…