Targeted Case Manager

Location: Greensburg

SUMMARY This is a full-time, non-exempt position primarily responsible for the assessment of client functioning and the development, preparation, and implementation of a comprehensive Targeted Case Management Service Plan. This position will work with both child/transitional age and the adult population. The client age will range from 3 years of age through senior age. The incumbent in this position has a focus on primary human and social service needs surrounding the social determinants of health including housing and vocational/educational goals which requires the TCM Hybrid to have working knowledge of the child, transitional, and adult systems.

Responsible for monitoring all services received by TCM clients, resource development, service linkage, crisis intervention services and client advocacy. Works as an interdisciplinary team member. Work assignments will be discussed at bi-weekly planning meetings. Goals and objectives will be developed, and priority assignments identified. Maintains all TCM records and other relevant paperwork accurately and promptly.

Primary work hours will be Monday through Friday, 8:30am to 4:30pm with a 30-minute lunch (37.5 hours/week) unless otherwise agreed upon. This position requires flexibility to work non-traditional hours, including evening and weekends, to participate in an after-hours on-call rotation, as scheduled, and outreach events and WCSI activities. The TCM Hybrid must be willing to adjust their schedules as needed to support these initiatives.

Compliance:

As with all WCSI positions, it is the expectation that employees adhere to WCSI, County, State and Federal guidelines, regulation, policies, and laws which govern the business and service of WCSI.This position requires the employee to perform their daily job duties and responsibilities in an unstructured work environment.

ESSENTIAL DUTIES AND RESPONSIBILITIES Includes the following, (other duties may be assigned as deemed necessary by management):

Case Management

Activities:

Assess client need utilizing the Environmental Matrix and Strength Based Assessment (SBA), client and/or collateral interviews, and reviews of clinical and social information. Needs assessment will consider current and historical information, with emphasis on precipitating factors to deteriorated functioning to identify/support development of preventive factors where possible. Develops, prepares, and implements a comprehensive Targeted Case Management Service Plan which includes short and long term goals/outcomes based on client, provider and TCM team input.

Goals and outcomes are strength oriented and clearly operationally defined to facilitate assessment of progress. Outcomes will be directed towards reduced hospitalization, reduction in use of crisis services; strengthened independent living, improved vocational/educational status and social supports. Conducts regular, documented re-evaluations of client progress. Ensures face-to-face contact to the client based on program requirements, working on a variable schedule as assigned by supervisor or as determined based upon client-related scheduling needs.

Crisis Intervention

Activities:

Expected to respond to unanticipated, urgent needs with assigned clients during work hours. Also participates in a rotating system to ensure that 24-hour access is available for urgent response to active TCM client needs. Responds to both face-to-face and telephone requests for intervention. Evaluates the client’s situation and works with supervisor, the county’s crisis team and other emergency services to assist and arrange for urgent psychiatric care, if needed.

At all times, ensures that any/all alternatives to hospitalization have been explored.

Monitoring and Coordination

Activities:

Monitors all services received client by reviewing cases; meeting with family, significant others, relevant providers, advocates, and attorneys; and attending TCM team meetings. Participates in interdisciplinary and psychiatric treatment team meetings as required. Ensures consumer needs are met through utilization of natural supports and other social services. Investigates new resources and communicates with…