Case Manager; Bridge Team

Case Managers assist with monitoring consumer’s well‑being, including needs in the areas of mental health, physical health, living, learning, working, and social environments. Case managers travel to wherever consumers reside—whether that is at home, boarding homes, or other community‑based living—to provide monitoring. When working with children, they will go to schools as well. The primary role of the case manager is to increase psychological adjustment for the consumer by empowering consumers and sometimes family members with information, education, and support so that they can follow through after case management ends.

• Demonstrates the ability to assess the consumer’s needs utilizing the SUN‑R
• Identifies goals and plans for appropriate services documented in ISP
• Provides appropriate linkage to community resources
• Monitors consumers to secure placement in the least restrictive environment
• Provides ongoing monitoring of consumers’ progress and needs as assessed in the SUN‑R
• Advocates on behalf of the consumer to secure community resources
• Effectively collaborates with the treatment team members and outside sources in the delivery of case management services
• Works closely with treatment team and ensures that the team is aware of any issues that may arise with the consumer
• Assists in de‑escalating crisis situations with consumers and/or their families
• Effectively demonstrates the application of adult‑specific competencies
• Provides outreach services to consumers and families
• Provides training of basic living skills to improve consumers’ quality of life and to help enable them to be able to maintain in the least restrictive setting
• Assists consumers with transportation needs to psychiatric appointments
• Makes multiple contacts per week with consumers

• Seeks clinical supervision and consultation as needed
• Accepts and employs suggestions for improvement
• Actively works to enhance case management skills

• Documents in a timely manner per AltaPointe standards
• Documents appropriate, complete, and comprehensive SUN‑R assessments
• Documents measurable and specific goals in the individualized service plan
• Documents in a clear and concise manner, types of consumer problems, ISP goals addressed and services provided
• Includes problem, ISP/Treatment plan goal, intervention provided, consumer responses, and plans for continued services in each progress note
• Documents case disposition, case closings, and follow‑up
• Documents legibly
• Documents using Avatar appropriately

• Effectively manages caseload based on consumer needs
• Meets AltaPointe productivity standards

• Treats consumers with care, dignity and compassion
• Respects consumer’s privacy and confidentiality
• Is pleasant and cooperative with others
• Assists consumers and visitors as needed
• Personal values do not inhibit ability to relate and care for others
• Is sensitive to the consumer’s needs, expectations and individual differences
• Is gentle and calm to consumers and families

• Actively participates in Performance Improvement activities
• Actively participates in AltaPointe committees as required
• Completes assigned tasks in a timely manner
• Complies with AltaPointe policies and procedures
• Attends required in‑service training and other workshops

• Frequent standing, sitting, and walking in bursts of 5 to 10 minutes
• There are times when this can be extended to pacing with the consumer (time could be undetermined) and at times sitting and standing can be extended with the employee having the ability to change positions as permitted by the observance and behavior of the consumer at that time
• Occasional forward bending from the hips while kneeling to reach to the side
• Occasional need to be able to assume a full squat/lunge from a standing position
• Occasional need to maintain back extension while being on stomach with one’s own body weight on hips and legs; this position is maintained for several minutes
• Occasionally be able to put one’s own body weight on one knee and one elbow on the same side of one’s body
• Occa…