As a Case Manager in the Clinical Time Transition Program (CTTP), you will support youth and their caregivers enrolled in the Northern Rivers Hospital to Home Program. You will perform tasks in a phase-based Critical Time Intervention (CTI) model of care. You will report to the Director of the Hospital to Home program and you will be working onsite with community travel.
Responsibilities:
- Manage a caseload of clients in both home and Transitional Residential Setting (TRS) through all phases of the time-limited CTI model.
- Collaborate with referring to hospital programs.
- Outreach to referred clients for ongoing engagement.
- Establish treatment plan including goals, phase transitions, and discharge planning.
- Coordinate comprehensive evaluation and connection to necessary mental health treatments.
- Evaluate needs, refer, and connect youth and families to community support.
- Establish necessary social care need connections.
- Help address problems in access to and delivery of, services through the creation of relationships between the clients and community resources.
- Transport to and from appointments.
- Collaboration with schools to support youth’s educational needs.
- Train and enhance youth and family’s community living skills.
- Manage transfer of caregiving to services and supports in the community to establish continuity of care post discharge.
- Complete accurate case notes and input the notes into required internal and external systems (Electronic Health Records)
- Access and use data from Regional Health Information Organization (RHIOS)/Qualified Entities (QEs), PSYCKES, and other data systems as part of their work.
- Be a contributing member of the interdisciplinary CTTP treatment team
- Coordinate and attend all applicable meetings about caseload.
Requirements and Education:
- Bachelor's degree required
- 1+ years experience in case management and mental health populations and systems preferred.
- Valid NYS driver's license required.
Benefits
- Health care package: medical, dental, and vision
- Tuition reimbursement
- Paid time off
- Holiday Pay
- 401 (K) plan
- Life Insurance
- Loan repayment assistance
- Free training/CEU opportunities
About Northern Rivers
At Northern Rivers Family of Services, we work together to make a difference in our client's lives. Northern Rivers empowers children, adults, and families to change their lives and build stronger communities.
Northern Rivers Family of Services is an Equal Opportunity Employer. We hire great people from a variety of backgrounds, not because it is the right thing to do, but because it makes us stronger! All applicants will be considered for employment without attention to race, color, religion, sex, orientation, gender identity, national origin, veteran or disability status, or any other characteristic protected under applicable law. We cherish the unique contributions of our diverse staff and are building a culture where everyone has the opportunity to do the meaningful work.
