Case Manager - After Care

SUMMARY

In accordance with RNP's Mission Statement, Philosophy of Client Care and Code of Ethics as stated in the Personnel Policies and under the supervision of the Clinical Director, assist in the provision of quality care for persons served by performing the following duties.

Hours:

Monday-Friday- 9:30am-5:30pm

CORE FUNCTIONS:

The Case Manager - After Care is responsible for planning and organizing client aftercare program referrals, including arranging transportation plans for clients scheduled to complete treatment. The Case Manager - After Care must have the skills to develop and maintain professional networking abilities in collaboration with all internal and external client transportation and referral programs. The Case Manager - After Care fosters positive relationships between RNP and referral programs while coordinating a continuum of care and maintaining a positive professional image as an RNP representative.

• Serve as a client advocate, facilitate and follow up on all client screenings, and ensure all requested client documentation is expedited with prompt completion and the highest priority.
• Have a good understanding of HIPAA, ROIs, and coordinating with client conservators.
• Understand ASAM levels of care for clients completing a 3.7-level program.
• Assist clients with defining specific goals and objectives for appropriate levels of aftercare.
• Collaborate with clients and a multidisciplinary clinical team, working closely with clinicians, admissions, and nursing staff to communicate client discharge progress or barriers.
• Following up with client discharge medications by collaborating with the PA and nurses to ensure the client’s discharge medications are ready for the client’s discharge, including connecting clients with their continued MAT services.
• Maintain the program’s daily bed roster and update the DMHAS daily bed census.
• Ensure clients obtain the necessary clinical wrap-around services in the community and help clients fully understand their transition plans to ensure a clear understanding of their plans following inpatient treatment.
• Understand and use Electronic Health Records (EHR) and the skills to complete discharge documentation that reflects the client’s collaboration, and the understanding of their transition discharge plans meeting state and federal auditing standards.
• Ensure clients receive their property, physical medications, and discharge certificates.
• Facilitate Aftercare Informational groups and psycho-educational groups as needed.
• Assist with observing meals, laundry, and smoke breaks.
• Assist with the intake of new clients.
• Assists with the coordination of daily discharges and discharge transportation
• Assumes all other duties as deemed necessary by the supervisor.

CORE COMPETENCIES

Bachelor’s Degree in the Human Services or related Social Work field. Associate’s degree with 3 years’ experience working in residential programs will be considered.

• Experience with providing client advocacy, client navigation and clinical support services to help clients access community based behavioral health services.
• Experience working with interdisciplinary teams.
• Experience using an electronic health record, Microsoft Word, Office, Excel, Outlook skills.
• Knowledge of behavioral health (mental health and substance use) conditions and related needs.
• Knowledge of principles and techniques of social service case management services.
• Knowledge of the physical, psychological, social and economic effects of substance use, mental health disorders and crisis intervention. 
• Ability to gather, analyze and evaluate information pertinent to client aftercare. 
• Knowledge of community resources. 
• Must have excellent communication, written, and verbal skills.
• The ability to maintain a high level of professional customer service with external and internal programs.

CERTIFICATES, LICENSES

Incumbents may be required to secure professional certification and/or license.  Valid Connecticut driver's license is preferred.