Case Manager

Job description

Mindoula provides ²⁴⁄₇ virtual and in-person support to people experiencing behavioral health issues to improve their lives and the lives of their families by providing access to appropriate healthcare and community services. The company is headquartered in Silver Spring, Maryland. Mindoula’s teams of case and care managers, supported by technology including a mobile engagement app, proprietary psychometrics, and predictive analytics, are the key to its success. Mindoula expects to expand rapidly across multiple business lines in multiple states and is seeking an experienced Case Manager.

The Readmissions Reduction Case Manager (CM) is responsible for serving a caseload of Members with mental illness and/or substance use disorders ensuring that appropriate services are provided with the goal of ensuring a successful discharge and transition to the community while reducing unnecessary readmissions. This work includes, but is not limited to, helping Members to implement their hospital discharge plans, providing crisis intervention and ED diversions, coordinating and navigating supports including referrals to providers & community resources, and encouraging Member’s medication adherence, including help with prescriptions.

Location and Hours…

This is a 100% remote position that must be located Washington D.C., Maryland, Virginia area.

Hours for this position are Monday-Friday, 9 AM to 5 PM Eastern time

What you’ll do…

• Counsel members with a mental and/or physical disability to assist them with the goal of overcoming dependencies, adjusting to life, and making changes
• Guide members in the development of skills and/or strategies for managing problems and triggers to increase relapse prevention and reduce risk
• Educate members about mental or physical illness, abuse, medication, and available community and social resources
• Assess members for risk, make quick evaluations for risk, and respond, formulating and performing crisis intervention that ensures the safety of members as necessary
• Formulate interventions with internal and external programs that impact members and their ability to maintain in the community, being sensitive to members’ cultural, educational and religious needs
• Identify triggers and environmental impediments to members’ progress through interviews and review of records, making reasonable accommodations as necessary
• Prepare and maintain all required records, reports, paperwork, and members’ diagnostic records, maintaining confidentiality of members at all times
• Use clear and accurate communication skills (both verbal and written) to facilitate communication with the members, members’ family/caregivers, with staff, and treatment team; produce high quality documentation that enables the members to receive the best treatment possible
• Collaborate with treatment team members to plan or coordinate care, evaluate members’ medical or physical condition, and to assess members’ needs
• Provide appropriate education and information to members’ families in stressful situations to assist them in understanding, dealing with, or supporting members in a way that does not breach confidentiality
• Evaluate the mental and physical condition of members via assessments, interviews, review of records, and conferences with other treatment professionals
• Arrange for and monitor psychiatric and medical services, supports, social and vocational opportunities, making treatment referrals as appropriate
• Assist members in adhering to discharge plan and as necessary, setting up appointments, arranging for transportation to appointments, providing support, or other tasks
• Plan, develop, and implement social services and activities ensuring that all members’ activities comply with relevant legal and professional standards
• Plan and coordinate discharge from care and treatment facilities as necessary
• Understand local, State, and Federal programs that impact members’ ability to self sustain in the community and functions in compliance with all related policies, procedures, and regulations
• Use working knowledge of Social Security benefits and public assistance programs to benefit members
• Assess problem situations to identify causes, gather and process relevant information, generate possible solutions, and make recommendations and/or resolve the problems in a proactive and timely manner
• Demonstrate compassion and understanding for people dealing with potentially life-threatening situations and be able to assess serious issues, such as the potential for suicide
• React immediately, yet calmly, to crisis situations and quickly build rapport with members
• Respond to inquiries and/or resolve concerns from members, caregivers, agencies, or members of the community; inform staff of opportunities to address and resolve problems reported by members
• Regularly complete and submit documentation of services provided including accurately completing all case notes in a professional, timely manner
• Effectively liaise and collaborate, both verbally and in writing, with colleagues regarding members’ needs and wellbeing
• Provide coverage for Hospital Coordinators at local hospitals on an as needed basis; meeting with potential Members, liaising with hospital staff, enrolling Members into the program, and completing paperwork necessary for enrollment.

What you’ll need…

• 2-4 years of relevant experience in the behavioral health field providing case management, counseling, and/or crisis intervention
• Bachelor’s Degree in psychology, social work, or other behavioral health discipline from an accredited college or university
• Knowledge of community resources, social determinants of health, mental health and/or substance use disorders/disabilities, trauma-informed care, recovery/resiliency-oriented services, benefits, and social issues.
• Knowledge of benefits including, but not limited to, SSDI, SSI, Medicaid, Medicare, LTC Medicaid, LTC, STD, LTD, Food Stamps, and Housing Vouchers.
• Excellent computer skills and experience with Google Suite software and Microsoft Office software.
• Must be detail-oriented and able to multitask.
• Excellent oral and written communication skills.
• Must be able to work in a fast-paced environment and have a strong sense of urgency.
• Compliance: Ensures business is operating according to applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all organizational investigations and proceedings. Ensures health information management requirements are met.
• Relationship Management: Develops, maintains, and strengthens partnerships with others inside or outside the organization.
• Business Acumen: Understands the extent and importance of business issues, the operation and the industry. Able to implement and achieve goals to ensure a successful future. Conduct all activities with the highest standards of professionalism and confidentiality.
• Problem Solving: Identifies needs and takes independent action to implement change when and where it is needed; results oriented. Ability to plan, organize, manage time, and prioritize multiple tasks and assignments. Use effective follow through.
• Communication : Excellent listening, verbal and written communication skills. Clearly and accurately, relaying information to staff, business partners, stakeholders, Members, and Members’ support/treatment team.
• Ability to work cooperatively and effectively with others to set goals, resolve problems, and make decisions that enhance organizational effectiveness.
• Ability to provide case management in routine and crisis situations.
• Respond positively to supervision and to recommendations for improved performance.