Case Manager (CalAIM Program)

Description

SUMMARY: Under the supervision of the Senior Program Manager/Program Manager or designated supervisor, the CalAIM Community Supports (CS) Case Manager is responsible for overseeing all case management activities related to assigned CalAIM programs. The Case Manager is also expected to maintain a minimum requirement of 30 billable clients per month, in compliance with program standards.

Requirements

Essential Duties and Responsibilities:

• Review scope of work requirements for each program assigned by Program Director/Manager.

• Must meet program requirements by maintaining a minimum of 30 billable clients per month.

• Fulfill program or contract requirement as outlined in contract or as directed by Program Director/ Manager

• Serve clients and community with empathy, culturally responsive care, and awareness of appropriate boundaries.

• Ensure client eligibility for services.

• Provide case management services to all clients as needed and in accordance with policies and procedures, including but not limited to intake, assessment, care planning, consultation, and linkage to resources in the community.

• Monitor and track charts monthly for service provision. Provide follow-up for those charts not in compliance.

• Complete documentation in a timely manner according to program policies.

• Keep client charts securely locked when not in use.

• Complete Incident Reports within 24 hours.

• Notify the Program Manager of all client issues, program issues or concerns.

• Notify the Program Manager of any Staff or Agency issues or concerns.

• Follow all HIPAA rules for compliance.

• Attend all meetings and supervision appointments as scheduled.

• Submit timecards, time-off requests, and activity logs in a timely manner.

• Provide all reports to the Program Manager or Coordinator as scheduled.

• Provide back-up for other staff as needed.

• Participate in Peer review chart audits.

• Develop and utilize a network of resources and referrals appropriate for clients.

• Schedule visits for service providers and guest speakers.

• Facilitate De-Escalation and Crisis Intervention with clients.

• Assist in training volunteers and interns.

• Participate in Outreach services.

• Coach department staff including Case Managers I.

• Lead weekly department meetings for Program Manager or Coordinator as needed.

• Participate in local committee meetings as agency representative.

• Assist with monthly billing and statistical reports.

• Complete quarterly department internal audits.

• Other duties as assigned.

Competency:

To perform the job successfully, an individual should demonstrate the following competencies:

• Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes

information skillfully; Develops alternative solutions; Works well in group problem-solving

situations. Uses reason even when dealing with emotional topics.

• Customer Service - Manages difficult or emotional customer situations; Responds promptly to

customer needs; Responds to requests for service and assistance; Meets commitments.

• Interpersonal - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to

others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries

new things.

• Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens

and gets clarification; Responds well to questions; Demonstrates group presentation skills;

Participates in meetings.

• Written Communication - Writes clearly and informatively; edits work for spelling and grammar;

Varies writing style to meet needs; Able to read and interpret written information.

• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to

others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts

success of team above own interests; Able to build morale and group commitments to goals and

objectives; Supports everyone's efforts to succeed; Recognizes the accomplishments of other team

members.

• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes

approach or method to best fit the situation; Able to deal with frequent change, delays, or

unexpected events.

• Quality - Demonstrates accuracy and thoroughness; Looks for ways to improve and promote quality;

Applies feedback to improve performance; Monitors own work to ensure quality.

• Assessments and Care Planning – Demonstrates ability to complete a thorough Psychosocial

Assessment and Care Plan to identify client needs and develop plan to address identified needs and

show outcomes.

• Knowledge of Community Resources – Demonstrates knowledge of community resources and ability to

research and develop comprehensive resource lists to serve clients effectively.

• Ethics - Works with integrity and ethically; upholds organizational values.

• Innovation - Displays original thinking and creativity; Meets challenges with resourcefulness;

Generates suggestions for improving work; Develops innovative approaches and ideas; Presents ideas

and information in a manner that gets others' attention.

• Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment;

Supports and explains reasoning for decisions; Includes appropriate people in decision-making

process; Makes timely decisions.

Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The

requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable

accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and Experience: Requirements different dependent on Case Manager level. 

Case Manager I: Requires a High School diploma and a minimum of 2 years of experience OR a Bachelor’s degree with no previous experience providing similar case management services.

Case Manager II: High School Diploma with a minimum of 4 years’ experience OR a bachelor’s degree with 2 years of experience with case management services.

Case Manager III: High School Diploma with 6 years of experience or a bachelor’s degree with 3 years of experience or a master’s degree in social work or related field with internship plus six or more months experience in case management.

Language Ability: Ability to read, analyze, and interpret general business periodicals, professional journals,

technical procedures, or governmental regulations. Ability to write reports, business correspondence, and

procedure manuals.

Math Ability: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common

fractions, and decimals. Ability to compute rate, ratio, and percent and to draw and interpret bar graphs.

Reasoning Ability: Ability to solve practical problems and deal with a variety of concrete variables in situations

where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral,

diagram, or schedule form.

Computer Skills: To perform this job successfully, an individual must have very good knowledge of Word processing software

and Excel spreadsheet software.

Certificates and Licenses:

No certifications needed

Supervisory Responsibilities:

This job has no supervisory responsibilities.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while

performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with

disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully

perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with

disabilities to perform the essential functions.

The employee may be required to spend a significant amount of time driving. The employee must have the ability to

meet this requirement as well as drive in inclement weather as described in LSS policy.

Specific vision abilities required by this job include close vision. While performing the duties of this job, the employee is

frequently required to stand, walk; sit; use hands to finger, handle, or feel; reach with hands and arms and talk or hear.