CustomLogo


Return to the Cherokee Hospital corporate site
Cherokee Indian Hospital Authority is an Equal Opportunity Employer (Minorities/Females/Disabled/Veterans).  To read more about this, view the EEO is the Law poster and this EEO is the Law Poster Supplement

Start Over with Job Search

Returning Applicant?  Login Now

Targeted Case Manager Supervisor
Job Code:2018-08-031
Department:Analenisgi
FT/PT Status:Regular Full Time
Salary Minimum45,512
Salary Midpoint56,891
  
Position Closes:
12/13/2018

Job Responsibilities & Qualifications:
PRIMARY FUNCTION:
This position serves as the team leader and supervisor for targeted case managers serving adults and children. Primary functions include direct administrative supervision for case managers based at the Analenisgi office, and functional supervision of case managers assigned to integrated teams. Position also provides direct targeted case management services for adults and children according to the Medicaid service definition and CIHA policy. Serves as a case manager for individuals with mental health and substance abuse disorders who require assistance to gain access to necessary care: medical, behavioral, social, and other services appropriate to their needs. Services include case management assessment; person centered planning, referral and linkage, monitoring and follow-up. 


ADMINISTRATIVE JOB DUTIES:
Monitor provision of TCM services, providing regular reports to the Leadership Team on utilization, productivity, outcomes and revenue
Ensure compliance with Medicaid service definition and billing requirements.
Monitor and report on client outcomes to ensure goal attainment
Monitor staff productivity to ensure efficient use of resources
Provide administrative and functional supervision of staff
Meet with supervisor weekly and periodically report to Leadership Team
Meet weekly with the Child Services Manager and Adult Services Manager to staff referrals, receive clinical direction, and prioritize clients and tasks
DIRECT SERVICE JOB DUTIES:
Provide the following case management functions according to CIHA policy and procedure and DMA Clinical Coverage Policy 8L: case management assessment; person centered planning; referral and linkage; and monitoring and follow-up.
Provide case management services as assigned
When assigned to provide case management services for clients in the Buprenorphine Clinic, the employee will fulfill duties as outlined in CIHA policy and related procedures.
When assigned to the EBCI Justice Center, the employee will fulfill duties as outlined in CIHA policy and procedures related to service provision in the EBCI Justice Center. Services provided to clients in the EBCI Justice Center will not be billed.
When assigned to provide services for Adults, or for Children and Families, the employee will fulfill duties as outlined in CIHA policy and procedure related to the specific population served.
When serving as a member of an Intensive In Home Team, the employee will fulfill duties as outlined in CIHA policy and procedure for this service.
Gather and document necessary information including medical, physical and functional, psychosocial, behavioral, financial, social, cultural, environmental, legal, and vocational or educational areas. 
Develop a person centered plan which incorporates important to and for, and which is geared to achieve clinical outcomes.
Link clients to needed services and supports.
Provide and document regular client contacts according to CIHA policy and procedure. 
Provide timely information to treatment team members regarding client status, progress and safety. Utilize judgment in carrying out CIHA policy for risk assessment and crisis intervention.
Collaborate with the medical staff and other health professional/agencies to facilitate patient care, discharge and follow-up.
Provide consultation to patient and family in matters directly related to patients' limitations, finances, adjustments to medical condition and ongoing treatment.
Develop and implement discharge plans, follow-up care, and transfers to other behavioral health facilities as appropriate.
Implement and follow the provisions contained in all applicable privacy/confidentiality policies, procedures, and practices for maintenance and release of patient records and clinical information, including EBCI, CIHA, IHS, DHHS, HIPPA, JCAHO, CFR 42, or other licensing bodies.
Responsible for attending clinical staffing as an integral component of a treatment team, facilitating the discussion of client data, and formulating changes to the treatment plan.
Participate in meetings to review and identify opportunities to improve the program and treatment provided, and recommend corrective action when problems are identified. This includes assisting with changes in policy and procedure, which would improve service delivery.
Timely record all treatment and clinically significant events for the medical record in the manner prescribed by CIHA policies and procedures.
Provide written, telephone, and face to face consultation services to various persons and organizations which affect the patient. These include schools, courts, probation officers, physicians, hospitals, medical care providers, law enforcement officers, social services and community agencies. 
Represents CIHA at regular team meetings for progress review and during emergency meetings dealing with high-risk situations.
Participate in community planning and implementation of programs to help resolve such complex issues as improving coordination of services or developing programs to serve the community.
Collect and report on data necessary for client care according to procedure and as directed by supervisor.
Expected to obtain continuing education both through in-service training and through access and tuition payment for approved training seminars and workshops.
Effectively utilize an electronic medical record and other software required for operation in the CIHA system
This position is expected to provide sufficient billable/reimbursable services to achieve the 55% productivity standard established for this position. Standard is based on "actual minutes" billable/reimbursable hours of service provided, divided by available service hours in a given period.
Other duties as assigned


EDUCATION/EXPERIENCE:
Qualified professional" means, within the mh/dd/sas system of care:
(a) an individual who holds a license, provisional license, certificate, registration or permit issued by the governing board regulating a human service profession, except a registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing who also has four years of full-time accumulated experience in mh/dd/sa with the population served; or
(b) a graduate of a college or university with a Masters degree in a human service field and has one year of full-time, post-graduate degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has one year of full-time, post-graduate degree accumulated supervised experience in alcoholism and drug abuse counseling; or
(c) a graduate of a college or university with a bachelor's degree in a human service field and has two years of full-time, post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has two years of full-time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling; or
a graduate of a college or university with a bachelor's degree in a field other than human services and has four years of full-time, post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional who has four years of full-time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling.


"Associate Professional (AP)" within the mental health, developmental disabilities and substance abuse services (mh/dd/sas) system of care means an individual who is a:
(a) graduate of a college or university with a master’s degree in a human service field with less than one year of full-time, post-graduate degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional with less than one year of full-time, post-graduate degree accumulated supervised experience in alcoholism and drug abuse counseling. Supervision shall be provided by a qualified professional with the population served until the individual meets one year of experience. The supervisor and the employee shall develop an individualized supervision plan upon hiring. The parties shall review the plan annually; or
(b) graduate of a college or university with a bachelor's degree in a human service field with less than two years of full-time, post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional with less than two years of full-time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling. Supervision shall be provided by a qualified professional with the population served until the individual meets two years of experience. The supervisor and the employee shall develop an individualized supervision plan upon hiring. The parties shall review the plan annually; or
graduate of a college or university with a bachelor's degree in a field other than human services with less than four years of full-time, post-bachelor's degree accumulated mh/dd/sa experience with the population served, or a substance abuse professional with less than four years of full-time, post-bachelor's degree accumulated supervised experience in alcoholism and drug abuse counseling. Supervision shall be provided by a qualified professional with the population served until the individual meets four years of experience. The supervisor and the employee shall develop an individualized supervision plan upon hiring. The parties shall review the plan annually; or
(d) Registered nurse who is licensed to practice in the State of North Carolina by the North Carolina Board of Nursing with less than four years of full-time accumulated experience in mh/dd/sa with the population served. Supervision shall be provided by a qualified professional with the population served until the individual meets four years of experience. The supervisor and the employee shall develop an individualized supervision plan upon hiring. The parties shall review the plan annually; or


Specific experience working with Native Americans preferred.


Must possess valid drivers' license.


Current CIHA employees who have historically provided case management services through the EBCI may be exempt from the education and experience requirements above. However, staff who do not meet the credentialing requirements outlined above will not provide billable case management services.
JOB KNOWLEDGE:
Knowledge of the population served
Knowledge of Cherokee culture preferred
Skill in establishing rapport with a patient and in applying techniques of assessing psychological, behavioral, and psychosocial aspects of patients problems.
Ability to establish and maintain effective working relationships with members of caseload and their families, other professional disciplines, and a variety of governmental and private resources and organizations in the community.
Ability to express ideas clearly and concisely and to plan and. execute work effectively.
COMPLEXITY OF DUTIES
This position is responsible for assisting in maximizing the available resources to develop and maintain behavioral health services for EBCI children and families that best meets the constantly changing needs of the community. Must have the ability to interpret policy, laws and regulations in order to make decisions when a precedent is not available. Duties require the application of judgment and problem solving skills in order to be effective. Judgment often involves decisions that may have life or death results. At times may be dealing with individuals who are highly agitated, emotional, or out of touch with reality.
SUPERVISION RECEIVED
Works under the direct guidance of the Adult Services Manager
RESPONSIBILITY FOR ACCURACY
Errors should be identified and corrected in a timely manner Failure to properly document, convey or interpret clinical data can adversely impact client care. Ineffective health planning could have adverse effects on the health status of the community by limiting access to necessary resources. Accuracy of data and research is critical in the allocation of tribal resources. Employee is responsible for adherence to policy and procedure. Inappropriate actions or inaccuracies in judgment could result in improper diagnosis and treatment, serious liability for CIHA, or more serious health risks to patients.
CONTACTS WITH OTHERS
Interacts frequently with coworkers, hospital staff, patients, and other health professionals for the purpose of exchanging information, obtaining, or providing assistance. Employee may serve on committees, boards and advisory councils, as appropriate. Tact, courtesy, and professional conduct are required to maintain positive working relationships. Utmost sensitivity and confidentiality is required when dealing with patients and families.
CONFIDENTIAL DATA
All Behavioral Health data is considered highly confidential and strict adherence to all applicable policies is required.