Job Description

Case Managers provide core case management services, including comprehensive care management, care coordination and health promotion, encouraging and assisting eligible clients to enroll in the Medicaid/health insurance plan of their choice, assist with housing needs, and provide participant and family support and referrals to community and social supports as needed. Case Managers conduct screenings and assessments for high-risk needs, monitoring, and follow-up services.

Provide targeted case management as a member of a multidisciplinary care team to clients enrolled in NCCBHC using team-based approach to treatment and services working collaboratively with therapists, psychiatrists/PNPs, peer specialist, substance use specialists, nurses, clients and family members
Engage clients in a collaborative relationship, empowering them to self-manage their mental health, substance use, physical, and psychosocial needs to improve and maintain well-being
Screen and assess clients for social drivers of health (SDOH), housing instability, food insecurity, transportation needs, utility difficulties, interpersonal safety, education and employment needs
Engage clients with urgent and crisis needs at all stages of NCCBHC services to provide support to resolve crisis and provide targeted case management expertise for person-centered evaluation and treatment planning
Support clients to access supported education and supported employment services
Provide core care management services, including care coordination and healthy promotion, comprehensive transitional care, and referral to community and social support
Train clients on relevant chronic diseases, preventive care, medication management (medication reconciliation and adherence)
Provide care management services in a person/family-centered, strengths-based, recovery-oriented, trauma-informed, and culturally sensitive manner.
Support clients with aftercare upon discharge from ERs, detox, inpatient hospital services
Conduct community outreach and engagement to support client to retain in NCCBHC services
Support clients to access housing, income support (entitlements), and other needs
Contribute to ongoing organizational commitments to diversity, equity, inclusion, and antiracist practices in delivery of services and work as a member of the NCCBHC
Conduct monitoring and follow-up services to promote continued engagement in referred rehabilitative and treatment services.