Case Manager - Adult Outpatient

Top reasons to work for SMA Healthcare:

  • Career growth and advancement potential
  • Great benefits such as: Health, Dental, Vision, Life, & Disability Insurance
  • Tuition Reimbursement
  • Paid Personal Leave (up to 25 days after 3 years of service)
  • 403b Retirement Plan (matches one to one of employee contribution for the first 3%, then a 50% match on the next 6% of employee contribution)

Essential Job Functions: 

  • Completes assessments and service plans that assist clients in developing goals and addressing areas of need, and reviews the assessments and service plans according to program guidelines.
  • Completes authorizations and reauthorizations as required by program guidelines.
  • Participates in client treatment planning and case review with other client care providers.
  • Documents service activity in SMA's EMR, and ensures the medical record is up to date, accurate, and meets all documentation standards in accordance with program requirements.
  • Coordinates and provides care that is safe, timely, effective, efficient, equitable, and client-centered.
  • Executes linkages identified on the service plan and monitor progress of service delivery according to program guidelines.
  • Facilitates client access to community resources, including locating recreational activities, housing, food, clothing, school programs, vocational opportunities or services, providers to teach life skills, and relevant mental health and substance use services.
  • Assists clients with identifying financial assistance options for medications and other medical needs.
  • Assists clients with developing natural resources and making contact with social support networks.
  • Helps clients make informed decisions by acting as their advocate regarding their clinical status and treatment options.
  • Communicates clients' progress by conducting/attending interdisciplinary meetings and evaluations; disseminating results and obstacles to therapeutic team and family; and identifying treatment influences.
  • Provides limited crisis intervention under appropriate supervision.
  • Reports any concerns regarding the health, safety, or well-being of a client to the appropriate authority.
  • Facilitates access to and/or coordinates transportation for clients in order to execute linkages identified on the service plan.
  • Attends court hearings as required by program guidelines.
  • Maintains an awareness of proper safety procedures and guidelines and applies these in performing daily activities and tasks.
  • Provides administrative support and performs general office duties such as answering the phone, communicating with internal and external customers, and cleaning as required by program.
  • Adheres to professional standards as outlined by protocols, rules and regulations.
  • Additional duties may be required as per specific program guidelines.

Qualification Requirements: 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.

Minimum Education and/or Experience:  High School Diploma required.Bachelor's Degree from an accredited university or college with a major in counseling, social work, psychology, criminal justice, nursing, rehabilitation, special education, health education, or other related human services field preferred; a minimum of one year of full time or equivalent experience working with the target population preferred. A Bachelor's Degree from an accredited university or college in a discipline other than previously noted will be considered if the candidate has three years of full time or equivalent experience working with the target population.  Preference will be given to those who are certified as Targeted Case Managers.  Additional education and/or experience may be required as per specific program guidelines.  Certification as a Targeted Case Manager may be required within six months of hire depending on program guidelines.

Knowledge/Skills/and Abilities: 

  • Skill in time and organizational management; ability to complete work under strict time lines, while maintaining flexibility to assist with client issues/concerns.
  • Ability to quickly assess situations and use sound judgment in diffusing potentially risky situations; ability to identify services needed by clients during the rehabilitation process.
  • Ability to follow both oral and written instructions and complete tasks as instructed.
  • Ability to express oneself clearly and concisely both orally and in writing.
  • Ability to prepare clear and concise written reports.
  • Ability to communicate clearly with clients to develop a supportive and trusting relationship.
  • Ability to establish and maintain effective working relationships with co-workers, medical and clinical professionals, educational systems, court systems, and the general public. 
  • Knowledge of community resources.
  • Knowledge concerning current information in the area of mental illness and substance abuse and treatment and related behavioral problems specific to the age and population served. 
  • Knowledge of managed care environment and different payer sources.
  • Knowledge of Agency for Persons with Disabilities requirements.

Necessary Special Requirements: Possession of a valid Florida driver's license, acceptable driving record, and proof of personal automobile insurance if required to drive an SMA vehicle and/or use a personal vehicle for SMA business. Complete State of Florida mandatory background screening prior to start of employment.  Complete SMA required training during the first six (6) months of employment and updated if required.

Physical: Mobility and ability to bend and reach during an 8-12 hour day. Able to lift minimum 10 pounds. Visual and auditory acuity sufficient to evaluate, intervene, treat, and record client health care needs. Fine motor skills for legible and accurate charting, daily correspondence and presentation, either manually or orally. Work endurance ability to work 8-12 hour shifts with a meal break, as possible. Routine 8-12 hour shifts. Hours and days off may vary. Extra hours may be required. Work assignment locations may vary.

Application:This class specification is intended to identify the class and illustrate the kinds of duties that may be assigned to its incumbents.  It should not be interpreted as describing all of the duties whose performance may ever be required of such an employee or be used to limit the nature and extent of assignments such individuals may be given.