Clinical Case Manager

Clinical Case Manager

The Clinical Case Manager plays a pivotal role in ensuring the delivery of high-quality, comprehensive care to patients. This position involves coordinating and managing patient care plans, advocating for patient needs, and collaborating with a multidisciplinary team to achieve optimal health outcomes. This position is responsible for delivering comprehensive, goal-oriented, and individualized Targeted Case Management (TCM) services. This role serves adults with serious mental illness (SMI), individuals with intellectual/developmental disabilities (I/DD), and individuals with co-occurring substance use disorders. The successful candidate will ensure all service elements, workflows, and documentation strictly align with the Michigan Mental Health Code, the MDHHS Medicaid Provider Manual, and Community Mental Health (CMH) standards. This role requires a team player as there may be other tasks as assigned.

Role and Responsibilities

Assessment & Care Planning

• Comprehensive Assessments: Conduct initial and ongoing written clinical assessments to identify the individual's strengths, needs, desires, barriers, and health/welfare vulnerabilities. Intake/Re-Assessment, LOCUS, Biopsychosocial.
• Person-Centered Planning: Facilitate the Person-Centered Planning process to establish an Individual Plan of Service (IPOS).
• Goal Development: Design measurable, individualized goals and specify the frequency, scope, and intensity of case management actions required.
• Linking, Coordination, & Advocacy
• Resource Coordination: Link individuals to necessary physical health/dental providers, financial assistance, employment, education, and natural community supports.
• System Navigation: Advocate for individuals within complex public systems, including the Department of Health and Human Services (DHHS), schools, and local hospital networks.
• Care Integration: Collaborate dynamically with integrated treatment teams, primary care physicians (PCPs), and psychiatric medical staff to maximize clinical and physical health integration.

Monitoring & Service Review

• IPOS Quality Monitoring: Conduct regular face-to-face monitoring contacts based on the clinical intensity of the individual's needs to ensure safety, health, and welfare.
• Utilization & Tracking: Regularly review the effectiveness of services outlined in the IPOS and modify the plan at defined intervals when changes in condition or life circumstances occur.
• Identify Service Gaps: Proactively identify and resolve systemic or circumstantial gaps in service provision.
• Compliance, Documentation, & Billing
• Compliant Documentation: Maintain meticulous electronic clinical records documenting the date, exact start/end times, duration, location, and nature of contacts, confirming whether interactions were face-to-face.
• Regulatory Guardrails: Ensure case management practices do not cross into prohibited areas, such as the direct delivery of ongoing day-to-day supports or exercising unauthorized agency power to deny/authorize services.

Education Requirements

Bachelor's or Master's Degree in Social Work, Psychology, Counseling, or a closely related human services field from an accredited institution.

Qualifications

• Minimum of one (1-2) years of specialized, direct experience working with individuals belonging to the target populations (SMI, SED, or I/DD).
• Must possess valid, active professional licensure in the State of Michigan (e.g., LLMSW/LMSW, LLPC/LPC, LLP/LP).
• Relevant experience in case management and clinical coordination.
• Strong communication, organizational, and problem-solving skills.
• Ability to work effectively within a multidisciplinary team.
• Proficiency in electronic health records and care management software.
• Valid driver's license

Additional Information

Case Loads:

• High-Acuity / Dual Diagnosis (IDD + Severe MI / High-Risk ASD) and Standard IDD & Moderate ASD (Adults)
• Typical Caseload: 15 to 25 cases

Eisenhower Center is 100% employee owned and offers an excellent benefit package including:

• PTO
• Employee Stock Ownership Plan eligible to participate after 1 year & 1,000 hours of employment
• 401(k)
• Medical, Dental, & Vision Insurance
• Flexible Spending Account for Medical and Dependent Care
• Employer Paid Life Insurance and Long-Term Disability
• Voluntary Life Insurance and Short-Term Disability available
• Student Stipend
• Employee Discount Program
• Continuing professional development opportunities
• Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

Eisenhower Center is an EEO employer Veterans/Disabled and other protected categories and is a 2019 Bronze Veteran-Friendly Employer, Michigan Veterans Affairs Agency. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.