Job Description

Mission Statement:

Our mission is to provide high-quality, comprehensive medical and dental care, patient advocacy and related services to people who need them most, regardless of their ability to pay. Caregivers demonstrate a high level of empathy, compassion and profound respect while providing excellence of care to our patients. They serve as advocates for all of those in our Northeast Ohio community, especially the most vulnerable.

Position Summary:

The Behavioral Health Case Manager is responsible for coordinating and delivering comprehensive, client-centered care that improves health outcomes and quality of life for individuals with behavioral health conditions, substance use disorders, and co-occurring diagnoses. This role focuses on addressing both clinical needs and social determinants of health through a holistic and compassionate approach.

The Case Manager supports Behavioral Health Therapists by providing approximately 50% direct client care and 50% care coordination. Responsibilities include linking clients to community-based resources, facilitating referrals, responding to information requests, participating in multidisciplinary and community-based meetings (such as staffing conferences), and assisting clients with connections to specialized criminal justice dockets and other supportive systems.

This position requires a strong foundation in behavioral health care, including treatment approaches for mental health and substance use conditions. The ideal candidate will demonstrate excellent communication, critical thinking, and problem-solving skills, as well as the ability to remain calm and effective in high-stress situations. A solid understanding of professional ethics, HIPAA regulations, and compliance requirements is essential.

Responsibilities:

· Conduct initial screenings and assessments to identify clients' behavioral health needs and barriers related to social determinants of health, delivering services in a timely, effective, client-centered, and trauma-informed manner.

· Support clients in achieving wellness, autonomy, and improved quality of life by facilitating informed decision-making regarding their diagnosis and treatment options.

· Coordinate and monitor all aspects of client care, including care planning, service referrals, and interdisciplinary communication.

· Collaborate closely with Behavioral Health Therapists and medical team members throughout the case management process to develop and update individualized care plans.

· Track and monitor client engagement, referrals, service utilization, and outcomes to ensure care plan goals are met.

· Identify and address barriers to care by connecting clients to appropriate community-based resources, programs, and services.

· Serve as a liaison between clients, families, providers, legal system personnel, and external agencies (e.g., CPS, criminal justice dockets), ensuring coordinated and comprehensive care.

· Support client understanding of their behavioral health diagnosis, treatment plans, and community resource options.

· Provide psychosocial support and brief interventions to address motivational, emotional, and behavioral concerns.

· Accurately complete documentation and case notes in accordance with agency protocols and regulatory requirements; assist in preparing reports and tracking metrics.

· Develop and maintain collaborative relationships with community-based organizations and care networks to enhance referral pathways and client outcomes.

· Uphold ethical standards, client confidentiality, and HIPAA compliance in all interactions and decision-making processes.

· Demonstrate strong written and verbal communication skills, including the ability to engage clients, advocate effectively, and convey clinical information to internal and external stakeholders.

· Apply critical thinking and sound judgment in crisis intervention, problem-solving, and ongoing client care coordination.

· Maintain a strong knowledge base of behavioral health, substance use, and social service systems to support the needs of a clinically and socially complex population.

Qualifications and Skills:

· Licensed Social Worker (LSW) or eligible for licensure as a Social Work Assistant (SWA) in the state of Ohio

· Licensed Professional Counselor (LPC), Certified Case Manager (CCM), or Licensed Chemical Dependency Counselor (LCDC), preferred

· Designation as a Qualified Mental Health Professional (QMHP), preferred

· Demonstrated understanding of behavioral health, substance use disorders, and co-occurring conditions

· Knowledge of how culture, identity, and lived experience impact care delivery and engagement

· Strong interpersonal skills with the ability to engage diverse populations in a respectful, empathetic, and trauma-informed manner

· Excellent written and verbal communication skills

· Strong organizational skills, with the ability to manage multiple priorities and documentation requirements

· Proficient in care coordination, community resource navigation, and client advocacy

· Bilingual in English and Spanish (preferred but not required)

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