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Description

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Hall-Mercer’s Blended Case Management program provides Targeted Case Management to adult residents of Philadelphia recovering from severe mental illness with possible co-occurring substance abuse issues and/or homelessness. A team model is implemented to connect participants with supportive services, which encourage daily stability in the community.

Summary:

• Provides Targeted Case Management to adult residents of Philadelphia recovering from severe mental illness with possible co-occurring substance abuse issues and/or homelessness. The Targeted Case Manager assists participants with linking with services, monitoring of service delivery, gaining access to services, assessment and service planning, problem resolution, information support network building, and using community resources which build upon the participant's strengths while meeting their needs, enabling the participant to function at the highest attainable level in the community.

Responsibilities:

• Adheres to compliance standards in service provision as mandated by the Targeted Case Management (TCM) Unit of the Department of Behavioral Health and Intellectual Disability Services (DBHIDS), CBH, and Hall Mercer. Ensures a billable contact occurs for each participant as outlined below: BCM (English-speaking), PARS, and Access: at least one billable service is provided every 14 days. Additionally, a face-to-face contact occurs in the participant’s home at least once every 28 days for a minimum of 30 minutes. Southeast Asian BCM: at least one billable service is provided every 28 days. Additionally, a face-to-face contact occurs in the participant’s home at least once every 90 days for a minimum of 30 minutes. Ensures a face-to-face contact is established within 5 days of authorization for all adult TCM programs. Additionally, for PARS, a billable contact (such as a phone call) must occur within 24 hours of authorization. Ensures compliance to TCM standards of service provision in the community: 75% of services are provided in the community. Ensures a billable service occurs within 24 hours of a participant’s hospitalization. Ensures a face-to-face contact occurs in the participant’s home within 5 days of discharge from an inpatient facility.Completes service documents appropriate to Targeted Case Management services delivered. Ensures information is timely and relevant, and ensures service documents are recorded and submitted according to regulations as mandated by Hall-Mercer’s Clinical Documentation Policy, TCM Unit of DBHIDS, and CBH. Accounts for non-billable services through appropriate documentation.Ensures TCM services are provided in a team-oriented model. Attends, demonstrates punctuality, and actively participates in mandatory team meetings. Communicates effectively to team members and supervisor regarding outcomes of services provided. Participates as required in outpatient psychiatric clinical care activities in collaboration with the psychiatric provider and clinical case manager at Hall Mercer or at outside agencies. Attends and participates in program specific staff meetings and facility staff meetings.Maintains productivity requirement. Provides at minimum, an average of 16 billable units of service per day (based on an average per calendar month).Completes all required paperwork as mandated by the TCM Unit of DBHIDS and ensures all paperwork reflects standards of practice as set by practice guidelines of the TCM Unit of DBHIDS and CBH. Completes and maintains as current, all Hall Mercer TCM paperwork requirements. Ensures the following forms are completed within 30 days of authorization and then updated annually or if changes are required: Financial, Insurance &EVS Information, Statement of Consumer’s Rights & Responsibilities, Consent for Voluntary Treatment Form, HIPAA Acknowledgement of Receipt Form, Complaint & Grievance From, CBH Authorization to Release Info, Medical Eval, Psych Eval, and Prescription Record. Ensures all collateral information and releases of information are current and added to the chart as needed. Completes FACE Sheets promptly and following authorization of service (to be completed no later than the end of the month in which authorization occurs). Updates FACE sheets with up-to-date information on a monthly basis (exception: Southeast Asian BCM updates FACE sheets on a quarterly basis). Completes quarterly outcomes according to deadline. Facilitates completion of Encounter Log during each face-to-face service. Completes initial Strength-Based Assessment (SBA) within 30 days of authorization and completes new SBAs every 6 months or if revisions are needed (exception: Southeast Asian BCM updates SBAs annually). Completes Personal Goal Plans (PGP) within 30 days of authorization and then updates monthly (exception: Southeast Asian BCM updates PGPs quarterly). New PGPs are written if the goal is completed or if the goal has not been completed within a year. Completes Environmental Matrix (EM) Scoring within 30 days of authorization and then completes a new EM quarterly or if a revision is needed (exception: Southeast Asian BCM completes new Environmental Matrix Scoring annually). Ensures that all PGPs are measureable and directly linked to goals identified on the Strength Based Assessment. Documents all goals and action steps from the participant’s point of view. Ensures support signatures are obtained. Ensures that all documentation capture a recovery-based model and are written from the participant’s point of view. Ensures that there are PGPs to account for all case management services delivered. Through documentation, provides evidence of the ability to assess, gather, and communicate information regarding the participant’s needs and goals. Works with supervisor to determine criteria for discharge, transfer, or extension of TCM services and completes and submits documentation required for transfer, discharge, or extension of TCM services in a timely manner.Provides TCM services as mandated by the TCM Office of DBHIDS, Hall Mercer, and CBH. Completes trainings as required. Completes all annual mandatory education and requirements by deadlines. Meets standard of 30 hours of staff development, experiential learning, and/or professional training per year. Maintains Training Registry and submits yearly. All clinical developments that are extremely significant and require immediate attention to all members of the treatment team. Responds to emergent events in a timely manner, provides all available supports and ensures appropriate follow-up activities occur. Attends supervision as required and communicates information related to psychiatric / psychosocial issues, service provision, service compliance issues, job performance, targeted areas of professional development and related areas.

Credentials:

• Basic Cardiac Life Support

Education or Equivalent Experience:

• H.S. Diploma/GED (Required)

• And 4+ years Experience coding in an academic medical centerEducation Specialization:

• Bachelor of Arts or Science (Required)

• And 2+ years Experience coding in an academic medical centerEducation Specialization: Health Information Management, Medical Coding or related field

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity and Affirmative Action employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

REQNUMBER: 228444