Human Services Professional Case Manager – Comprehensive Community Services

Position Summary and Job Duties

Under the direction of the CCS program manager and CCS supervisor, work involves providing comprehensive, person-centered, team based, community treatment to youth and adults living with mental illness, substance abuse or co-occurring disorders receiving services through the Comprehensive Community Services Program. Work includes the provision of: service facilitation, symptom management, psychotherapy, psychosocial rehab, vocational related supports and assisting clients with skill development according to individualized Recovery plans. Provides a variety of therapeutic interventions for individuals across the lifespan with mental illness and/or co-occurring disorders based on clinical assessments. In conjunction with service provision, responsibilities include the development and maintenance of client case records, benefits, plans and reports in accordance with DHS 36, Social Security and Medicaid/Medicare requirements. Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.
Provide comprehensive psychosocial rehab services that are person-centered, team oriented, and community based in accordance with DHS 36.

1. Manage a case load and provide or arrange for provision of all needed services for each youth/adult on that case load. Develop and implement clinically relevant recovery plans ensuring that services are culturally competent, recovery oriented and involve consumer participation.

2. Provide interventions including; assessment, service planning, service facilitation, medication management, physical health monitoring, skill development, employment related skills training, psychoeducation, recovery support services, and psychotherapy. Provide services on an individual and group level including supportive services and education to families. Provide a variety of psychosocial rehab interventions for individuals across the lifespan.

3. Advocate for and arrange transition to the least restrictive living situation for all CCS consumers. Attend and testify at court proceedings as needed.

4. Act as a team member on the CCS treatment team contributing to the functioning of the treatment team, supporting and covering for other team members as necessary.

5. Regularly assess consumer mental status, areas of functioning, achievement towards stated goals, and symptom patterns and communicate this assessment to the team.

6. Develop and support creative community resources to keep people in the most independent living situations.
Develop and maintain consumer records, benefits, plans and reports in accordance with DHS 36, Social Security and Medicaid/Medicare requirements.

1. Maintain needed documentation and benefits including; Medicaid and Medicare, Social Security reviews, FoodShare, and assistance received through the other community programs. Arrange other community resources as deemed needed offering consumers choice when available.

2. Provide financial advocacy and skill development and enhancement assisting clients with budgeting as needed, with a goals of increasing consumer independence.

3. Writes clinically relevant individualized recovery plans on a six month and annual basis including the completion of an initial and annual Functional Screen. Completes written discharge plans. Completes initial assessment and comprehensive assessment including yearly updates. Completes other state reporting requirements.

4. Regularly document assessed consumer mental status, progress towards goals and challenges and share with the treatment team. Documentation must be detailed and specific to the requirements of DHS 36.

Work in collaboration with a treatment team, other HSD employees, families and collateral agencies.

1. Actively participate in recovery planning meetings, individual and group supervision meetings, and recovery plan meetings for consumers to whom you are on the recovery team.

2. Provide team and individual direction on clinical strategy and intervention for CCS consumers in which you are an active participant on their recovery team.

3. Attend in-services, trainings, division/department meetings, committee meetings and trainings as requested or approved by your supervisor.

4. Maintain prompt communication with family members, team members, Rock County Crisis Intervention, and collateral agencies requesting information.

Perform other duties as assigned.
Success Factors (KSA’s)

– Knowledge of assessment and treatment of persons across the lifespan whom have mental illness or substance abuse disorders including co-occurring disorders.

– Knowledge of assessment techniques and the ability to make sound assessments and form solid clinical plans based on the assessment information.

– Knowledge of the principals and practices of social work. The knowledge of best practices and the ability to implement them.

– Ability to embrace and nurture a person centered, recovery oriented framework and culture for service delivery.

– Extensive knowledge of therapeutic and psychosocial rehabilitation interventions for persons with complex needs.

– Knowledge of the laws, regulations and practices pertaining to DHS 36.

– Knowledge of psychotropic medications, their effect, side effects and abuse potential.

– Knowledge of community resources and how to effectively utilize them.

– Ability to plan and organize work effectively.

– Ability and skill to maintain accurate current records and prepare clear and concise reports.

– Ability to establish and maintain effective working relationships with agency staff, community members, families, and collateral agencies.

– Knowledge of various cultures and diverse populations and ways in which cultural values impact individuals, families, and the community.

– Ability to make assessments and provide or refer for appropriate treatment.


Job Requirements, Education, Training & Experience

Bachelor’s degree required and Masters Degree preferred in Social Work or a related field from an accredited college or university. AODA knowledge and experience required. Must possess and maintain a current unrestricted (not due to corrective lenses) driver’s license and auto insurance pursuant to the Rock County Administrative Policy and Procedure 5.02 and 5.27. Must complete 20-40 hours of training specific to CCS and DHS 36 within three months of hire date.


Essential Job Functions (physical elements, equipment and working conditions)

Physical elements:

– Ability to stand, walk and sit. Physical movement occurs a majority of the day.

– Inside and outside work with exposure to weather conditions.

– Potential for contact with unpredictable and aggressive persons.

– Must be willing to transport consumers in your personal vehicle and be exposed to challenging and unpredictable environments.

– Participate in disaster evacuations and fire drills when circumstances warrant. Maintain safety procedures.

-Lifting and carrying up to 25lbs frequently.


Equipment use:

– Ability to use a computer and keyboard.

-Must become efficient at using a computerized documentation system within 2 months of hire including the use of Microsoft Word.


Working conditions:

– Able to work in multiple locations including the office, client’s home, and a variety of community locations.

– Available to work a flexible schedule including working evenings when needed to meet client needs.

– Ability to flex time when needed to coordinate consumer emergencies, care and recovery plan services.

– Potential exposure to physically or verbally abusive persons.


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