HCC Case Manager

Description

Pay is determined by relevant experience, work history, education and internal equities. As part of our Diversity, Equity, and Inclusion practices, MHMR offers the maximum compensation for candidates based on their experience, education and internal equities of the agency.

This practice removes biases in compensation and assist hires and / or promotions on pay equity in their appropriate position(s) at MHMR.

I) Job Purpose

QMHP-CS (Qualified Mental Health Professional-Community Service)

The position of QMHP-CS is a direct care position with the expectation that at least 50% of his / her work time is spent face to face with the individuals that MHMR of Tarrant County serves.

The position has specializations that include functioning as a Rehabilitative Case Manager (RCM, RCM-I) or a Clinical Coordinator (CC).

A QMHP-CS functions as a part of the treatment team in the clinic to which he / she is assigned, and provides assessment, recovery planning, and ongoing treatment in order to assist individuals with severe and persistent mental illness to gain the skills, resources, and supports necessary to attain their individualized recovery goals.

Services may be provided in the clinic or in the community. The specific job function designation (RCM, RCM-I, CC) determines what percentage of time the QMHP spends in the clinic or the community.

Providing services in the community entails travel (often in the QMHP's own vehicle) and work throughout Tarrant County, in a variety of neighborhood and home conditions.

II) Essential Functions

QMHP's are evaluated routinely and as needed based on the following expectations beginning 90 days after date of credentialing :

A. Prior to providing billable services, QMHP completes or coordinates the completion of assessments and recovery plans, and verifies completion of authorization and Determination of Medical Necessity.

Standard :

At least 95% of billable services provided by QMHP meet billing standards

B. Contact assigned individuals within 3 business days after the assignment is made.

Standard :

Contacts / attempts to contact within 3 business days are documented in the assigned individuals' charts 100% of the time.

C. Spend at least 50% of working hours face to face with the individuals served by MHMR of Tarrant County.

Standard :

• Each month, QMHP's face to face time with individuals served is no lower than 40% of hours worked.
• There are no more than 2 consecutive months during which QMHP's face to face time with individuals served is lower than 50% of hours worked.
• Each FY quarter, QMHP's face-to-face time with individuals served average 50% of total hours worked.

D. Provide billable services based on clinical role.

Standard :

• RCM face-to-face services provided are billable at least 75% of the time.
• RCM-I face-to-face services provided are billable at least 25% of the time.
• CC face-to-face services provided are billable at least 5% of the time.

E. Complete documentation of services provided on a daily basis, and turn in documentation and Service Activity Log (SAL) to designated location by 10 am the next business day.

Standard :

All SALs must be completed, processed (including corrections), and entered into the agency's data system no later than within the time frame designated by current division policy.

F. Utilize Collaborative Documentation when providing services to an individual.

G. Attend and participate in all Recovery Team Meetings

Standard :

QMHP obtains prior approval from his or her Team Lead or Program Manager for every Recovery Team Meeting not attended.

H. Maintain credentialing as a Qualified Mental Health Professional.

Standard :

• No Relias training is 60 days or more overdue at any time.
• QMHP maintains clinical supervision requirements at all times.

I. Maintain timekeeping and travel records on a daily basis, ensuring final records are turned in and approved before the close of each pay period or as requested by supervisor.

Standard :

• QMHP has no more than two missed punches (clock-in or clock-out) in the timekeeping system in any given pay period.
• QMHP notifies his or her supervisor immediately if a missed punch occurs.

J. Complete additional duties as assigned.

K. Performance standards are performed as applicable with MHMR's We CARE values "We C onnect People in Our Community. We Provide A ccess to Services.

We Link People to R esources. We E mpower People."

L. Perform other job duties or responsibilities as requested or assigned.

III) Knowledge of Laws, Policies / Procedures, Skills, and Abilities

• Applicable sections of Texas Administrative Code, Third Party Payer Requirements, MHMR of Tarrant County Policies and Procedures, Mental Health Code, Medicaid Procedures, Compliance Plan, MHMR of Tarrant County Employee Handbook, HIPAA, and applicable Federal standards.
• QMHP demonstrates effective organizational, time management, and communication skills.
• QMHP is self-motivated and self-directed demonstrating the ability to work autonomously.
• QMHP provides excellent customer service both within and outside the agency.
• QMHP demonstrates the ability to engage individuals in services while maintaining appropriate professional boundaries.
• QMHP demonstrates the ability to work in a non-judgmental manner with individuals and coworkers whose belief systems may be based on values different from those of the QMHP.
• QMHP is able to communicate clearly and concisely both orally and in writing.
• QMHP demonstrates the ability to work as a member of a multidisciplinary treatment team.
• QMHP demonstrates the ability to accept direction and make constructive use of professional and clinical supervision.

IV) Internal & External Customer Service

This position requires extensive internal and external contacts with clients, family members, significant others, inter-agency staff, service providers, and practitioners.

The QMHP accomplishes communication with exceptional written and verbal skills, by answering phone calls and emails within one business day, and by conducting themselves professionally in all interactions.

Other contacts may include, but are not limited to : John Peter Smith Hospital, Family Services, Social Security Administration, Department of Assistive and Rehabilitative Services (formerly TRC), Department of Regulatory and Protective Services, other area hospitals, local Police Department(s), area United Way Agencies, local housing authority and / or local Transportation Authority.

V) Travel

This position requires significant travel within Tarrant County. A company vehicle may be available or you may be expected to use your personal vehicle.

Staff member is responsible for maintaining accurate records and submitting them on time in order to receive compensation allowed per division policy.

Staff member is responsible to pay in full any traffic tickets and fines for traffic violations while working. Tickets received by agency due to a staff member's traffic violation while driving a company vehicle are deducted from staff member's paycheck.

Minimum Requirements

Required Education

Bachelor's Degree

Defined Education

Health or Human Services

Acceptable Degrees : Applied Behavior Analysis, Child Development, Counseling, Early Childhood Education, Early Childhood Intervention, Education Psychology, Gerontology, Human Growth and Development, Medicine, Nursing, Physician Assistant, Psychology, Registered Nurse, Rehabilitation & Rehab Studies, Social Work, Sociology, and Special Education

Required Experience

None

Substitutions

OR Bachelor's degree with at least 30 hours of behavioral health coursework.

Required License(s)

Valid driver's license with an acceptable driving record.

Eligible to obtain Qualified Mental Health Professional (QMHP-CS) certification.

Must provide license (if applicable) and official documentation of all educational attainment i.e. Transcript / Degree / Certificate

Required Supervisory Experience

0 year(s)

Testing Requirements

Pre-employment tests including drug and TB Screening, Physical Exam including balance and lift test.

Satori Alternatives to Managing Aggression (SAMA)

Lifting Requirements

55 Pounds

Additional Requirements

All staff are required to participate in agency Emergency Preparedness and Environmental Safety programs and may be assigned by their departments as a key / essential staff level function during critical events or for the purpose of sustaining business continuity.

This position may require temporary or permanent re-assignment to any MHMR Tarrant facility as determined by program needs and / or the Division / Director.

Assigned work hours may change as the needs of the agency change.

The functional Title of this position may change as the needs of the agency change.

All work will be complete within the scheduled work hours. All non-exempt (hourly) employee are expected to clock In and out for each work shift, no work done should be done off the clock.

Prior approval from supervisor is required for all Paid Time Off (PTO) and Overtime.

MHMR reserves the tight to change, and to or eliminate a position as it deems appropriate.

Employment is at will, as well as agency needs may change.

Agency dress code is to be followed at all times.

Physical on-site presence, including regular attendance and punctuality is an essential function of this position. Any change or adjustments to your assigned work schedule or shift hours must be approved by your supervisor in advance.

Our Benefits :

Our total rewards program offers benefits* to full time employees beginning 1st of the month following hire date including but not limited to :

• Comprehensive healthcare options (Medical, Dental, and Vision)
• Life insurance and additional supplemental accident and hospitalization plans
• 401a match and 457 deferred compensation plans
• Paid vacation and holidays; varied flexible work environment locations
• Annual tuition reimbursement program
• Student Loan Forgiveness
• Professional development programs and training
• And more.....

Insurance eligibility :

• Full time employees begin 1st of the month following hire date
• Market driven positions (full time or part time) begin immediately after hire date
• Select part time market driven positions are eligible for most insurance plans
• Substitute status jobs are not eligible for benefits

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Additional Information

MHMR of Tarrant County ("MHMR") and its affiliates and subsidiaries have an internal recruiting department. MHMR may supplement that internal capability from time to time with assistance from temporary staffing agencies, placement services, and professional recruiters herein after referred to collectively as "Recruiters").

Recruiters are hereby specifically directed NOT to contact MHMR employees directly in an attempt to present candidates - MHMR recruiting team or other authorized MHMR personnel must present ALL candidates to hiring managers.

For more information please visit our website www.mhmrtc.org