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Targeted Case Manager

Lakes Region Mental Health Center

Lakes Region Mental Health Center (LRMHC) is the community mental health center serving Belknap and southern Grafton Counties. We provide services to 24 surrounding towns, and nearly 4,000 patients each year. A non-profit, private corporation founded in 1966, Lakes Region Mental Health Center is governed by a volunteer Board of Directors dedicated to our mission.  We provide integrated mental and physical health care to children, adults, elders and their families who are living with – and recovering from- mental illness and/or emotional distress. Our dedicated professionals provide the highest quality of healthcare and collaborate with many other organizations in the region to improve access to care and meet the mental health needs of the community. By working in partnership with other health care providers, hospitals, law enforcement, corrections, courts, school districts, social workers and public health officials, we are able to provide a continuum of care for our patients and improve the quality of life in the Lakes Region.

Targeted Case Managers (TCM) are responsible for coordinating and assuring the continuity of services for each patient on their caseload.  This includes working with each patient and caregiver(s) to coordinate care planning, complete a comprehensive assessment of needs, develop a care plan, and monitor the effectiveness of it, plus ensure resource linkage, referral, and advocacy.   Also coordinate care and maintain the medical record within the agency.


Bachelor’s in human services, social work, psychology, nursing, counseling or other related field as specified in He-M426-11 and He-M426-13. Must meet qualifications to provide Functional Support Services.
One to two years of experience with emphasis in mental health.
Must have and maintain a valid driver’s license and Liability Insurance.


Under the general supervision of the Coordinator and within the agencies policies and procedures the TCM performs the following functions:


1.Meet with patients/caregiver(s) (face to face) at intake, quarterly and annually to obtain information to conduct a comprehensive assessment of needs.  Communicate and coordinate with patient/caregiver(s), and providers/collaterals, as needed. 
2.Monitor and manage CM waiting list and CSP waiting list for services as above in # 1 and in accordance with existing procedures. 
3.Revise Case Management (CM) Plan to document any newly identified needs and /or services.  Review and monitor linkage to services identified in the CM Plan
4.Promote and ensure a person-centered planning approach to care and patient choice of services
5.Review records, summaries and assessments from current providers.
6.Complete all documentation and billing in compliance with standards set by state and agency policy.  Meet patient direct service hour standard as set by the agency. 
7.Attend meetings, trainings, and in-services as required and participate in regularly scheduled supervisions as required. 
8.Participate in team activities and offer support for patient/staff/program initiatives.  Participates on agency committees.
9.Review needs of patient with internal/ external providers and any other involved parties. 
10.Link patients to services (including phone calls, scheduling appointments, verbal and written referrals to internal/external providers and the completion of associated documents) as needed
11.Meet quarterly with internal providers to obtain information to complete Quarterly Service Review documentation.  Participate in Quality Improvement audits and other functions. 
12.Performs other duties as assigned.
13.Attendance is an essential function of this position.
Required Skills and Abilities:

The individual must possess the knowledge, skills and ability noted below or be able to explain and demonstrate how the individual can perform the essential functions of the job, with or without reasonable accommodation, using some combination of skills and abilities.  Must also possess the necessary physical capacities, with or without the aid of mechanical devices or other forms of accommodation, to safely perform the primary functions of the job.
1.Provides input into program issues and shares/receives feedback in a healthy, constructive atmosphere.
2.Is able to establish a rapport with patients.  Treats patients with dignity and respect and takes a patient centered approach to treatment, as noted through supervision, team participation, and feedback from patients and staff.  Is able to build a relationship of trust, as observed by patients, supervisor, and team.
3.Has general knowledge about medications and diagnosis as well as a working knowledge of issues, rehabilitation and supportive living concepts associated with adult patients and uses these appropriately with patients.
4.Has working knowledge of crisis intervention techniques and counseling principles and remains current in EBP’s provided to patients.
5.With the assistance of the supervisor, is able to organize and prioritize a workload so that rehabilitative and administrative duties are completed on time and in accordance with productivity and quality standards.
6.Follows through with responsibilities to the satisfaction of contact persons and/or supervisor.
7.Learns the philosophy and operating procedures of Genesis and applies them effectively both within and outside the agency.
8.Represents the patients/program/agency constructively both within and outside the agency.
9.Maintains general knowledge of community resources and presents these to patients/supervisor/team as appropriate.
10.Maintains a working knowledge of the benefits systems and utilizes this information to the best advantage of the patients.
11.Ability to use computers and word processing equipment.
12.Ability to express or exchange ideas by means of the spoken word and to receive detailed information through oral communication.  Primary functions include activities in which verbal communication with patients and with others is key to job effectiveness.
13.Visual acuity must meet a minimum standard to work with preparing, reading and analyzing data and reports, work with computer terminals, etc.

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Date Added: December 27, 2021

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