Clinical Care Manager Post Transition (Collar Counties)

• Meet regularly with Class Members in the community in the KYC service area around the Northwest Suburbs of Chicago primarily focusing on Collar Counties of Lake McHenry DuPage and Kane.
• Oversee and coordinate to ensure quality and access to all recommended services for Colbert and Williams Class Members that have transitioned out of nursing facilities and are assigned to non-KYC service providers.
• Coordinate with the Clinical Care Managers throughout the discharge planning process for Class Members in the pre-transition stage to ensure continuity of care after nursing home discharge
• Take initiative and be accountable for and manage all aspects of post-transition including being able to navigate changes at the system or individual level and advocate for Class Members and resolve conflicts.
• Review transition plan to ensure all aspects are being implemented
• Provide comprehensive integrated service plans and connect to services to help clients improve regain and develop skills needed for daily life focused on community mobility and integration cognitive processes support with engagement in IADLs/ADLs hygiene and self-care sensory processing safety with transfers fall prevention and adaptive equipment to increase safety and independence
• Create comprehensive wraparound service plans for class members using input from Class Members SMHRF/NF staff family and guardians while focusing on a Class Members needs desires and preferences that integrates all facets of clients lives including mental/emotional health physical health/wellness employment and education social and family relationships substance use/abuse issues spiritual community-integration and housing needs
• Communicate clearly with the Colbert/Williams interdisciplinary transition team assigned ACT/CST mental health treatment team or other service providers Class Member and family/primary supports and various treatment providers to ensure working together on service goals
• Provide post-transition monitoring to Class Members for 18 months and meet minimum in-person visit schedule to ensure all services are being accessed and delivered
• Provide pre-transition services and carry caseload of pre-transition class members up to 25% as needed based on program needs

• Identify and complete written reports to IDHS on reportable incidents involving Class Members post-transition within timeframe
• Participate in weekly team meetings in order to coordinate and support post-transition efforts
• Complete all clinical documentation and required reports in an accurate and timely manner
• Interpret and communicate at the service delivery level Center policies and procedures
• Participate in orientations all staff trainings and training and development seminars
• Submit in a timely and accurate fashion schedules timesheets mileage and other reports required by the Centers policies and procedures
• Coordinate closely with Supervisor of Clinical Care Services

• While performing the duties of this job the employee regularly works in an office setting at least 2 days per week and frequently uses standard office equipment.
• Approximately 50% of time the employee is required to travel by automobile to and from Arlington Heights Mt. Prospect and/or Elk Grove office locations on a weekly basis as well as client visits in client homes in the Chicagoland area occasional visits to area nursing facilities for discharge planning
• Treatment services are delivered at flexible times that meet clients needs and in settings that offer the best potential for positive outcomes
• In supporting clients to live independently employee may be exposed to varying home conditions
• Position has ability for some remote/work-from-home based on needs of the program with approval of manager and director
• The employee is regularly required to drive in the community and must be able to use their faculties to drive safely and in compliance with Illinois laws

• Masters degree from an accredited College or University in Social Work Psychology Counseling or closely related discipline preferred. Will accept bachelors degree with approval from State of Illinois for Skilled provider per grant position requirements.
• Qualified Mental Health Professional (QMHP) or Mental Health Provider (MHP) under Illinois Rule 132/140
• Preferred experience working with adults with serious mental illness and experience working in non-traditional treatment environments -home residential nursing facility hospital community settings
• Applicant must have a valid IL Drivers License proof of insurance and daily access to a reliable well-maintained vehicle
• Computer and smartphone proficiency including working knowledge of MS Word Excel Internet skills text messaging and electronic health record. Knowledge and ability to learn and effectively utilize electronic internal collaboration and communication tools (ex. Microsoft Teams Microsoft 365)

• Full-time Salary Exempt 37.5 hours per week
• Work hours mostly Monday-Friday approx. 9am-5pm with ability to occasionally work a schedule in response to the needs of the target population (occasional evening and/or Saturdays to meet class member needs)
• Hybrid position includes mix of in-office work services provided on-site in the community and remote work

Required Experience:

Manager