Patient Care Manager

Job Responsibilities:

Position Summary: Coordinate care for youth and young adults enrolled in the LYFE program who are experiencing suicidality and/or self-harming needs and/or high acuity mental health needs, resulting in potential placement disruptions, hospitalizations, and/or frequent ER visits. LYFE provides services under the Wraparound Milwaukee system of care, which includes a unique set of values that emphasizes individualized, strength-based, trauma-informed, community-based and culturally intelligent care to provide intensive and individualized care coordination for youth and young adults. LYFE utilizes Dialectical Behavioral Therapy (DBT) to support youth and young adults with learning practical skills to work toward stabilizing acute mental health needs.

• Essential Functions:
• Coordinate care for 12-14 youth and young adults experiencing high acuity mental health needs, including suicidality and/or self-harm.
• Assemble a Youth Team within two (2) weeks of enrollment by interviewing the youth, young adult, and their family to develop a comprehensive team to support the individual. The team is comprised of natural (informal) supports, LYFE team members, and formal services to meet the identified needs.
• Coordinate and facilitate Team meetings to develop the initial and ongoing individualized Plan of Care based on the identified strengths and needs, including a comprehensive 24-hour Crisis Plan.
• Utilize the DBT model with assigned youth.
• Complete regular visits with assigned youths and families as outlined in contact policy of Wraparound Milwaukee.
• Monitor the provision and quality of services provided to the family through the Youth Team and act as the liaison when new services/resources need to be sought or developed.
• Support assigned youth in attending weekly DBT skill-building group.
• Seek community resources with the assistance of the Team and modify the Plan of Care to authorize service provision whenever services or resources need to be added and/or deleted.
• Provide or arrange for transportation for youth/young adults to appointments, as needed.
• Provide or secure support and crisis/emergency services for the youth/young adult. This may be done through face-to-face contact or phone contact.
• Completes all necessary paperwork in a strength-based manner per Wraparound Milwaukee/Agency requirements,(i.e., court letters, change of placement forms, POCs, Critical/Serious Incident Reports, Referrals, Provider Notes, evaluation instruments, consent forms, etc.).
• Collaborate with people involved in the youth and familys life to coordinate care, including informal/natural supports and other systems such as schools, community resources, DMCPS, CYFS, legal parties, inpatient facilities, etc.
• Keep Wraparound Milwaukee informed of all emergencies or critical incidents (refer to Wraparound Policy #14 Critical and Serious Incident Reports).
• Attend and actively participate in LYFE staffing and clinical consultation with agency Mental Health Professional/Clinician and Wraparound Milwaukee staff.

Other Duties and Responsibilities:

• Attend monthly in-services and participate in staffing, weekly and monthly meetings, and consultations.
• Assist with coverage for co-workers as needed.
• Other job-related duties as may be necessary to carry out the responsibilities of the position.

Job Qualifications:

Knowledge, Skills and Abilities:

Working knowledge of positive youth/young adult development; patience and understanding of challenging life needs; knowledge related to mental health and co-occurring needs, the ability to interact with youth, young adults, and caregivers in a calm and professional manner; ability to follow oral and written instructions and cues; ability to remain calm and respond appropriately in crisis situations; proficient in Microsoft Word and Excel; ability to perform basic computer functions; highly developed organizational skills with the ability to multitask; sensitivity towards cultural, ethic and life needs.

Minimal Qualifications and Salary Schedule:

Must possess a bachelors degree in a relevant area of education or human services and a minimum of one year of continued experience providing mental health services. Complete 20-40 hours of CCS training (DHS 36) and mandatory Care Coordination training in Wraparound philosophy, policy, and practice. Working knowledge of computer applications preferred (Windows and Microsoft Word). Ability to display cultural competence by responding respectfully and effectively to people of all

cultures, languages, classes, races, ethnic backgrounds, religions and other diversity factors in a manner that recognizes, affirms and values the worth of each individual. Knowledge and skills to work with children, young adults, and families. No convictions or license revocations that would fail a caregiver background check; valid drivers license, automobile and sufficient insurance to meet agency requirements. Meet all the employee requirements including references, criminal background check, drug test, and

drivers license check.

Other Job Information (if applicable):

Work Relationship and Scope:

Reports directly to LYFE Clinician/Supervisor. Has contact with a wide variety of

individuals including youth/young adults and family members, other program staff, including consulting Psychologist/Psychiatrist, and other collateral contacts, neighbors, funders, Milwaukee County Department of Health and Human Services, Children, Youth, and Family Services(CYFS), Childrens Court officials, Division of Milwaukee Child Protective Services(DMCPS), MPS staff and administrators, and staff of youth serving agencies and the general public.

Personal Attributes:

Follow agency Code of Conduct; adhere to established policies and procedures of the agency and of all funding sources; conduct self in an ethical manner; maintain professional and respectful relationships with program staff, other WCS staff, people being served by WCS, and all external persons and agencies involved with service provision; sensitivity toward cultural, ethnic and disability needs; demonstrate commitment to agency values and mission. Demonstrates a strength based, person centered, and culturally intelligent approach to serving people with mental health and co-occurring needs. Focused on embracing recovery in all interactions and incorporating people with lived experience (Peer Specialists) as part of the team.

Working Conditions:

Work is performed in a busy office environment and in the community serving children, young adults, and families. Some of the work is done sitting at desk using a computer; requires significant outreach in the community and families homes; much of the outreach is done in urban neighborhoods and several hours per day may be spent driving; hours average 40 per week; flexible work schedule include some hours outside the normal work schedule on evenings and weekends.

Physical Demands:

Duties require possible physical activity while interacting in the community. May require sitting at a desk and/or computer for 2 or more hours at a time. The position requires computer work. Requires the ability to travel and drive for short and extended distances.