Utilization Management Assistant Jobs in Boston, MA

The Department of Mental Health's Brockton Multi Service Center (BMSC) is seeking an experienced Adult Case Manager to provide assessment, outreach, support, service coordination and person centered advocacy to DMH authorized adults as well as provide open access to support the greater community (inclusive of non-DMH authorized adults) as indicated; promote DMH's philosophy of recovery, trauma informed care, person-centered choices, and cultural humility by utilizing strength-based goal setting and through independent decision-making; conduct comprehensive assessment and related screenings as well as develop, implement and monitor individual service plans (ISPs); assist individuals in securing services; involve the individual and other identified supports/providers in treatment planning and support recovery goals; work as a member of a larger team; monitor treatment, engagement and responsivity to interventions utilized and is involved in discharge planning for those in acute and long term inpatient care; complete utilization reviews; utilize the electronic and paper record; provide casework and supportive counseling; perform all duties to reflect the highest level of dignity for the persons served.

Please Note: This position is 40 hours per week, Work Schedule:  8:30 a.m. to 5:00 p.m. The days off are Saturday and Sunday.

Duties and Responsibilities (these duties and responsibilities are not all inclusive):

• Provides creative engagement strategies including regularly scheduled face-to-face contact in accordance with the needs of the person served/service delivery assignment (CNCM, extended, Open Access), family and other community providers to engage and sustain involvement in attaining the individual's goals and maintaining community tenure.
• Directly provides assistance and support with, but not limited to, housing search, employment search, skill development, symptom management, wellness management, and encourages active participation in treatment by developing positive therapeutic relationship.
• Regularly scheduled visits occur in the client's home or usual place of residence, as appropriate, and monitors safety of the environment.
• Prepares and maintains documentation according to DMH regulations and Electronic Health Record (EHR) business rules including progress notes and other required documentation.
• Provides open access support to individuals seeking assistance in the community; fulfill case manager of the day duties. 
• Develops a comprehensive assessment of individual needs in accordance with DMH regulations and timelines by interviewing the individual, family &/or LAR, significant others; obtaining records; gathering relevant written and verbal information from past & current service providers in order to determine the service needs.
• Develops, implements, and monitors the individual service plan (ISP) per DMH regulations and timelines with the individual and service providers; convenes and facilitates meetings to review and modify the ISP, when indicated. Completion of and engagement in the utilization review process.
• Develops a critical needs assessment of individual needs and a critical needs plan in accordance with DMH regulations and timelines for designated individuals receiving Critical Needs Case Management.  Interviews the individual, family &/or LAR and significant others, obtains records, gathers relevant written and verbal information from past and current service providers in order to determine the critical service needs.
• Conducts in person screenings and needs & means assessments to identify need for services, respond to requests for interim services and recommend &/or refer to services as appropriate.
• Refers individuals for specialized assessments and to programs and services, including entitlements, that are indicated by the Comprehensive Assessment and ISP.
• Monitor and ensure that services and entitlements are in place and meeting the individual's identified needs.
• Coordinates transitions by facilitating communication with providers and families to ensure individual is receiving needed services in a timely manner.
• Directly engages with individual throughout all housing and care settings (inpatient, jail, shelters, SNF, etc.) to ensure access to needed services, coordination and communication among service providers and to facilitate efficient transitions &/or diversions.
• Lead discharge planning & service coordination activities to support community transitions or diversion of individuals to ensure a smooth transition to the community.
• Link individuals to appropriate agencies & organizations to meet individual needs identified through the ISP process and ensure that necessary services are provided in the least restrictive environment.
• Participate in utilization management reviews to monitor efficient use of resources.
• Identifies historic & current risk factors of assigned individuals and collaborates with the individual, Supervisor, crisis intervention services, & service providers to facilitate and participate in appropriate assessment and planning.
• Facilitate and participate in the development of plans to address risk & safety for assigned individuals according to DMH protocol and policy.
• Completes screenings and may complete assessments (e.g. suicide, substance use, etc.) as needed and according to DMH protocols and policies.
• Respond to and manage crises by providing face-to-face or telehealth contact when appropriate.  Engages in direct communication with Mobile Crisis Intervention (MCI), Behavioral Health Helpline &/or 911; completes necessary alerts with MCI; ensures communication with Supervisor and all other appropriate parties.
• Provides and/or arranges for transportation to ensure individuals have access to needed services.
• Demonstrates cultural humility through knowledge and sensitivity to age, race, ethnicity, culture, gender and sexual orientation of the individuals served.
• Respond to inquiries & concerns from the general public including: municipal, housing and public safety officials, community agencies, etc.  Ensures responses comply with DMH and HIPPA confidentiality requirements.
• Meet regularly with Supervisor; prepares for and actively participates in supervisory process.
• Develops skills and competencies by completing mandatory trainings and attending other skill development trainings.
• Other duties as assigned.

 Preferred Qualifications:

• Bilingual or multilingual proficiency in Cape Verdean dialects.
• Strong and effective interpersonal skills, including the ability to actively listen, relate to others and demonstrate sensitivity and respect for individuals.
• Proficiency in Microsoft Office applications including Outlook, Word, and Excel.

 DMH Mission Statement:  

The Brockton Multi Service Center provides comprehensive services to mentally ill adults and children.  Programs include Case Management, Adult Community Clinical Services program and a Program of Assertive Community Treatment (PACT) team.  The Brockton Multi Service Center is a Joint Commission certified facility. In all we always aspire to create an environment which promotes growth and independence for clients, families, and employees alike.  We offer an excellent salary and benefit package including, tuition remission, health insurance, alternative work schedules, educational/certification incentives (as per Union Contract), shift and w/e differentials.

Pre-Hire Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori
Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines,
Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth's website.

ADA Reasonable Accommodation:

If you require a reasonable accommodation with the application/interview process, please contact us at: EOHHS Candidate ADA Requests

For questions regarding this requisition, please contact Human Resources at (800) 510-4122, Option 4.
 

First consideration will be given to those applicants that apply within the first 14 days.

Applicants must have (A) at least three (3) years of full-time or equivalent part-time, professional experience in human services work or social work or (B) any equivalent combination of the required experience and substitutions below.

I. A Bachelor's degree or higher in a related field may substitute for two (2) years of the required (A) experience.

Based on assignment, travel may be required. Incumbents who elect to use a motor vehicle for travel must have a current and valid motor vehicle driver's license at a class level specific to assignment.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

An Equal Opportunity / Affirmative Action Employer.  Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.

The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law.  Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements.  We encourage individuals who believe they have the skills necessary to thrive to apply for this role.