AOT CASE MANAGER

This clinician provides intensive, community-based services to adults with serious mental illness who are subject to Wayne County Probate Court AOT (Assisted Outpatient Treatment) orders. The AOT Case Manager coordinates behavioral health, medical, social, housing, vocational, and community support services to promote recovery, psychiatric stability, community integration, and compliance with court-ordered treatment requirements. This position serves as a liaison between consumers, treatment providers, the court system, hospitals, law enforcement, family members, and community agencies while ensuring adherence to Michigan Mental Health Code requirements.

ESSENTIAL DUTIES AND RESPONSIBILITIES

CLINICAL CASE MANAGEMENT:

· Complete all required trainings and attend internal/external meetings as required.

· Reports on time as scheduled and at the assigned work location.

· Utilizes the Core Elements of Case Management to ensure quality of care.

· Responsible for conducting scheduled face-to-face sessions as identified in the person-centered plan.

· Provides comprehensive case management services to individuals enrolled in the AOT program.

· Completes biopsychosocial assessments, person-centered planning, and ongoing service coordination activities.

· Develop, implement, monitor, and update Individual Plans of Service (IPOS) in collaboration with client, treatment team, and other identified support persons.

· Monitors psychiatric symptoms, medication adherence, treatment participation, and recovery progress.

· Assists consumers with appointments, referrals, transportation, community resources, and coordination of benefits including Medicaid and Medicare.

· Maintains compliance with the PIHP, Medicaid, MDHHS, CARF and other applicable accrediting bodies.

· Completes timely and accurate documentation in the electronic health record within 24 business hours of service delivery.

· Maintains monthly direct service requirement.

· Returns client phone messages within 24 business hours.

· Uses care and caution with agency vehicles, technology and other LBS properties.

· Completes other duties as assigned.

COURT-RELATED ACTIVITIES:

· Monitors participant compliance with Assisted Outpatient Treatment orders.

· Attends court hearings, status reviews, and judicial proceedings as required.

· Prepares written court reports regarding treatment engagement, service utilization, medication adherence, risk concerns, and overall progress.

· Provides testimony and professional recommendations to the court when requested.

· Collaborates with probate court personnel, attorneys, hospitals, law enforcement agencies, and treatment providers.

· Monitors and report non-compliance concerns, changes in psychiatric status, hospitalization events, or significant risk factors.

· Coordinates transitions following hospitalization, incarceration, or other disruptions in treatment.

· Ensures all court-related documentation and communications are completed within required timelines.

CARE COORDINATION AND COLLABORATION:

· Participates in multidisciplinary team meetings and case consultations.

· Communicate regularly with care teams, family members, and community partners.

· Coordinates crisis intervention services and safety planning as necessary.

· Advocates for consumers' rights while balancing court-ordered treatment obligations.

· Supports recovery-oriented and trauma-informed treatment approaches.

· Maintains effective working relationships with community stakeholders and service providers.

· Assesses and monitors risk related to psychiatric decompensation, hospitalization, homelessness, victimization, and community safety concerns.

· Participates in crisis response activities and coordinate emergency interventions as needed.

· Develops and implement safety plans and relapse prevention strategies.

· Facilitates continuity of care following psychiatric hospitalization and other critical incidents.

MINIMUM QUALIFICATIONS:

EXPERIENCE:

· Minimum of five (5) years of professional experience providing behavioral health services to adults with serious mental illness.

· Experience in Community Mental Health, case management, outpatient treatment, crisis services, inpatient psychiatric settings, or court-ordered treatment programs preferred.

· Experience supporting individuals with co-occurring mental health and substance use disorders is preferred.

· Experience with probate court, forensic mental health, or Assisted Outpatient Treatment programs preferred.

KNOWLEDGE, SKILLS, & ABILITIES:

· Knowledge of serious mental illness, recovery principles, trauma-informed care, and community behavioral health systems.

· Ability to engage individuals with complex psychiatric and psychosocial needs.

· Ability to prepare professional reports and present information effectively in court settings.

· Ability to assess risk and implement appropriate interventions.

· Ability to work independently while maintaining collaboration with multidisciplinary teams.

· Strong problem-solving, crisis management, and conflict resolution skills.

· Ability to maintain confidentiality and comply with HIPAA requirements.

COMPETENCIES

Critical Thinking- Consistently identifies and applies relevant information to your work:

· Gathering information

· Applying Information

· Adaptability

The AOT CSM comprehensively assesses client needs on multi-dimensional domains (physical and mental health, education, financial/housing/food security, relationships, meaningful activities, etc.). Based on client needs, the AOT CSM utilizes interventions to effectively eliminate barriers and increase overall access to resources for improved quality of life.

Equity Mindset-Understands and is committed to goals of equity, consistently centers equity in the organization’s work and workplace:

· Awareness of equity issues

· Ability to actively combat inequities

The AOT CSM believes in the potential and resilience of all clients and seeks feedback on the treatment effectiveness and satisfaction from disparity-vulnerable individuals and families. The AOT CSM is engaged in continuous learning and reflection of personal bias, assumptions and cultural awareness.

Growth Mindset-Views growth as important for personal and professional development in service of LBS’ impact; seeks out opportunities to expand skills, even if change is required; demonstrates curiosity and eagerness to learn:

· Learning-orientation

· Seeking and providing feedback

The AOT CSM recognizes the learning and growth of mental health expertise as important for personal and professional development; open to discussing opportunities to learn from challenging or new situations at work; seeks help when needed; is open to and aware of organizational changes; often seeks feedback to improve; engages in discussions about new ways to do work.

Cultural Humility-Demonstrates the value of diversity and inclusion; fosters an inclusive environment that facilitates a diverse team thriving within the organization:

· Awareness

· Advancing diversity and inclusion

The AOT CSM values diversity and inclusion in the workplace; is respectful of the opinions of others and has awareness of the value of a multiple lens cultural perspective; contributing to the advancement of diversity and inclusion leading to a strengthened workforce and quality services.

Communication-Uses effective written and oral communication with internal staff, teams and the community; demonstrates empathy and listening:

· Communication approach

· Inquiry and listening

· Collaboration

The AOT CSM demonstrates excellence in communication skills with individuals and their families through non-judgmental inquiry, respect, empathic and active listening and reflection. The AOT CSM collaborates with colleagues and external entities utilizing clear and concise communication and professionalism to support clients with goal accomplishment.

Ownership and Quality of Work- Effectively manages own work, and work of teams when relevant, ensuring delivery of high-quality work:

· Taking ownership

· Quality of work product

The AOT CSM efficiently manages caseload, consistently meets required timeframes and ensures the highest quality of service delivery and consumer satisfaction.

EDUCATION:

· Master’s degree in social work, psychology, or counseling from an accredited college or university.

CREDENTIALS AND LICENSURE:

· Full licensure with the State of Michigan LARA (LMSW, LPC, or LLP) is required. Employees are responsible for obtaining the required supervision for their respective licensure.

ADDITIONAL REQUIREMENTS:

· Ability to travel throughout Wayne County and surrounding service areas.

· Demonstrated knowledge of Michigan Mental Health Code, Community Mental Health systems, Medicaid regulations, and person-centered planning principles.

· Strong written, verbal, organizational, and interpersonal communication skills.

· Proficiency in electronic health records and Microsoft Office applications.

QUALIFICATIONS - To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

· Possession of a valid Michigan Driver’s License with an acceptable driving record according to Lincoln Behavioral Services policy, including issuance for a minimum of 3 years.

· Access to a private vehicle for day-to-day job performance, when needed.

PHYSICAL DEMANDS - The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions