Case Manager in Dumfries

The Case Manager plays a critical role in supporting client continuity of care by coordinating discharge planning, facilitating Medicaid enrollment, scheduling follow-up appointments, and ensuring seamless transitions between levels of care. This position collaborates closely with clinical, medical, admissions, and external providers to support client stability, compliance, and long-term recovery outcomes.

Key Responsibilities

• Coordinate comprehensive discharge planning for clients, beginning at admission and continuing throughout treatment.
• Facilitate Medicaid enrollment, recertification, and eligibility verification for clients as appropriate.
• Schedule, coordinate, and confirm appointments during active treatment and for aftercare, including primary care, behavioral health, psychiatry, MAT providers, and community supports.
• Arrange and coordinate client transportation to medical, behavioral health, and community appointments as needed, both during treatment and post-discharge.
• Provide transportation as needed.
• Facilitate life skills groups, supporting clients in developing practical skills related to daily living, self-advocacy, time management, community reintegration, and recovery stability.
• Communicate discharge and aftercare plans clearly with clients, families (as appropriate), and treatment team members.
• Collaborate with therapists, nursing, medical providers, admissions, and transportation partners to ensure timely and appropriate step-down placements and continuity of care.
• Maintain active communication with external providers, referral sources, transportation vendors, and community agencies.
• Ensure all discharge and case management documentation is completed accurately and within required timeframes.
• Track and follow up on outstanding referrals, appointments, transportation needs, and insurance-related requirements.
• Document all case management and coordination activities thoroughly in the electronic health record in compliance with regulatory and payer standards.
• Participate in multidisciplinary treatment team meetings and contribute to client-centered care planning.

Minimum Qualifications

• Associate's degree in Social Work, Human Services, Psychology, or a related field or CSAC-A (required).
• Bachelor’s degree in Social Work, Human Services, Psychology, or a related field (preferred).
• Previous experience in case management, discharge planning, or care coordination.
• Experience working in behavioral health, substance use disorder treatment, or healthcare settings preferred.
• Strong understanding of discharge planning processes and continuity of care.
• Working knowledge of Medicaid enrollment processes and eligibility requirements.
• Excellent organizational, time management, and follow-up skills.
• Strong communication and interpersonal skills with clients, families, and interdisciplinary teams.
• Ability to work independently while managing multiple priorities.
• Proficiency with electronic health records and basic office software.

Working Conditions

• Direct care position with regular client interaction.
• Schedule aligned with program operations; flexibility may be required to meet discharge needs.
• 40 hours per week, Monday-Friday 8:00am-4:30pm, with weekend rotation.
• Office-based with coordination across clinical units and external providers.

Why This Role Matters

The Case Manager serves as the connector between clinical care, operations, external systems, and client continuity of care. This role is a stabilizing force within the treatment system. Without strong case management, clinical progress becomes fragile and difficult to sustain. This role protects treatment outcomes, supports client stability, and strengthens the integrity of the entire care continuum.

Pre-Employment Requirements

Mainspring conducts, as required, job-related background checks, drug testing, TB testing, verification of employment history, and/or reference checks prior to employment.

Equal Employment Opportunity Statement

Mainspring is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, genetic information, veteran status, or any other protected status in accordance with applicable federal, state, and local laws.