RADIAS Health

Manager

• Assist clients on the CADI, BI, EW and DD waivers in Hennepin County to access needed waiver and state plan services, as well as needed medical, social, education and other services, regardless of the funding source.
• Develop and implement a plan of care (CSSP) that is based on the MNChoices assessment results and within the county approved allocation for the client
• Inform clients and/or their legal guardians of service options, and assist clients in identifying potential providers and accessing services
• Plan and arrange for services and inform the county waiver contact of the proposed services to be authorized, including provider, service type, amount and frequency for entry into MMIS service agreement
• Provide services at the client's residence or other community locations, as specified in the CSSP.
• Provide crisis intervention services, as needed, including referrals to meet emergency needs for housing, food, clothing or financial assistance.
• Respond to all Vulnerable Adult reports in a timely manner of receipt of report. All responses will be documented and available for Hennepin County to review upon request.
• Determine client needs for residential treatment and select appropriate placement homes or facilities.
• Monitor client progress towards established service goals and determine termination/continuation of service.
• Consult with departmental staff, other county departments and community service professionals to develop and provide appropriate and timely services.
• Maintain accurate case records and complete forms for documentation of eligibility, treatment cost reimbursements, service referrals, evaluation of client outcomes and general case management purposes.
• Track and provide data used to monitor trends and developments relating to client and program needs, and to monitor agency outcomes.
• Track billable time worked, by client, for reimbursement

Case Manager – Waivered Services

Representative

• Determine a client's basic monthly needs and how best to pay them based on their income and abilities to self-budget.
• Determine a personal needs schedule and rate through consultation with client, service providers, and use of individual judgment.
• Set reasonable limits with clients who demonstrate inability to spend benefits appropriately. These limits will vary by client and should be set using the judgement and experience of the Representative Payee.
• Pay rent, utilities, and personal needs by utilizing the Representative Payee Management system to schedule payments.
• For clients who are on MA spend downs, set aside money each month to pay medical bills.
• For clients who are not on MA spend downs, pay medical bills as they arise.
• Assess client’s ability to budget benefits and then sets up a budget plan to purchase food, clothing, and other personal items. The check disbursement for these needs could be daily, weekly, or monthly or some combination thereof depending on the client’s need.
• Pay other bills, which might include but not be limited to: property taxes, transportation cost, large one-time purchases such as an automobile or appliances.
• Rep payees may budget Veteran’s benefits for clients for whom the Veteran’s Administration requests this service.
• Utilize the phone to exchange information and do problem solving with clients and providers. Return phone calls promptly.
• When appropriate, meet with clients and providers to discuss financial issues and budget plan.
• Collaborate with case managers when issues arise that are beyond the financial realm, such as finding and maintaining affordable housing. Whenever possible, coordinate budget plan in collaboration with case manager.
• Seek consultation with case manager when there is on-going conflict with client regarding finances and spending or when RP desires case managers input.
• Utilize verbal de-escalation skills with clients who are angry or threatening. (Written procedure is pending).
• Communicate in writing to providers who request information and/or explanation of the service provided, budget plan, etc.
• Keep two-way communication between the Social Security Administration and RADIAS Health (Representative Payee Services) open.
• Complete a Representative Payee Report (Form SSA-623-OCR-SM) for each client once a year and send it to the Social Security Administration.
• Maintain a courteous and professional tone and manner with clients and providers in all communication.
• Receive referrals from SSA, case manager, and other service providers. Process accordingly.
• Maintain a file for each client which contains bills, written notifications from Social Security, and other paperwork as needed. These can also be kept electronically on RPM.
• Provide, as needed, a client’s transaction history from RPM.
• Meet with the Director of Housing & Community Development regularly to discuss system issues, job performance and to obtain feedback and assistance with problem solving.
• Communicate any observed procedural or “system” issues to the Administrative Program Manager.
• Complete all paperwork, reports, and charting contemporaneously and in an organized manner.
• Participate actively in on-going professional growth and development; maintain appropriate professional behavior and participate in appropriate supervision.
• Maintain a pattern of regular work hours.
• Other duties as assigned.

Representative Payee

General

• Provide direct clinical services across assigned program areas in accordance with program framework, organizational policies and procedures.
• Deliver culturally responsive, trauma‑informed and person‑centered care that promotes dignity and respect.
• Assess and treat individuals diagnosed with co-occurring mental illness and substance abuse disorders using evidence based practices.
• Establish and maintain therapeutic rapport to support engagement in services.
• Conduct mental health assessment, including diagnosis and development of individualized treatment plans aligned with clinical standards and organizational policies.
• Provide individual, group, and family psychotherapy to adults and adolescents.
• Educate individuals and families on mental health conditions, coping strategies, and available treatment options.
• Deliver psychiatric rehabilitation services that support recovery and independent functioning.
• Apply harm reduction principles and evidence-based substance use disorder interventions.
• Conduct crisis assessment and intervention, including safety planning and risk assessment; facilitate referrals to a higher level of care when clinically indicated.
• Make appropriate culturally sensitive referrals and support individuals in accessing needed services and resources.
• Partner with program leadership to provide clinical consultation, guidance and skill development to team members.
• Collaborate closely with psychiatrists, primary care providers, case managers, and interdisciplinary care team members to ensure coordinated care.
• Foster collaborative relationships with client family members and significant others, while partnering with providers and stakeholders across the homeless service systems.
• Attend commitment court and other legal proceedings as required; complete all associated documentation and court reports.
• Support individuals in navigating and maintaining access to financial benefits, health care coverage and community resources.
• Assist with transportation as needed to support access to essential services and progress towards treatment goals.
• Provide and participate in clinical consultation to Mental Health Practitioners and other professionals.
• Provide co-leadership to teams as assigned, including facilitating team meetings, clinical consultation, review and approve assessments and treatment plans, assist with scheduling and triaging service needs.
• Complete mandated reporting (e.g. Vulnerable Adult, Child Protection, Ombudsman) in accordance with legal and organizational requirements.
• Adhere to all ethical, legal, regulatory, and confidentiality requirements, including HIPAA.
• Attend and actively participate in team meetings.
• Maintain timely, accurate and compliant documentation in the electronic health record.
• Complete all required documentation, reports, and charting in a through, organized and timely manner.
• Engage in ongoing professional development and demonstrate a commitment to continuous learning and best practices; maintain appropriate professional behavior.
• Participate and engage in regular supervision with assigned manager(s) based on role assignment.
• Maintain consistent and reliable attendance and work schedule.

Mental Health Professional – Float

Customer Support

• Maintain an updated billing and benefit changes for all patients and third-party insurance carriers.
• Prepare and process clean claims to various insurance companies for various patient insurances, including specific restrictions or groups.
• Assist in auditing, error correction, and preparation of behavioral health billing in RADIAS Health's current electronic health record software.
• Process and reconcile payments and overpayments from various insurance companies.
• Report and maintain accurate documentation of company revenue for assigned programs.
• Review and follow-up on denied claims, resubmitting claims to third party payers and advocate for payment.
• Prepare and request paperwork for prior authorizations for services provided.
• Prepare, review and send patient billing statements.
• Performs various collection actions including contacting patients by phone and mailing out invoices.
• Maintain competencies in software and websites for the agency's current electronic health record, state provider portals, and insurance provider portals.
• Considers patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
• Working knowledge of RADIAS Health programs
• Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
• Complete all paperwork, reports, and charting contemporaneously and in an organized manner.
• Participate actively in on-going professional growth and development; maintain appropriate professional behavior and participate in appropriate supervision
• Participate in administrative staff meetings and attend other meetings and seminars.
• Maintain a pattern of regular work hours to meet program needs as determined by the Program Manager.
• Other duties as assigned

Case Manager – Waivered Services

Representative Payee

Mental Health Professional – Float

Billing Support Specialist