- Manages a caseload of assigned HBH participants with support.
- Coordinates and assists with assigned HBH participant intakes, completing PHQ-9 questionnaires, and needs assessments.
- Provides ongoing assessments and evaluates the effectiveness of service plans and progress made by participants and participates in client treatment planning and case review with the manager of program staff.
- Coordinates and conducts a comprehensive assessment process for assigned participants, as appropriate.
- Develops and monitors a regularly reviewed action plan in partnership with the participants and Social Service program team.
- Provides case management services including monitoring participant needs and making referrals as needed, in consultation with the Social Services program team.
- Identifies and coordinates resources for direct medical, clinical, and psychiatric care of program participants with program staff.
- Ensures all parties are kept informed about the medical and psychiatric needs of the participants and completes referrals in a timely manner.
- Coordinates with program staff to ensure that participants are active and engaged in services, appointments, meetings, and activities.
- Contacts enrolled participants monthly by phone, email, video, or in person for individual case management.
- Documents and updates all interactions with enrolled and new participants, writes clear and concise notes, and maintains daily logs on all participants.
- Maintains and reports applicable statistics regarding programs and participant services.
- Manages any crisis and/or emergencies that may occur on the units with patients.
- Provides telephone and/or in-person screening to patients that are requesting immediate service.
- Responds to all shift emergencies and effectively completes all documentation.
- Prepares and accurately submits all required forms and statistical reports, maintains documents regarding participant's cooperation, daily activities, and other records in compliance with agency and external policies, procedures, and applicable licensing standards.
- Participates in and contributes to regularly scheduled supervisory and team meetings.
- High school diploma/GED or equivalent is required and 8 or more years of experience working in a community based medical/social services setting.
Associate degree and 6 or more years of experience working in a community based medical/social services setting.
Bachelor's degree in social work or related field and 4-6 years of experience working in a community based medical/social services setting.
Master's degree in social work or related field and 2-4 years of experience working in a community based medical/social services setting.
- Demonstrated cultural competency working with system-involved LGBTQ communities
- Knowledge of and familiarity with navigating social services and government agencies
- Experience navigating social services and government agencies
- Ability to write in a concise and organized manner, and use correct grammar
- Ability to remain calm in emergency situations and follow emergency policies and procedures
- Ability to adapt own behavioral and communication style to gain cooperation of managers, co-workers, peers, clients, patients, and suppliers
- Experience facilitating restorative practices and/or youth groups is preferred.
- Requires ability to use computers, telephones and other office equipment.
- May require occasional bending and lifting up to 25 pounds.
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