Clinical Case Manager-UPPER CARDOZO

INTRODUCTION

Under the supervision of the Director of Social Services, the Clinical Case Manager in consultation with the Assistant Director of Social Services, works with diverse populations with multifaceted needs. Primary responsibilities include, but are not limited to, assisting clients in following through on established treatment plans, enhancing social functioning, and improving the client's quality of life. The Clinical Case Manager serves as planner, advocate, broker, and record keeper for the client.

MAJOR DUTIES / ESSENTIAL FUNCTIONS

Essential and other important responsibilities and duties may include, but are not limited to the following :

• Initiates outreach to client population to educate clients on available social services assistance in order to increase patient compliance with medical treatment and social service case management plan.
• Utilizes strength-based, person-centered approach and motivational interviewing techniques to build rapport and engage clients into services to assist clients with addressing barriers to care.
• Develops a therapeutic working relationship with clients.
• Assesses clients for needs related to addictions, HIV / AIDS, mental illness, homelessness, domestic violence, pregnancy, family challenges, as well as other social determinants which impact health care.
• Assist clients to address social needs that impact their health care.
• Develops and maintains a person-centered case plan with the client to ensure services are responsive to individual client needs.
• Coach and support clients to increase their compliance with medical and behavioral health treatment.
• Provides advocacy, referral, and linkage to community resources and support networks to address identified needs, including assisting with health insurance enrollment.
• Provides regular follow up to all clients to ensure successful linkage to, and utilization of, community resources or in-house services.
• Provides crisis intervention as necessary.
• Coordinates with multi-disciplinary team at health center to share information regarding client's status; provides problem solving with challenging patient situations.
• Accurately document all client encounters on appropriate social service forms; submits progress notes, encounter forms, etc. within established time frame.
• Assess for, and assist with insurance and other social services benefits as necessary.
• Provides counseling and psycho-educational groups as needed.
• Completes Psychosocial Assessments as necessary.
• Works with team and providers to complete Medical Summary Reports for benefits as necessary.
• Conducts mental status exams as necessary (based on licensure level)
• Provides brief therapy and solution focused therapy, as it relates to medical care and accessing services (based on licensure level).
• Participates in case conferencing as necessary.
• Train peers and health center staff as needed.
• Participate in Continuing Education to maintain license and professional standards.
• Abide by Code of Ethics for related discipline.
• Maintain professional relationship and appropriate boundaries with clients.
• Participates in professional development opportunities and regular supervision.
• Attends regular departmental, health center, agency meetings, activities, and events.
• Performs other duties as assigned.

MINIMUM QUALIFICATIONS

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES