Case Manager I SDOH

The Case Manager I / Social Worker I / Family Advocate conducts direct service coordination for agency service recipients to ensure that needed supportive services and community resources are provided and accessed leading to an improved quality of life, while ensuring that services provided are in alignment with the Social Determinants of Health through a trauma informed care lens as defined by the agency.

ESSENTIAL PERFORMANCE REQUIREMENTS AND FUNCTIONS:

• Healthcare and Human Services Environments: Ability to explain issues and advancements in the healthcare and human services industries.

• Achievement Orientation: A concern for surpassing a standard of excellence. The standard may be one's own past performance; an objective measure; outperforming others; challenging goals, or something that has not been done previously.

• Community Orientation: Ability to align one's own and the organization's priorities and assess and address community needs in an evidence-based and holistic manner, one that addresses the social determinants of health through a trauma-informed lens.

• Professionalism and Ethics: The demonstration of ethics and sound professional practices, as well as stimulation social accountability and community stewardship. The desire to act in a way that is consistent with one's values and what one says is important.

• Interpersonal Understanding: Ability to understand other people as well as to accurately hear and understand the unspoken or partly expressed thoughts, feelings, and concerns of others. It measures increasing complexity and depth of understanding of others and includes cross-cultural sensitivity through a trauma-informed care lens.

• Community and Customer Service - Increase client access, enrollment, and satisfaction of program resources by creating wraparound services, recruitment, and surveying strategies.

• Internal Processes - Use agency and program data to track clients through different agency programs to gauge resiliency and outcomes of participating families.

• Learning and Growth - Strengthen staff and client well-being by addressing the social determinants of health: Economic Stability, Education, Health and Healthcare, Neighborhood supports, Social and Community Engagement.

• Ensures that clients have access, as needed, to all five pillars of the social determinants of health with a trauma informed lens through Agency services and/or community partners.

• Provide essential services to individuals and families in crisis. Crisis intervention case management services will be provided based upon a crisis evaluation to provide intervention and stabilization services to ensure client stability and safety.

• Conduct an initial eligibility screening with potential service recipients. Complete necessary intake and discharge paperwork and conduct review for appropriate utilization of services from admission through discharge.

• Develop an individualized service plan for each client within ten (10) working days of completing the assessment, or as mandated by specific contract. Collaborate with the client and with agency clinicians as needed in the development and execution of the plan of care and achievement of goals.

• Re-evaluate the service recipient’s status a minimum of every thirty (30) days and respond to the changing needs and circumstances of persons receiving services. Update service plan as needed, with all follow up visits.

• Maintain service recipient records and database for monthly, quarterly and annual statistical reports and document on progress notes and/or contract approved documents. Evaluate participant satisfaction and quality of care provided.

• Coordinate the integration of case management/social services functions into the participants care, discharge, and home planning processes with other departments, external service organization, agencies and clinicians.

• Provide case consultation to other direct service providers as appropriate.

• Maintain service recipient and family member confidentiality in accordance with agency standards and coordinates the provision of social services to participants, families, and significant others to enable them to achieve maximum benefits from services.

• Attend general staff meetings, peer consultations, multidisciplinary case conferences and trainings as required.

• Maintain good relationships with stakeholders (including current and potential clients, community and co-workers), focusing on providing excellent and culturally sensitive customer service and presenting a positive image of the agency in all community and stakeholder interactions.

• Maintain a working environment which encourages mutual respect, promotes respectful and congenial relationships between employees and is free from all forms of harassment.

• Perform other duties as assigned, including presentations to community groups and organizations, in accordance with the agency’s “team” philosophy.

To perform this job satisfactorily, an individual must be able to perform each essential performance requirement satisfactorily. The requirements listed below are representative of the training, experience, knowledge, and skills required for this job. Reasonable accommodation may be made to enable an individual with disabilities to perform the essential functions listed above.

• Bachelor’s degree in social work or a related behavioral science area of study; or five (5) years relevant experience.

• At least one (1) year’s paid or volunteer experience in a social service program or human services setting.

• Understands cultural differences and is sensitive to the implications of culture for service delivery.

• Demonstrated knowledge of basic community resources and of making referrals and providing follow-up consultation.

• Fluent in English and Spanish (read, write, and speak) required.

• Staff will be required to submit proof of their vaccination status or may request to be exempt from vaccination due to a religious and/or medical accommodation.

• Certificate or license, as applicable, by the appropriate State agency as a qualified practitioner.

• State of Texas vehicle operator’s license and proof of liability insurance.

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

• While performing the duties of this job, you must be able to stand, walk, reach with hands and arms, climb or balance, stoop, kneel, crouch or crawl, talk and hear, and taste or smell.