Responsible for providing ongoing case management services for participants enrolled in ACCESS; works with participants to enhance stability and overall well-being by addressing specific needs that may have contributed to the identified vulnerability; assists with internal and external referrals for medical, substance use, mental health, parenting, employment, housing needs, and other needs related to social determinants of health
Responsible for an assigned caseload and be responsible for the successful case planning for program participants; assess the participant's service level needs, individual challenges, and strengths; conduct screening and intake assessment within designated time-frames and monitor the case for the duration of the program; maintain case records and documentation as appropriate
Provide trauma-responsive case management services, effectively manage crisis situations through assessing, deciding, and acting in accordance with standards and laws in emergencies involving the health and safety of participants being compromised; Provide empathetic advice and guidance to participants to ensure participant satisfaction and program completion
Complete all pertinent program documents within designated timeframes; duties may include intake, enrollment, case management, monitoring, group facilitation, resource referrals, etc. effectively manage crisis situations through assessing, deciding, and acting in accordance with standards and laws in emergencies involving the health and safety of participants being compromised
Conduct site/home visits as needed to complete initial assessments on new participants and provide follow-up to existing participants; ensure the safety and basic needs of the participant are met in an appropriate and caring manner
Coordinates and provides care that is safe, timely, effective, efficient, equitable, and participant-centered
Accompany participants to medical, housing, and other needed appointments, and any other in-field support requested; communicate with members of the community, colleagues, and clients effectively and efficiently
Facilitates case coordination and information sharing amongst safety net departments, community-based organizations, and any additional stakeholders; Provide continuous feedback to the Care Coordination Team during case conference; maintains case records and documentation as appropriate
Support participant engagement in services, including following-up with external service providers including but not limited to physical and mental health, substance use treatment, parenting support, and educational programming; Helps participants make informed decisions by acting as their advocate regarding their clinical, emotional, nutrition, and life skills status; intervenes with treatment options when necessary
Other duties as assigned, including special tasks involved in responding to an emergency event
If you need special services or accommodations, please call (713) 274-5445 or email ADACoordinator@bmd.hctx.net