Description

Job Summary

The function of this position is to provide outreach, engagement and intensive care management and care coordination services to adults experiencing chronic medical conditions and behavioral health challenges who have not effectively engaged in needed services. The goal is to develop trusting relationships within which clients may explore their needs and goals and receive ongoing support to engage in services that will help improve their stability and quality of life. Client-centered services are provided from a harm reduction perspective utilizing motivational interviewing skills. The care manager must develop collaborative relationships with staff of other agencies providing services to this population in order to effectively coordinate care. The nature of this position is extremely independent, requiring creative thinking, multitasking, time management and organizational skills, and conflict resolution skills.

Job Functions (May Include)

1. Provide outreach, engagement, intensive case management, and care coordination services for assigned clients
2. Meet clients where they are, either on the streets or at other service facilities (including jail), to explain offered services and establish a working relationship.
3. Develop rapport and a trusting relationship with clients through respectful outreach and client-centered engagement practices.
4. Develop and implement in collaboration with the client, an individualized Service Plan which addresses the client’s stated needs and priorities. Review and update this plan regularly to reflect progress or attainment of articulated goals and the emergence of new client needs and to help the client move toward the achievement of autonomy.
5. Assist clients in obtaining housing and maintaining housing stability.
6. Assist clients with establishing and maintaining primary medical care and addressing chronic health conditions.
7. Assess the nature and severity of clients’ substance use issues and match clinical interventions to each individual’s stage of change, focusing on reducing the harmful consequences of substance use through self-change methods.
8. Address clients’ needs for mental health and substance use disorder treatment services and facilitate engagement in appropriate supportive services.
9. Assist clients in achieving financial stability through access to entitlement programs, protective payeeships, educational and vocational programs, and employment opportunities.
10. Develop and maintain productive working relationships with community programs that may support clients to provide effective coordination of care.
11. Provide services consistent with ETS/REACH program policies and procedures.
12. Assist clients in keeping appointments.
13. Assist clients in developing a spending plan and in shopping.
14. Advocate for the client with a wide variety of other service providers:
15. Assist with accessing needed services by setting up and attending appointments with clients in order to provide continuity of care.
16. Identify gaps and barriers in available community resources and advocate for systemic changes.
17. Attend REACH and Harborview Medical Respite team meetings, and other required meetings.
18. Utilize clinical supervision, psychiatric consultation, and peer support for exploring clinical intervention strategies, counter-transference, resource development, self-care, and burnout prevention.
19. Develop and maintain client files for assigned caseload according to Agency, contract, and state requirements.
20. Local travel on behalf of the Agency is a job requirement.
21. Additional duties as assigned.

Requirements

Education

High school diploma or equivalent required, undergraduate degree preferred. Academic training in the social service field and in the area of substance use disorder and mental health treatment desired. SUDP/SUDPT’s and MSW’s highly desirable.

Experience

A minimum of three years of experience in work related to social work or outreach programs. Experience providing services from a harm reduction perspective to individuals experiencing behavioral health challenges highly desirable.

Knowledge Requirements

1. Computer literate, with basic knowledge of Microsoft Office Suite, as well as a high level of initiative in keeping current with technological change.
2. Ability to prioritize workload and activities of self and complete tasks in a timely and efficient manner.
3. Dependable, able to work under pressure, receptive to change, willingness to learn, cooperative approach to problem solving.
4. Ability to establish and maintain effective working relationships with staff, clients, and outside contacts from a wide variety of ethnic, socioeconomic and cultural backgrounds; good diplomatic skills.
5. Must be able to pass a comprehensive criminal background check.
6. Flexible team player.
7. Excellent attention to detail.
8. Ability to work very independently and seek supervision when appropriate.
9. Valid Driver’s license and documented good driving record preferred.

Language Skills

1. Ability to read and interpret general business correspondence, policies and procedures, referral information, financial documentation and applicable government regulations.
2. Ability to write business letters, uncomplicated reports, instructions and procedures.
3. Ability to present information effectively and respond to questions from clients, staff, referral sources and the general public.

Mathematical Skills and Reasoning Ability

1. Thorough knowledge of and ability to apply business arithmetic skills accurately and rapidly.
2. Ability to solve practical problems and deal with a variety of concrete variables in situations where standardization may be limited. Ability to interpret a variety of instructions furnished in written, oral, schedule or diagram format.
3. Basic math skills.

Physical Requirements

1. The employee is regularly required to sit; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms and talk or hear; frequently required to stand, walk and kneel; occasionally to climb balance, or stoop; rarely to crouch or crawl.
2. The employee must occasionally lift and/or move up to 30 pounds. Specific vision abilities required by this job include close, color and peripheral vision and the ability to adjust focus. The noise level in the work environment is moderate.

Equipment Used

Computer, photocopier, fax machine, phone, and possible use of the program vehicle.

Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Evergreen Treatment Services is an Equal Opportunity Employer.