Responsible for working with case load of family participants to assist them in determining their needs; develop a care plan; link with medical, social, educational and other services as needed. Assist with crises and coordinates support services and reviews progress toward goals. Support IBH Team members as needed.

BENEFITS

• 13 Paid Holidays PTO
• 403 (B) retirement match
• Life Insurance, EAP
• Tuition Reimbursement
• SEIU Union
• Flexible Spending Account
• Continued workforce development & training
• Succession plans & growth within

QUALIFICATIONS

Education : (Preferred)

• Bachelors Degree

Experience : (Required)

• Three years experience in social service setting providing targeted care management to multi-ethnic communities, with knowledge of, experience with pregnant women, children and families and chronic disease management.
• Bilingual (preferred).

ESSENTIAL DUTIES AND RESPONSIBILITIES

Performs a combination, but not necessarily all, of the following duties:

Assessment

• Assists with intakes and assessments of families to identify needs and care plan.
• One-on-one health care assessment and education.
• Coordinate all aspects of care; transportation, referral, scheduling, and data input where needed.
• Link patients to resources in the community.

Documentation

• Care plan development including goals, objectives and actions to resolve barriers and access to services.
• Maintain client’s files, records, appointments, services, follow-ups and assessments.
• Maintain regular contact assigned consumers; phone calls, conferences.
• Maintains accurate record keeping, client tracking, data collection and monthly reports.

Screening

• Assist in administering and interpreting screening tools.
• Continuing education and development and willing to grow and keep up with skills.

Team

• Coordinates care monitoring to follow up schedules and procedures with families.
• Maintains contact between family and service providers to monitor success.
• Attends staff meetings and open discussion forums.
• Fosters team environment in advocate role while providing social services support.

Organization

• Coordinates services and advocacy with contact to community resources
• Liaison between family and community resources.
• Strengthens the family’s ability to assess and meet education, health and social service needs of their children.