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 :
Free Medical, Dental & Vision
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)
Bachelor's 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.
St. John’s Community Health is an Equal Employment Opportunity Employer