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
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13 Paid Holidays + PTO
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403 (B) retirement match
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Life Insurance, EAP
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Tuition Reimbursement
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SEIU Union
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Flexible Spending Account
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Continued workforce development & training
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Succession plans & growth within
QUALIFICATIONS
Education: (Preferred)
Experience: (Required)
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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.
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Bilingual (preferred).
ESSENTIAL DUTIES AND RESPONSIBILITIES
Performs a combination, but not necessarily all, of the following duties:
Assessment
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Assists with intakes and assessments of families to identify needs and care plan.
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One-on-one health care assessment and education.
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Coordinate all aspects of care; transportation, referral, scheduling, and data input where needed.
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Link patients to resources in the community.
Documentation
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Care plan development including goals, objectives and actions to resolve barriers and access to services.
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Maintain client’s files, records, appointments, services, follow-ups and assessments.
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Maintain regular contact assigned consumers; phone calls, conferences.
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Maintains accurate record keeping, client tracking, data collection and monthly reports.
Screening
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Assist in administering and interpreting screening tools.
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Continuing education and development and willing to grow and keep up with skills.
Team
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Coordinates care monitoring to follow up schedules and procedures with families.
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Maintains contact between family and service providers to monitor success.
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Attends staff meetings and open discussion forums.
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Fosters team environment in advocate role while providing social services support.
Organization
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Coordinates services and advocacy with contact to community resources
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Liaison between family and community resources.
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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