Social Work Case Manager

A. Conduct initial psycho-social assessments; verify eligibility for services, perform comprehensive needs assessments, establish client case chart including a detailed history, establish the position of the client along the Continuum of Care, and orient the client to agency policies, rights, and responsibilities.

B. Maintain accurate record-keeping and case notes of all client interactions.

C. Develop an individualized care plan for client needs including: emergency services, food, health care, medical attention, HIV health education, emergency and permanent housing, mental-health and substance-abuse counseling, as well as emotional and practical support.

D. Coordinate client needs for local, state, and federal eligibility, benefits, and resources through direct provision and referral.

E. Research new vendors of services that match client needs, coordinate with those service providers, and attend community service provider meetings and forums as necessary.

F. Monitor client progress as outlined in their individualized care plan. Maintain an average of 2 successful contacts within the program guidelines; in order to reassess client objectives and goals, and then make changes in accordance with a clients’ changing needs.

G. Participate in client support group programs and/or make referrals to other agencies when necessary, and work with volunteers to provide emotional and practical support.

H. Participate in weekly Interdisciplinary Team Meetings, Core Case Management team meetings, and other department meetings; in order to consult with supervisors, attending physicians, and peers on case issues. Participate in annual In-services and trainings to receive updated information on services and eligibility.

I. Meet with clients in their place of residence in order to provide psychosocial support, assess needs, monitor progress, and other supportive services.

J. Provides counseling, psychosocial support, and crisis intervention to residents.

K. Participates in gathering and reporting on outcome measures and in quality improvement efforts.

L. Perform additional duties as assigned by the Project Manager

The above statement reflects the general details considered necessary to describe the principal functions of the position and shall not be construed as a detailed description of all the work requirements that may be inherent in the job.