To provide help, and advocate for vulnerable individuals in need of social, medical or psychological support. This job requires you to have assessment abilities, knowledge of clinical and legal jargon, evaluation expertise, problem-solving aptitude, and excellent communication skills. 

• Builds program specific caseload by seeking out referrals from providers and/or other identified partners to meet program objectives.

• Conducts intake screenings to initially assess clients, identify their immediate needs, and determine appropriate case management program services.

• Conducts in-depth client interviews (in-person) utilizing a systematic social services assessment to fully determine current status, barriers and needs.

• Refers clients to appropriate agencies/services based on the determined needs.

• Assists clients with the self-referral process.

• Regularly meets with clients to monitor implementation of the client service plan, to provide advocacy, and to resolve problems that are interfering with active participation in the plan.

• Creates, updates, and maintains each clients’ service plan, and other documentation and files, in accordance with program guidelines and funding regulatory requirements.

• Establishes and maintains relationships with other service providers/agencies. 

• Participates in meetings as needed, including interdisciplinary team case reviews.

• Performs other duties as assigned.

• Performs clinical responsibilities in alignment with The Joint Commission (TJC), Health Resources and Services Administration (HRSA) and Clinic requirements.