Job Level
Mid-LevelSenior
About the role
- Provide intensive case management for patients in the Bridge Program
- Welcome new patients, screen for non medical drivers of health needs, engage as needed
- Develop individualized treatment plans and psychosocial goals for short- and long-term care plans by assessing individual needs, strengths, barriers and readiness to change
- Provide crisis intervention services (assessment, evaluation of risk, referral and follow up)
- Effectively de-escalate heightened situations with patients experiencing trauma, exacerbated mental health symptoms, and behavioral complexity
- Provide goal oriented and short oriented services (engagement, case management, counseling linkage) with complex psychosocial needs
- Educate patients on available community resources and teach appropriate expectations and follow-through
- Help patients identify and manage challenges in navigating health and government benefits
- Accompany patients to appointments as needed and assist with transportation coordination
- Assist patients directly or indirectly with housing survey (Coordinated Assessment) and discharge planning
- Work with housing specialists and partner agencies to identify and address psychological, social and medical needs and coordinate referrals for housing programs
- Participate in weekly case conference with multidisciplinary bridge team and collaborate with community resources
- Assist Bridge team in picking up medications and other support services
- Other duties as assigned
Requirements
- Bachelor's degree in Social Work or related field (higher degree accepted)
- Required Experience (Less than 1 year): Internship or work in field related to social work, case management, or counseling individuals in crisis/trauma situations
- Demonstrated knowledge of community resources available and how to access resources for the benefit of clients
- High level of skill at building relationships and providing excellent customer service
- High level of problem-solving skills
- Strong attention to detail and accuracy
- Excellent verbal and written communication skills
- Skilled in crisis management and de-escalation
- Demonstrated success in collaborating with multidisciplinary team members
- Bilingual (Spanish/English) preferred