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