About Job
- Assess client needs in physical health; mental health; SUD; oral health; trauma; social supports; housing; vocational/employment; wellness; and referral.
- Develop and implement the Individual Care Plan/Health Action Plan.
- Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction Techniques, and Trauma- Informed Care principles when working with clients.
- Coordinate strong communication among service providers, family members and the client.
- Provides services where the client lives.
- Provide physical and mental health activities to client that promote wellbeing inclusive of coaching and skill building.
- Assisting client with finding transportation to and from appointments.
- Provide clients transportation to appointments when indicated.
- Provide care management services including coordination of services, implementation of activities in Client Care Plan, resource, referral and linkage, etc.
- Coordinate/advocate on behalf of client with health care professionals (e.g., PCP) and other service providers..
- Work with client and hospital staff to support Transitional Care plan.
- Accompany clients to critical appointments.
- Evaluate client progress and update client goals.
- Conduct outreach and engagement activities to facilitate enrollment in the ECM program. Outreach and Engagement consists of phone calls, mailed information, events, presentations for other youth and family serving agencies, churches, other areas of worship fields and field visits.
- At least 2 years of relevant work experience
- High school graduate or GED required
- Resident of the community with good knowledge of the resources of this community
- Ability to complete the training program and ongoing educational requirements as assigned
- Ability to work flexible hours, including occasional night/weekend work
- Multilingual capabilities preferred, but not required
- Prior experience as a Community Health Worker, Peer Support Specialist, Support Counselor or similar roles.
- 13 paid holidays along with 10 vacation and 10 sick days
- Medical, dental and vision plans
- A 100% fully employer paid (premium) medical and dental benefit plan
- TelaDocĀ® employer paid telehealth program
- Medical and dependent care plans
- 403(b) and 401(a) retirement plan with employer contributions
- Life, AD&D, and disability insurance
- Accident, critical illness, and hospital gap plan
- Ongoing training & development opportunities
- Advancement opportunities
- Free confidential crisis line 24/7 (365 days a year)
- Six (6) face-to-face or telephonic sessions per issue
- Commuter program and mileage reimbursement
- Employee recognition and discount programs
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