Client Care Coordinator (Social Worker)

PRIMARY FUNCTION/PURPOSE:

The Client Care Coordinator (Social Worker) is responsible for the overall delivery and coordination of mental health and related services for homeless individuals. The Client Care Coordinator will enhance existing services to include a thorough assessment of clients’ long-term goals at intake and collaborate with the case management staff to set achievable goals while establishing linkages within the community to ensure the client’s successful progress towards independent living. 

MINIMUM QUALIFICATIONS:

• Must be a Licensed Master Social Worker (LMSW) in the state of New York upon hire or obtain licensure within three (3) months of hire, and have a master’s degree in social work from an accredited school of social work
• At least one year of experience in social services, counseling, crisis intervention, family services, preventive services, housing services, or homeless services is strongly preferred
• Knowledge and experience working with diverse cultures and ethnicities
• Expertise in strengths-based, solution-focused, and family-centered practice
• Experience facilitating groups for adults
• Proficiency in Spanish and/or French a plus
• Excellent written and verbal communication skills
• Excellent interpersonal skills and computer literacy in Microsoft-Office are required

PRIMARY RESPONSIBILITIES:

• Complete a comprehensive bio-psychosocial assessment with each family to understand strengths & service needs
• Provide clear written reports that capture family assessment findings & recommendations
• Assist families that are homeless as they navigate multiple systems & cope with the stressors & anxiety induced by homelessness
• Provide outreach services, crisis intervention, risk assessment, safety planning, & pyscho-education for families
• Prioritize & conduct unit visits to the high-risk families that are in-shelter to coordinate safety planning efforts in the household
• Prepare children & parents to accept services
• Collaborate with ACS and/or prevention services agencies, and participate in conferences to advocate on behalf of the family
• Make appropriate referrals and facilitate linkages between mental health providers, government agencies, and other related community–based services as needed
• Serve as agency/program liaison between government agencies, community–based organizations, and/or groups
• Improve access to mental health services for families in-shelter by facilitating in person or telehealth services
• Enhance delivery & coordination of mental health & related services
• Work effectively as part of a multi-disciplinary team of service providers to enhance engagement and ensure quality service
• Confer and consult with professional & technical personnel in implementing a multidisciplinary approach to client care & well-being
• Deliver enhanced mental health services: conduct biopsychosocial assessment, provide on-site mental health services (short counseling & brief intervention services), coordinate clinical treatment (clinical care coordination) referral, as well as linkage to care (medication management or psychotherapy) & follow-up
• Promote in-person or telehealth usage by utilizing H+H Express Care & other telehealth service utilization services via other hospitals & mental health providers of the client’s choice
• Utilize DHS Referral Basics: match the need as assessed through the BPS as soon as possible, assist client in scheduling, provide reminders before the appointment, coordinate transportation to the appointment, facilitate access to teletherapy, and provide a warm hand off when possible
• Follow up on referral provided to the client: confirm the client was able to attend, how the session went, and address any concerns or questions the client might have, if a client did not attend assist with rescheduling & addressing any barriers
• Utilize motivational interviewing if a client does not want to participate or be linked to treatment; attempt to understand your client’s perspective or misconceptions, remove any barriers, and attempt to re-engage.
• Provide therapeutic groups (music, art, general support groups for caregivers or children); facilitate group work to address family issues, enhance life skills, etc.  
• Participate in family meetings with case management & housing staff to discuss planning efforts & progress
• Assist clients with completing applications for supportive housing and accompany residents to supportive housing interviews when necessary
• Upon linkage to permanent housing, complete and discuss exit summary with family, and provide the family with referrals and supportive services identified in new community
• Utilize fact sheets, desk guides, and other material resources in delivering mental health services
• Complete all documentation in a timely manner; document services provided, efforts, and outcomes in CARES
• Compile information/data in regard to needed internal and external reports
• Attend professional development training & opportunities; participate in FWC mental health trainings delivered by DHS
• Perform other duties as assigned

PRINCIPAL RELATIONSHIPS:

• Frequent interaction with diverse clients to assess and respond to their needs
• Work in collaboration with staff to build and promote a cohesive and professional working relationship to ensure the delivery of high consistent high-quality services
• Outreach and network with community-based and government agencies to secure resources to assist both clients and staff

OTHER REQUIREMENTS (including Physical Demands):

• Lifting and moving objects weighing up to 30 pounds several times a week
• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions

EEO Statement – Children’s Rescue Fund is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.

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