Essential Functions and Responsibilities:
Provide outreach and temporary case management services including intakes, assessments, basic service planning, referral and linkage management, and advocacy to and for individuals who are houseless.
Identify participant needs, including barriers to receiving appropriate services and assist with effective problem solving to address issues.
Conduct weekly outreach and visits to each participant.
Perform crisis prevention and interventions as needed using Harm Reduction and Trauma informed philosophies.
Act as a temporary liaison with other service providers and landlords as applicable.
Ensure that participants are receiving all desired health insurance benefits including medical and behavioral health services.
Make appropriate referrals for services based on participant goals and needs and ensure that linkages are secure and functional.
Provide education and resources based on the needs of the participant with regard to acquiring and maintaining housing and improving income status, community involvement, personal hygiene, life skills, and other identified needs.
Assist participants in enrolling in public benefits such as SNAP, SOAR or employment readiness programs.
Assist participants in obtaining state ID, social security card, birth certificate, and other necessary documents to receive future services.
Refer and link clients to appropriate services within the system of care that promotes positive health outcomes, treatment adherence, and greater self-sufficiency.
Maintain the confidentiality of participant information in any written, oral, or electronic form including, but not limited to, health information, HIV/AIDS status, and disability information. Release such information only as needed and with the proper release from the client unless mandated by law.
Documentation & Recordkeeping
Complete case notes in PIMSY within five-business day of interaction.
Complete basic care plans every 6 months based on participant goals.
Update HMIS regarding CES entries.
Other
Perform other duties as assigned.
