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The Clinical Case Manager provides comprehensive support to diverse populations by developing person-centered case plans and linking clients to community resources. They are responsible for conducting assessments, providing brief therapy, and coordinating with multi-disciplinary teams to improve patient health outcomes.
Requirements summary
Candidates must hold a Master's degree in Social Work, Psychology, or a related field, along with the appropriate DC licensure (LGSW, LICSW, LGPC, or LPC). A minimum of two years post-Master's experience and four years in a community health or social service setting is required.
Under the supervision of the Director of Social Services, the Clinical Case Manager in consultation with the Assistant Director of Social Services, works with diverse populations with multifaceted needs. Primary responsibilities include, but are not limited to, assisting clients in following through on established treatment plans, enhancing social functioning, and improving the client’s quality of life. The Clinical Case Manager serves as planner, advocate, broker, and record keeper for the client.
Major duties/Essential functions
Essential and other important responsibilities and duties may include, but are not limited to the following:
Initiates outreach to client population to educate clients on available social services assistance in order to increase patient compliance with medical treatment and social service case management plan.
Utilizes strength-based, person-centered approach and motivational interviewing techniques to build rapport and engage clients into services to assist clients with addressing barriers to care.
Develops a therapeutic working relationship with clients.
Assesses clients for needs related to addictions, HIV/AIDS, mental illness, homelessness, domestic violence, pregnancy, family challenges, as well as other social determinants which impact health care.
Assist clients to address social needs that impact their health care.
Develops and maintains a person-centered case plan with the client to ensure services are responsive to individual client needs.
Coach and support clients to increase their compliance with medical and behavioral health treatment.
Provides advocacy, referral, and linkage to community resources and support networks to address identified needs, including assisting with health insurance enrollment.
Provides regular follow up to all clients to ensure successful linkage to, and utilization of, community resources or in-house services.
Provides crisis intervention as necessary.
Coordinates with multi-disciplinary team at health center to share information regarding client’s status; provides problem solving with challenging patient situations.
Accurately document all client encounters on appropriate social service forms; submits progress notes, encounter forms, etc. within established time frame.
Assess for, and assist with insurance and other social services benefits as necessary.
Provides counseling and psycho-educational groups as needed.
Completes Psychosocial Assessments as necessary.
Works with team and providers to complete Medical Summary Reports for benefits as necessary.
Conducts mental status exams as necessary (based on licensure level)
Provides brief therapy and solution focused therapy, as it relates to medical care and accessing services (based on licensure level).
Participates in case conferencing as necessary.
Train peers and health center staff as needed.
Participate in Continuing Education to maintain license and professional standards.
Abide by Code of Ethics for related discipline.
Maintain professional relationship and appropriate boundaries with clients.
Participates in professional development opportunities and regular supervision.
Attends regular departmental, health center, agency meetings, activities, and events.
Performs other duties as assigned.
Minimum Qualifications
Masters’ degree in social work, psychology, or other Human Services related field.
For social workers, social work licensure in the District of Columbia required (LGSW or LICSW).
For professional counseling, professional counseling licensure in the District of Columbia required (LGPC or LPC).
Two (2) years of post-Master’s experience.
Four (4) years of working in a community health or social service setting.
Case management experience.
Experience working with vulnerable and at-risk populations.
Required knowledge, skills, and abilities
Obtain SOAR certification within 90 days of hire.
Strong oral and written communication skills required.
Ability to type, and use electronic health records software program required.
Knowledge of community resources a plus.
FBI Fingerprinting and MPD local background check required for position.
Good interpersonal skills required.
Knowledge of social services, human behavior, psychopathology, and DSM.
Work experience with a challenging population preferred.
Must be a skillful interviewer, able to ask questions and effectively use interview skills to elicit needed information from clients.
Must be a skillful listener, able to understand the meaning of client's statements.
Must be a skillful observer, able to record the client's behavior and needs.
Must be a skillful negotiator, able to reach definitive agreements with clients and service providers.
Must be able to work well with interdisciplinary teams.
Ability to prioritize and problem solve to maintain a case load.
Strong organizational skills.
Proficient in most products of Office 365 (Word, Excel, Power Point and Teams)
