SCOPE AND PURPOSE OF POSITION:
Pathway of Hope (POH) is an innovative, holistic, client-centered approach to helping families break the cycle of intergenerational and chronic poverty, effectively improving social determinants of health as well as quality of life and health outcomes. The POH strategy involves outreach, working with families in their homes and in the community, and linkages to community resources to build, establish and maintain stability. POH Case Manager will be responsible for the provision of long term (up to 2 years) intensive case management services to families with minor child(ren), who are living in inter-generational, chronic poverty, and who have demonstrated interest or desire to take action.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Pathway of Hope Case Management
• Identify families and assess overall family/individual needs; Complete required assessments - including URICA (readiness for change), SSOM (self-sufficiency), Herth Hope and Client Strengths assessments within designated time frames; additional assessments as appropriate for family needs – such as genogram, ecomap, ‘circles’, care management – which serve to identify important resources and strengths, as well as challenges and barriers to success
• Collaborative, strengths-based, holistic goal planning with family to develop and implement a detailed and individualized service plan, utilizing strategies of intervention with consideration to family strengths and all aspects of the family’s life and cultural background; holistic approach includes physical, emotional, spiritual needs; using the SMART goal model, address needs of the family unit/members; includes measurable outcomes, connecting with resources to meet goals, monitor and fine-tune plan as appropriate over time.
• Engage and maintain regular contact with client families, meeting regulatory requirements by conducting regular home visits of significant duration - minimally twice monthly (one contact per month with children present), frequency determined on a case-by-case basis.
• Provide casework/counseling, crisis intervention, brokerage and networking advocacy, coordinate services with other community service providers and make referrals as needed or appropriate
• Timely and accurate documentation of clients’ progress throughout the process, including calls, referrals, home visits, case narratives, assessments, statistics, reports and outcome data.
• Actively participate in weekly supervision, team case conferences, staff meetings, POH & ServicePoint database training and professional in-service training sessions (trauma informed care, Mandated Reporter/KeepSafe, cultural competency/humility or other as appropriate)
• Coordinate with client to address spiritual needs of the family, collaborate with local Salvation Army Pastoral Care Team or client-identified spiritual support system, as appropriate; coordinate POH services with TSA seasonal social service programs (Christmas, Thanksgiving, Back to School, Summer Camp, etc.) as requested by Corps Officer and Divisional Headquarters
Other Duties: Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice due to business needs.
SPECIAL SKILLS, CERTIFICATES, LICENSES, REGISTRATIONS:
• Bachelors’ degree with a minimum of three (3) years appropriate experience working with families, home visiting or in another relevant social work environment.
• Position requires computer proficiency including use of various databases and typing skills
• Must have valid Driver’s License and regular access to a reliable vehicle for program purposes. Current and valid license/registration/insurance for vehicle using that meets The Salvation Army insurance requirements;
• Knowledge of community resources and the ability to provide culturally competent practice; understanding of family systems, trauma and poverty as drivers of behavior
• Good documentation skills; strong written and verbal communication skills required
• Excellent engagement skills; ability to motivate others towards achieving goals and build rapport.
• Ability to work independently with strong sense of focus, task-oriented, non-judgmental, open personal qualities, clear sense of boundaries.