Case Management Consultant – Social Work
200 Larch Street Location
Must have all covid vaccines
JOB DESCRIPTION – CASE MANAGER
Sudbury District Nurse Practitioner Clinics provide health services to the residents of the Sudbury District with clinics located in the City of Greater Sudbury.
Working as part of the inter-disciplinary health care team, the Case Manager provides patient centred case management and care coordination to patients accessing care within the clinics. The Case Manager will assist patients in navigating health and social service systems in order to address a variety of health and wellness needs.
The Case Manager reports to the Executive Director.
ROLES AND RESPONSIBILITIES
- Establish rapport with individuals in order to build trust and promote effective service use.
- Work in collaboration with all clinic staff and other agencies to ensure patient’s needs are met.
- Provide comprehensive intake process to services.
- Initiate services as required in partnership with patient.
- Provide holistic and comprehensive case management including initial and ongoing assessments, goal setting, and short and long-term case plan development.
- Develop and lead coordinated care plans with input from the patient ensuring it is reviewed and re-evaluated on an ongoing basis and adjusted as appropriate.
- Collaborate with other systems, organizations and individuals within the community as required to ensure a well-coordinated plan of care.
- Participate in case conferences and rounds as required.
- Assist patients, through advocacy, to overcome systemic barriers.
- Assist in completion of forms and grants as required by patients.
- Schedule outside appointments for patients as required.
- Maintain a respectful and safe environment and intervene when disputes arise between patients.
- Engage in de-escalation with patients in crisis.
- Keep up to date progress in the EMR to ensure all involved in care aware of plan.
Administrative and General Duties
- Contribute to the programming activities by monitoring trends amongst patients accessing the services offered by the clinic.
- Present overview of data to team when appropriate.
- Incorporates health promotion and harm reduction strategies and recognizes the determinants of health.
- Other duties as assigned.
Skills and Qualifications
- Undergraduate degree in a relevant discipline from a recognized university or combination of post-secondary education and significant experience in health promotion and/or community development.
- Three to five years relevant experience in a community setting.
- Experience in program development, implementation, monitoring and evaluation.
- Proficiency in the use of computers and various software applications.
- Sound knowledge and understanding of the client population and ability to work independently and effectively with individuals with serious mental health and substance use and complex needs.
- Demonstrated ability to use problem-solving techniques to identify and assess client needs and develop appropriate intervention strategies.
- Demonstrated ability to engage in a meaningful relationship with a broad range of clients, including those who are resistant.
- Skillful in assertive outreach and follow-up using a flexible approach to support/assist clients in remaining engaged.
- Excellent knowledge of community resources and demonstrated ability to negotiate with others on behalf of clients.
- Excellent communication and interpersonal skills.
- Excellent clinical judgment and decision-making skills including a keen awareness of client-clinician boundary issues.
- Experience in working within a multidisciplinary team.
- Fluency in French and/or an Indigenous language an asset.