HRSN Case Manager

Neighborhood House • Portland, OR

10d

About The Position

The HRSN Community Based Case Manager works in direct service, responsible for delivering high-quality Health-Related Social Needs (HRSN) care coordination, including Outreach & Engagement (O&E) and Tenancy Supports. This role is essential in advancing Neighborhood House’s whole-person care approach, ensuring that clients receive timely, culturally responsive, and compliant support.

This is a temporary position through Nov 2027 with potential extension contingent upon funding.

Requirements

• Minimum 3 years of experience in community health work, social work, case management, client advocacy, or social services.
• Proficiency in data entry, documentation, and maintaining organized records.
• Strong understanding of social determinants of health and barriers to accessing services.
• Experience in outreach, referral navigation, or connecting clients to health and social services.
• Experience working with unhoused individuals as well as vulnerable and disadvantaged populations.
• Associate’s degree in social work or related field, or equivalent experience.
• Strong interpersonal and communication skills to effectively engage with diverse clients, staff, and stakeholders.
• Demonstrated ability to work effectively with diverse populations, including immigrant and refugee families, and people from various cultural backgrounds.
• Ability to apply trauma-informed and culturally responsive approaches in client interactions.
• Capacity to serve as a peer trainer/coach, helping others adopt new systems and workflows.
• Ability to work independently while collaborating with a multidisciplinary team.
• Knowledge of health and social service systems, including Medicaid and community-based resources.
• Adaptability and flexibility to support ongoing program development and process improvements.
• Proficiency in Microsoft Office (Word, Excel), Outlook, Teams, and comfort learning and using client data/documentation systems.
• Ability to handle confidential and sensitive information with discretion and professionalism.
• Strong organizational and time management skills, with the ability to manage multiple tasks and deadlines.

Nice To Haves

• Experience working with or within a community-based organization.
• Familiarity with Medicaid, the Oregon Health Plan, or HRSN services.
• Knowledge of documentation systems and program evaluation.
• Bachelor's degree in social work or related field.

Responsibilities

• Work with HRSN referrals to assess eligibility for the OHP HRSN Medicaid benefit and work with eligible clients to provide both short and long-term support.
• Provide Outreach and Engagement services, including screening for needs, creating short action plans, and connecting members to resources.
• Hold a case load of 18-20 clients (part-time) / 28-30 clients (full time).
• Provide Tenancy Support and Procurement services once housing supports are authorized.
• Develop and update individualized care plans, incorporating client voice, goals, and priorities.
• Deliver trauma-informed, culturally responsive services with a strong equity lens.
• Maintain accurate, timely documentation of all client contacts in the client management system.
• Support clients with applications for HRSN services, benefits, or other resources.
• Coordinate warm handoffs with internal NH programs (Food Security, Education, Senior Services) and external partners.

Benefits

• Generous PTO and 12 paid holidays
• Affordable health insurance with 95% of the cost paid by NH
• 403b retirement plan
• Company-paid life insurance. Voluntary life, long-term disability, accident, and critical illness insurance.
• Flexible Spending Account (FSA)
• Employee Assistance Program (EAP) with free counseling

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 11-50 employees