Infant Case Manager for MSS - On Call

Sea Mar Community Health Centers•Bellingham, WA

8d•$23

About The Position

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Job Title - Infant Case Manager ON CALL Department Preventative Health- Maternity Support Services Reports To Program Manager Job Code INCMU05 Position Summary The goal of the Infant Case Manager is to improve the clients’ self-sufficiency in accessing and providing care for themselves and their infant/family. The Infant Case Manager aids postpartum MSS clients in obtaining needed social and health services in an integrated and coordinated manner. The Infant Case Manager position requires flexibility, self-initiative, and ability to manage time, resources and client caseload. The Infant Case Manager is responsible for working independently with parenting low-income families who meet specific high-risk criteria and for linking the client with services in the community that meet the family’s identified needs. This is not a counseling role but rather an advocacy and infant case management role in which the client/family is educated and empowered to utilize preventative health and social service resources in the community that contribute to the new child’s health and well-being. There must be a need by the birth parents for assistance in accessing resources and/or providing care for the infant/family in the household. The productivity expectation for this position is 20 visits per week. Duties and Responsibilities As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth. Sea Mar is an advocate for its clients and aims to achieve industry-leading, client-centered, culturally-aware services. Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:  Understanding and empathizing with client needs  Surpassing client expectations  Demonstrating a high level of integrity and work ethics  Exhibiting compassion and commitment  Advocating for social justice  Taking pride in individual work as well as that of the team  Continually learning to stay current with industry standards, best practices and technology  Utilizing AIDET skills at all times Job Description As a Sea Mar employee, the individual in this position commits to adherence to these values to their utmost ability and endeavors to strengthen and embody this mission daily. The Infant Case Manager:  Is able provide six core services: health promotion, support to client/family, care coordination, referral to social and community resources, care management.  Conducts mandatory screenings and optional screenings when indicated to identify care needs.  Creates a health action plan (HAP) with the client and/or family including long term goal, shortterm goal, small actionable steps to meet goals.  Prior to HAP, reviews screenings and electronic record and when appropriate reaches out to other service providers with whom client has had contact to consult how to best support their goals and ensure non-duplicative efforts.  Uses motivational interviewing and behavioral activation techniques with clients as an adjunct to other techniques to assist the client to achieve HAP goals and progression toward client activation.  Reviews health action plan and screenings with client and/or family every four months.  Works with the clients/families to integrate self-care into their activities of daily living.  Demonstrates knowledge and skills necessary to provide care appropriate to the age of the clients served.  Participates in case conference with all appropriate team members. When care plans are ineffective, provides recommendations in collaboration with client for change to health action plan.  Presents caseload to interdisciplinary team members in order to receive expertise of team (from RN and from SW or MSW).  Participates in regular consultation with behavioral health providers when working with clients with behavioral health diagnoses who are seeing behavioral health therapist.  As appropriate coordinates with community providers and case managers on client’s behalf.  Must maintain appointment reconciliation in scheduling database  Demonstrate knowledge of the principles of growth and development over the life span

Requirements

The Infant Case Manager demonstrates knowledge of the principles of growth and development throughout the life span, and is able to identify and categorize each patient’s age specific grouping of needs, such as those for infants, adolescents, or geriatric patients. Additionally, the Infant Case Manager must demonstrate knowledge and skill necessary to provide care appropriate to the age of the patient served.
The person in this position must be of good character and able to maintain the understanding, physical health, emotional stability and personality suited to meet the physical, mental, emotional, and social needs of the population served.
The person in this position shall have no history or evidence of alcohol or other drug misuse for a period of three (3) years prior to the date of employment at the facility, and no misuse of alcohol or other drugs while employed at this facility.
This individual cannot be a person who has been convicted of a felony within the last seven years or ever been convicted of child abuse and / or any crime involving physical harm to another person nor be a perpetrator of substantiated child abuse.
Knowledge of the Patient Centered Health Home Model of care.
The ability to work with an inter-disciplinary care team. Members of the team may include medical providers, nursing staff, care coordinators, behavioral health, preventive health and other support staff.
Knowledge of evidence-based screening tools (PHQ 9, GAD 7, AUDIT, DAST, etc.) and the ability to use these tools as part of a framework to make appropriate level of care interventions and referrals for patients as needed.
The ability to maintain effective relationships and professional rapport with patients and members of the multidisciplinary team.
The skills and ability to actively engage patients in therapeutic alliances.
Strong listening, verbal, and written communication skills.
Knowledge of medical terminology.
Good working knowledge and skills in using electronic health record platforms, external registries, as well as the Microsoft suite of programs in order to document patient services, develop and run reports, etc.
Must have typing proficiency of at least 35 wpm. Basic knowledge of computers and programs such as Microsoft Office, Excel, PowerPoint, SharePoint, and electronic health care records. Possess the ability to learn new programs as they may pertain to use of electronic health records.
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Have the ability to compute rate, ratio, and percent and to draw and interpret bar graphs.
Have the ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
A person with a Bachelor’s or Master’s degree in a social service related field such as social work, behavioral sciences, psychology, child development, certified home and family life teacher, mental health counselor plus one year of experience working in community social services, public health services, crisis intervention, outreach and referral programs or related field.
Experience working with underserved populations such as, but not limited to, those who have limited English speaking skills, are homeless, and migrant and seasonal workers. If the patient requires services beyond brief intervention, the Infant Case Manager is responsible for coordinating the timely referral to behavioral health services.
Experience working with patients who have substance use disorders, chronic mental illness, and those who require crisis intervention.
Experience working with safety-net providers within the community and broad knowledge of community resources to facilitate whole person care.
Must have and maintain a current Employee Health Screening.
This position must obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment.
This person must pass a Washington State Patrol background check.
Pre-hire and annual employee health screening required
Annual influenza vaccine required. Only exception is for employees with a medical or religious exemption approved by Administration. Employees with an approved medical or religious exemption must wear a mask at all time during the flu season.
Ability to travel in Western Washington in a timely manner performing the work described above.

Nice To Haves

Bilingual English/Spanish preferred.

Responsibilities

Work independently with parenting low-income families who meet specific high-risk criteria
Develop and implement ongoing written plan of care with family which includes identified needs, goals, and outcomes
Refer and link infant/family with other agencies and programs to meet identified need
Advocate and assist client to overcome barriers to obtaining services
Adhere to his/her established schedule and must be prepared to provide services and/or engage in other work related duties by her/his established start time, each day.
Provide services using AIDET skills at all times, for both, external and internal customers.