Street Medicine Case Manager

San Francisco Community Health Center•San Francisco, CA

About The Position

About Us: San Francisco Community Health Center is a Federally Qualified Health Center (FQHC) providing culturally competent, high-quality medical care, mental health services, education, and outreach. We are a safety-net for the LGBTQ community, the unsheltered community, people who use substances, and those with mental health needs. We are an anchor-organization for San Francisco’s Tenderloin neighborhood and we also lead regional, statewide, and national programming. We believe that everyone deserves access to the highest quality care served with dignity and respect! About You: You focus and center your work around giving a high level of service. You are empathetic, responding to any situation with compassion and curiosity. You are driven by your own internal integrity as well as that of the agency. You have a justice and equity mind-set. You feel that everyone deserves dignity and respect. You pay attention to details no matter how big or small. Position Description: The Street Medicine Case Manager is responsible for conducting field-based (ie: at tents, in encampments, at community spaces, at SROs) assessments of clients’ needs, including conducting psychosocial and cognitive assessments; developing and continually updating collaborative client care plans; providing referrals to health and psychosocial service resources and programs; and providing informal, field –based short-term psychosocial counseling to address immediate client barriers and impediments to care, including mental health and substance abuse issues. The Case Manager will be a provider in our Enhanced Care Management (ECM) program and will document accordingly. The position is also responsible for the orientation of new staff, interns, and volunteers, and coordinating services within their program as assigned by their direct supervisor. This position will be active with other SFCHC Programs and participate when possible, with SFCHC Committees and Events. Direct client work and interaction will be done in the field (tent-side, encampments and in community spaces) and at the office.

Requirements

BA in a health sciences or social work-related field or AAA/CMH/CHW OR comparable work experience
Two years of experience providing counseling, advocacy, education and service coordination and/or outreach work to disenfranchised communities.
Knowledge of HIV/AIDS, STIs, substance use, mental health, social service and probation system
Familiarity with issues in communities of color.
Knowledge of harm reduction philosophy, client centered counseling and motivational interviewing techniques and trauma informed care
Experience working with diverse sexual/gender orientations, unhoused people, limited English speakers, and/or multiple-diagnosed individuals
Experience with clinical reviews and housing assessments
Familiarity and experience with Microsoft Word and Outlook programs
Must be adaptive, flexible and a team player
Strong verbal and written proficiency in English
Detail-oriented with strong follow-through skills, including attention to and respect for detail
Demonstrated excellence in attendance and reliability, interpersonal, organizational, verbal, and written communication skills
Must be able to sit, stand, and walk for extended periods of time

Nice To Haves

Experience with Epic, Carelink or other EMRs
Spanish speaking

Responsibilities

Conduct intake, assessment, reassessment, and discharge planning of Street Medicine clients
Coordinate with multi-disciplinary care team and support clients with adhering to treatment goals established with their medical providers
Complete ECM documentation
Provide service referral, linkage, coordination and advocacy services for clients
Conduct quality assurance on referrals to ensure that follow-up and referral completion is reached, if needed
Provide information and referrals to external services and monitor referral completion
Provide case management services following standards of practice
Develop and renew clients’ individualized case management treatment plans
Conduct individual counseling and develop service goals with clients
Provide benefits advocacy and navigation when needed (i.e. ADAP enrollment, Medi-Cal/MediCare linkage)
Navigate and outreach as needed
Complete necessary documentation and treatment plans in a timely manner
Participate in case conferences, monthly staff meetings, and in-service training
Provide crisis prevention, intervention and safety planning services.
Conduct orientation for new interns, volunteers, and new staff
Participate in SFCHC groups and committees
Perform other duties and tasks as assigned