The Health Homes Program (HHP) provides comprehensive case management services for community members who are marginalized, have a history of chronic/mental health conditions, and are frequently hospitalized. The HHP usually works with clients for about year to ensure they are connected to all of the needed services. Service linkage may include physical and behavioral health services, substance use treatment, community-based long-term services, home visit services, and assessment for other supportive/long-term needs. As a small team, the HHP works closely and collaboratively and we are dedicated to making a big impact for our most vulnerable populations!
The Health Homes Care Coordinator (HHCC) will be assigned a caseload of clients as they enroll into the program. The HHCC will be responsible for assessing the client's needs and strengths in order to create a client-centered care plan. The goal of each care plan is to help clients achieve their health, psychosocial and basic-need goals. The HHCC will work collaboratively with the client's primary care provider and any other specialists/clinicians to support the client in reaching their goals. Following safety protocols, the HHCC will meet the client where they feel most comfortable. This may include meeting in the client's home, single-room occupancy hotel, shelter, encampment, or at a location in the community. This position provides a great opportunity to work as a part of a multidisciplinary team, provide one-on-one specialized case management, and learn about various community resources. This role is ideal for someone who is interested in building their skills as a case manager within the medical or social work field.