Job Objective: Coordinate social services activities for the corps. Provide direct assistance and/or referral to clients in need based on established criteria; assess all families with minor children for eligibility in the Pathway of Hope (POH) program. Deliver all POH services using the strength-based case management model to families with a desire to take action to break the cycle of crisis and change the trajectory of their lives
Essential Functions:
- Conduct regular outreach to social services sites and other locations in the community to identify eligibility requirements
- Engage and build rapport with target population
- Conduct screening interviews with potential applicants in accordance with POH eligibility requirements
- Present potential participant to POH team to include the corps officer, corps support staff, and Divisional POH program manager
- Provide appropriate referrals for individuals not eligible for POH services
- Perform intake that includes required documentation for admission, referral needs, explanation of program and expectations
- Conduct a written assessment on all participants within 72 hours of contact including screening for serious personal safety and mental health issues
- Develop a case plan with the participant based on the primary goals of housing stability, increased income/financial resources and skills, and self-determination within one week of intake which includes short-term and long-term goals with objectives. Update case plan as needed
- Schedule regular meeting times with participants to develop and review goals and objectives
- Conduct home visits as determined by the case plan
- Provide information and referral services as needed
- Assist participants in connecting to and accessing appropriate community resources
- Provide advocacy services as needed, i.e., court involvement, landlord/tenant conflict resolution, etc.
- Provide financial assistance in accordance with program policies and procedures.
- Coordinate case management efforts with all staff and contracted services to meet individual and family needs
- Develop a discharge plan with participants addressing permanent housing stability, economic stability, emotional stability and self determination
- Assist participant to develop a crisis plan; be available during off hours to respond to an emergency
- Conduct life skills and budgeting classes
- Maintain case files for each participant that includes the assessment, case plan, documentation of progress, challenges, outcomes/accomplishments, discharge plan and summary, and documentation of all follow up contact
- Maintain comprehensive and detailed case notes on all participants
- Complete required documentation of all educational groups
- Prepare case records for proper storage after participant discharge
- Ensure client confidentiality in accordance with established procedures and regulations
- Maintain comprehensive demographic data as required on all participants
- Submit monthly summary of service statistics to the Pathway of Hope program manager
- Maintain accurate records of financial assistance provided to participants in their file and in The Salvation Army Information Management System (SIMS)
- Complete other reports as requested