Case Manager

Grant-funded through March 2027
Full-Time (40 hours per week)

Monday through Fridays, hours TBD.

Onsite: Olean, NY

Overview

This position combines case management and community health navigation within the Social Care Network (SCN) initiative led by FLIPA in the Finger Lakes region. The Case Manager/SCN Community Health Worker is responsible for identifying, assessing, referring, and coordinating support for high-need Medicaid recipients to ensure access to essential social care and health-related services. The role involves administering screening tools, managing both short-term and long-term client interactions, and working closely with community-based organizations (CBOs), healthcare providers, and other social care partners.

Essential Job Functions

• Conduct comprehensive case management assessments and administer the Health-Related Social Needs (HRSN) Screening Tool.
• Engage with individuals seeking support through both brief screenings and ongoing case management.
• Identify individuals eligible for enhanced HRSN services and document findings in electronic systems.
• Develop, revise, and implement individualized case management plans.
• Facilitate timely referrals to community, healthcare, and social support services using closed-loop referral systems.
• Coordinate client services, including needs related to employment, education, housing, childcare, substance use, spiritual support, and transportation.
• Provide non-clinical crisis support, including post-hospitalization and post-incarceration assistance.
• Advocate for clients navigating complex systems and overcoming barriers to care.
• Provide support and education related to medication-assisted treatment, benefits access, and general wellness.
• Maintain accurate and timely case notes, care plans, and progress summaries.
• Utilize electronic health record and referral tracking systems to ensure HIPAA-compliant documentation.
• Submit all required reports and caseload documentation within established deadlines.
• Conduct outreach by phone and in the community to engage clients and identify new participants.
• Represent the organization and SCN program at community events, meetings, and outreach activities.
• Build and maintain relationships with CBOs and partner agencies to strengthen referral pathways.
• Participate as an active member of an interdisciplinary team and contribute to ongoing process improvement.

Secondary Functions

• Collaborate with care providers and referral sources to enhance understanding of client needs and strengths.
• Participate in interdisciplinary team meetings, daily case management huddles, and clinic case reviews.
• Contact participants prior to appointments to support preparation and transportation needs.
• Stay current on policies, regulations, and procedural updates.
• Participate in scheduled on-call hours.
• Perform additional related duties as assigned.

Knowledge, Skills & Abilities

• Working knowledge of substance use disorders, human behavior, and social determinants of health.
• Proficiency in case management, client engagement, and community resource navigation.
• Strong interpersonal, written, and verbal communication skills.
• Ability to work effectively with culturally diverse populations and in emotionally challenging environments.
• Ability to multitask, manage a caseload, meet deadlines, and adapt to changing priorities.
• Capacity to work both independently and collaboratively within a team.
• Competence in maintaining accurate documentation using electronic systems, databases, and spreadsheets.

Physical Demands

Reasonable accommodations may be made for individuals with disabilities.

• Ability to use a computer, keyboard, mouse, and necessary audio/visual tools.
• Ability to lift/move up to 10 pounds regularly and up to 25 pounds occasionally.
• Ability to drive and travel within the community.

The Case Manager must be able to prioritize urgent situations, adapt to irregular hours, and manage stress associated with crisis intervention. Exposure to illness, unsanitary conditions, or physically threatening situations may occur; maintaining personal safety and following precautions is essential.

Work Environment

• Tobacco- and alcohol-free workplace.
• Work performed both in office settings and throughout the community.

Qualifications

Required:

• High school diploma and 2 years of experience in a health or human services agency

OR

• Associate degree (preferred) in psychology, social work, counseling, human services, or a related field and 1 year of clinical experience.

Additional Requirements:

• Valid driver's license and insurability.

This job description is intended to provide a description of essential job functions that are used in order to assess employee performance. It is not an all-inclusive statement of job responsibilities.

Job Type: Full-time

Pay: $ $22.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Education:

• Associate (Preferred)

Experience:

• Clinical counseling: 1 year (Preferred)
• Health and Human Services: 2 years (Preferred)
• Case management: 1 year (Preferred)
• Substance abuse counseling: 1 year (Preferred)

License/Certification:

• Driver's License (Required)

Work Location: In person