Case Manager

The CED Case Worker is a substantially independent position with full responsibility for the administration of all aspects of oversight of CT InCK and crisis intervention. This position works with families within Elm City Communities and families of the New Haven community to provide wrap-around, trauma-informed care coordination.

CED Case Workers are a vital member of the Integrated Care for Kids (InCK) system of care in New Haven. The position provides Intensive Care Coordination for members receiving Healthcare for Uninsured Kids and Youth (HUSKY) and Medicaid/CHIP insurance living in specific New Haven zip codes. The CED Case Worker empowers families to help them address their physical, mental, and social drivers of health needs.

Employing a strengths-based approach through a trauma-informed, anti-racist lens, the CED Case Worker coordinates the member/family healthcare needs through the process of needs assessment, care planning, referrals, and connection to services geared toward achieving positive, holistic outcomes and seamless care integration.

• Provide the Integrated Care for Kids service model to members and families assigned
• Serve as the Single Point of Contact for member/family and Care Team (Core Child Services and other providers of choice)
• Assemble, coordinate, and host Care Team meetings to include identified Core Child Service providers, member/family informal and formal supports, healthcare providers and practitioners including but not limited to medical/physical, mental/behavioral, dental, specialty care, OB/GYN, and CBOs meeting SDOH needs
• Develop, coordinate, and manage family-centered Care Plans and Care Team Meetings with residents

• Utilize selected technology platforms for conducting needs assessments, care planning development, referrals, and documentation
• Maintain policies and standards for data management, privacy and confidentiality, HIPAA, security, and reporting as required to maintain compliance
• Complete all necessary documentation written in a billable and timely manner consistent with all standards and regulations

• Conduct outreach and engagement activities for residents including in the members' homes and settings in the community
• Provide emotional support and conduct canvases throughout the portfolio of developments
• Link individuals with community resources

• Intervene and assess individuals' safety and mental status during crises
• Assess safety and immediate needs of clients
• Guide inter-agency engagements with participants facing serious crisis
• Offer services and provide assistance to all participants by strategizing with partnering agencies to overcome client or resource challenges

• Participate in scheduled meetings with assigned CT InCK CHO (Community Health Organizer) for quality assurance, monitoring and coaching, community education, training and education, feedback, and reporting
• Participate in scheduled meetings with the Learning Collaborative of CT InCK Providers
• Participate in community engagement activities to advance health equity for residents and the CT InCK system of care/community as available
• Complete all training requirements

• Maintain a trauma-informed, anti-racist, equity approach to improve the health and well-being of children, families, neighborhoods, and community
• Provide timely and informative responses to stakeholders
• Perform all other related duties as assigned

• Bachelor's degree in Social Work, Human Services, Psychology, or related field required

• Minimum of 2 years of experience in case management, care coordination, or related social services
• Experience working with children, families, and diverse stakeholders throughout greater New Haven

• Familiarity with the New Haven community and New Haven area resources
• Experience working with diverse stakeholders throughout greater New Haven

• Strong collaboration, organization, and community engagement skills
• Proven ability in care coordination and case management, working with children and families
• Proven ability in complex problem-solving and critical thinking skills
• Team management and/or group facilitation experience
• Documentation and reporting experience

• Comfortable with technology, provider referral, and member data systems
• Experience with electronic health/medical records is a plus

• Ability to develop program procedures and administrative systems
• Ability to handle confidential information in an appropriate manner

• Bilingual in Spanish preferred but not mandatory