Infant Case Manager for MSS

• Is able provide six core services: health promotion, support to client/family, care coordination, referral to social and community resources, care management.
• Conducts mandatory screenings and optional screenings when indicated to identify care needs.
• Creates a health action plan (HAP) with the client and/or family including long term goal, short-term goal, small actionable steps to meet goals.
• Prior to HAP, reviews screenings and electronic record and when appropriate reaches out to other service providers with whom client has had contact to consult how to best support their goals and ensure non-duplicative efforts.
• Uses motivational interviewing and behavioral activation techniques with clients as an adjunct to other techniques to assist the client to achieve HAP goals and progression toward client activation.
• Reviews health action plan and screenings with client and/or family every four months.
• Works with the clients/families to integrate self-care into their activities of daily living.
• Demonstrates knowledge and skills necessary to provide care appropriate to the age of the clients served.
• Participates in case conference with all appropriate team members. When care plans are ineffective, provides recommendations in collaboration with client for change to health action plan.
• Presents caseload to interdisciplinary team members in order to receive expertise of team (from RN and from SW or MSW).
• Participates in regular consultation with behavioral health providers when working with clients with behavioral health diagnoses who are seeing behavioral health therapist.
• As appropriate coordinates with community providers and case managers on client’s behalf.
• Must maintain appointment reconciliation in scheduling database
• Demonstrate knowledge of the principles of growth and development over the life span
• Work independently with parenting low-income families who meet specific high-risk criteria
• Develop and implement ongoing written plan of care with family which includes identified needs, goals, and outcomes
• Refer and link infant/family with other agencies and programs to meet identified need
• Advocate and assist client to overcome barriers to obtaining services

• Adhere to his/her established schedule and must be prepared to provide services and/or engage in other work related duties by her/his established start time, each day.
• Provide services using AIDET skills at all times, for both, external and internal customers.

• A person with a Bachelor’s or Master’s degree in a social service related field such as social work, behavioral sciences, psychology, child development, certified home and family life teacher, mental health counselor plus one year of experience working in community social services, public health services, crisis intervention, outreach and referral programs or related field; or a person with an associate of arts degree, or an associate's degree in a social service-related field, such as social work, behavioral sciences, psychology, child development, or mental health, plus at least two years of full-time experience working in one or more of the following areas: community services; social services; public health services; crisis intervention; outreach and referral programs; other related fields.
• Experience working with underserved populations such as, but not limited to, those who have limited English speaking skills, are homeless, and migrant and seasonal workers. If the patient requires services beyond brief intervention, the Infant Case Manager is responsible for coordinating the timely referral to behavioral health services.
• Experience working with patients who have substance use disorders, chronic mental illness, and those who require crisis intervention.
• Experience working with safety-net providers within the community and broad knowledge of community resources to facilitate whole person care.

• Must have and maintain a current Employee Health Screening.
• This position must obtain Basic Life Support (BLS) CPR within 90 days of hire date and is required to maintain current BLS CPR throughout employment.
• This person must pass a Washington State Patrol background check.

• Bilingual English/Spanish. Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Have the ability to write routine reports and correspondence. Have the ability to speak effectively before groups of customers or employees of organization.

• Medical
• Dental
• Vision
• Prescription coverage
• Life Insurance
• Long Term Disability
• EAP (Employee Assistance Program)
• Paid-time-off starting at 24 days per year + 10 paid Holidays.

Sea Mar Community Health Centers