Case Manager

Description

Mary Hall Freedom Village, Inc.

FLSA Status:
Non-Exempt Employment Status:
Full-Time

Location:

Mary Hall Freedom Village Population Served:
Adult women, including pregnant and postpartum women, and women residing with their children ---

The Case Manager provides comprehensive, participant-centered case management services to women receiving residential substance use and opioid use disorder treatment, including mothers residing in the program with their children. The Case Manager supports participants in addressing barriers that may affect treatment engagement, recovery, family stability, and successful transition to independent living.

The Case Manager works collaboratively with participants, clinicians, peer support staff, medical providers, childcare staff, housing providers, community agencies, and other members of the interdisciplinary treatment team. The position focuses on helping participants access and coordinate services related to housing, transportation, benefits, employment, education, childcare, healthcare, legal needs, identification documents, financial stability, and other recovery-supportive resources.

The Case Manager promotes self-sufficiency, family preservation, participant choice, trauma-informed care, and successful discharge planning.

• Complete case management assessments to include but not limited to Work Readiness Assessments, Recovery Capital Assessments and identify participant strengths, needs, barriers, and available resources.
• Assist participants in developing individualized service plans within first few days of admission, and follow up ISPs in 30, 60, 90 and 180 days tracked by admission date on EMR dashboard.
• Provide ongoing case management services throughout the participant's residential stay.
• Maintain appropriate boundaries and a professional helping relationship with participants.
• Advocate for participant needs while promoting independence and self-advocacy.
• Assist participants in identifying and utilizing natural supports and community resources.
• Provide culturally responsive, trauma-informed, recovery-oriented services.

• Assess housing needs early in the participant's treatment episode.
• Assist participants with identifying safe, stable, and recovery-supportive housing.
• Provide referrals to transitional housing, sober living, permanent supportive housing, shelters, and other appropriate housing resources.
• Assist participants with housing applications, documentation, interviews, and follow-up.
• Coordinate with housing providers and community partners as appropriate.
• Help participants address barriers such as prior evictions, lack of income, identification documents, credit issues, and transportation.
• Develop housing transition plans before discharge.
• Track housing outcomes following treatment when required by program or grant requirements.

Assist participants in accessing and maintaining appropriate benefits and resources, including:

• Medicaid/health insurance
• SNAP/food assistance
• TANF and other public benefits
• Social Security benefits when applicable
• Identification cards and birth certificates
• Social Security cards
• Transportation assistance
• Clothing and personal care resources
• Food and household resources
• Community assistance programs

The Case Manager will assist participants with applications and documentation but will promote participant independence rather than completing tasks that the participant can reasonably complete herself.

• Assess employment, education, vocational, and financial needs.
• Assist participants with obtaining identification, birth certificates and employment documentation, as needed.

• Assist participants in developing reliable transportation plans before discharge.
• Provide information regarding public transportation, transportation assistance programs, rideshare resources, and community transportation services.
• Assist participants in obtaining driver's licenses or state identification when appropriate.
• Develop individualized transportation plans for employment, healthcare, childcare, education, recovery meetings, and other essential activities.

• Assist participants in identifying appropriate legal and social service resources.
• Provide referrals for legal aid, family court, child support, custody,…