Health-Related Social ; HRSN Case Manager

Health-Related Social Needs (HRSN) Case Manager

Hearts With A Mission has a great opportunity for a full-time Health-Related Social Needs Case Manager in Klamath County. Join our team and make a difference in our community!

The Hearts With A Mission Health-Related Social Needs Case Manager (HRSN CM) works as part of an inter-disciplinary service team with participating clients. This position is responsible for screening, navigating, and processing community member requests for services. The HRSN CM ensures that accurate and complete information is collected, documented, and entered into databases to support the delivery of timely and appropriate services.

Through detailed understanding of program requirements and compassionate interaction with community members and their care teams, this position will serve as a link between access to health-related social need (HRSN) services, community members and their care teams. Building positive supportive relationships with clients is central to the effectiveness of this position. The HRSN CM performs assignments with supervision or independently, requiring initiative and judgment in conduct of work.

All work is performed in compliance with organizational guidelines and policies, as well as all applicable laws.

The Health-Related Social Needs Case Manager (HRSN CM) reports directly to the Regional Program Director. This is not a supervisory position. This position has an introductory period of three (3) months.

• Conduct screening and intake assessments to determine community members’ eligibility for HRSN services.
• Coordinate referrals and service navigation between community members, care teams, and partner organizations to ensure access to needed social support services.
• Accurately enter and maintain data in database software, ensuring compliance with program and privacy requirements.
• Review and verify eligibility and authorization documentation to facilitate timely service delivery.
• Collaborate with interdisciplinary care teams to ensure coordination of care and alignment with each member’s service plan.
• Monitor service requests and follow up to ensure resolution and successful connection to resources.
• Maintain up-to-date knowledge of program guidelines, HRSN service requirements, and available community resources.
• Provide support and communication to community members, promoting trust and engagement.
• Consult with Services Coordinator and Program Managers about referrals and coordinate all aspects of service delivery.

• Maintain regular and ongoing communication with all local schools and community organizations when appropriate.
• Attend relevant community resource and information sharing groups.
• Develop, expand, and maintain relationships across multiple agencies to establish good working relationships internally and externally.
• Establish community partnerships for the purpose of providing internships, job shadowing, and volunteer opportunities for clients.

• Develop and maintain systems to track data and outcomes across programs.
• Write and deliver reports as required and/or requested.

• Knowledge of general record keeping practices and procedures.
• Knowledge of Oregon DHS Mandatory Reporting.
• Knowledge and application of stress management and wellness practices.
• Knowledge of current and relevant cultural and human diversity.
• Knowledge of the organization’s rules, regulations, procedures, Mission, Vision, and Values.

• Demonstrate a high level of ethics, integrity, honesty, and transparency while always upholding the Mission, Vision, and Values of the organization.
• Demonstrate a high level of professionalism, ethics, and morals.
• Strong data entry and organizational skills.
• Clearly communicates and expresses ideas and displays good interpersonal communication skills; understands verbal and written instructions.
• Demonstrate proficiency using a PC, tablet, or other device(s) with Microsoft Office products.
• Demonstrate good moral character and integrity, including honesty, fairness, respect for the rights of others, and respect for local, state, and…