Case Manager Rural Health Transformation Program

Lutheran Community Services NW is a non-profit organization dedicated to serving communities throughout Washington, Oregon, and Idaho with a wide range of services for individuals of all ages and backgrounds. All LCSNW team members will contribute to our mission of partnering with individuals, families and communities for health, justice and hope

As an employer of choice, we’re deeply committed to supporting our employees, because when you’re empowered, our mission thrives. We provide resources, tools, and care that allow you to focus on what matters most: delivering Health, Justice, and Hope to the communities we serve. We’re proud to offer a comprehensive benefits package designed to support your well-being, growth, and peace of mind

• A 37.5 per hour work week to ensure work/life balance
• Medical, dental, vision, and prescription benefits to keep you and your loved ones healthy
• Employer-paid short- and long-term disability insurance
• Life insurance coverage at no cost to you
• Up to 2 weeks of vacation in your first year (based on hours worked)
• Up to 2 weeks of sick leave (based on hours worked)
• 12 paid agency recognized holidays
• 2 floating holidays to use your way
• 403(b) retirement plan with employer matching (eligibility applies)
• Access to our Employee Assistance Program (EAP) for you and your family
• Potential eligibility for Student Loan Forgiveness through our 501(c)(3) nonprofit status

All LCSNW team members will contribute to our mission of partnering with individuals, families and communities for health,justice and hope. The Rural Health Transformation Program (RHTP) Case Manager provides intensive, person-centered case management services to families referred tothrough
Safe Families for Children
who are experiencing barriers to healthcare access, housing instability, financial hardship, behavioral health challenges, or other social drivers of health. Working within the Interventions for Safe Families program at Lutheran Community Services Northwest, this position partners with healthcare providers, community organizations, behavioral health providers, housing agencies, and other community resources to improve health outcomes by addressing social drivers of health and increasing access to coordinated care.

The Case Manager works collaboratively with Safe Families staff, healthcare partners, and participating families to develop individualized service plans, coordinate healthcare and community-based services, strengthen family stability, and reduce barriers that negativelyimpactoverall health and well-being. Through trauma-informed, strengths-based, and culturally responsive practices, the Case Manager empowers families to build resilience, increase self-sufficiency, and improve their long‑term health and wellness while meeting all Oregon Health Authority Rural Health Transformation Program requirements.

• Complete intake, eligibility verification, and enrollment documentation

• Complete Family Assessment and develop individualized care plans with measurable goals

• Maintain regular contact withclientsthrough office visits, home visits, and community-based meetings.

• Utilize motivational interviewing, trauma-informed care, and strengths-based practices.

• Coordinate services with:
  
  Primary Care Providers;
  
  Behavioral Health Providers;
  
  Hospitals and Clinics;
  
  Oregon Health Authority partners;
  
  Community-Based Organizations;
  
  Housing Providers;
  
  Employment Services;
  
  Public Assistance Programs

• Assist participants in navigating complex healthcare and social service system sand advocate for participant needs while encouraging self-sufficiency

• Monitor progress toward established goals and revise care plans as needed

• Assist participants in accessing:
  
  Medical care;
  
  Behavioral health treatment;
  
  Substance use recovery services;
  
  Housing stabilization resources;
  
  Transportation;
  
  Food assistance;
  
  Utility assistance;
  
  Financial resources;
  
  Insurance navigation;
  
  Medication assistance;
  
  Community support services

• Develop andmaintaincollaborative relationships with healthcare providers and community partners

• Represent Lutheran Community Services NW at community meetings and collaborative initiativesandbuild partnerships…