Medical Outreach Worker-Case Manager

Medical Outreach Worker/Case Manager Reports to

Job Role:

Director of Street Outreach

FLSA:
Non-Exempt Role:
Team Member Descriptive Summary The Medical Outreach Worker/Case Manager is a member of the street outreach team at the Embry Rucker Community Shelter (ERCS) providing transportation to medical and dental appointments for unsheltered individuals in the Homeless Healthcare Program (HHP). The Medical Outreach Worker/Case Manager collaborates with a Health Department Nurse Practitioner to seek out and engage unsheltered individuals in Northern Fairfax County to offer medical services and referrals for other basic needs.

The Medical Outreach Worker/Case Manager must have strong interpersonal and motivational skills and must be comfortable meeting unsheltered individuals in places not meant for human habitation such as campsites in the woods and parked cars. The Medical Outreach Worker/Case Manager is responsible for utilizing a Housing First approach to move unsheltered individuals into permanent housing and will be responsible for meeting or exceeding outcomes as well as other contractual obligations.

The Medical Outreach Worker/Case Manager must possess a patient, trauma-informed approach to service delivery using an equity lens. The Medical Outreach Worker/Case Manager ensures that services are equitable and delivered with integrity in accordance with the Agency Mission, Vision, and Values. All duties are performed in a professional and timely manner, in a fast-paced, high-demand environment. A candidate that is bilingual in English/Spanish and has the ability to use one's lived personal experience of housing instability to help assess system barriers is a plus.

Key Performance Indicators Responsible for working collaboratively with the multidisciplinary Homeless Healthcare Program (HHP) Team to link unsheltered individuals with a “medical home.”Uses the agency vehicle to provide transportation to medical and dental appointments for unsheltered individuals in the HHP program.

Actively seeks out, identifies, and establishes contact and builds rapport with unsheltered persons throughout Fairfax County’s North County Region.

Responsible for maintaining a schedule of regular street outreach stops including emergency shelters, hypothermia prevention shelters, mental health drop-in centers, camp-sites, and other gathering places while remaining flexible to incorporate new street sites as they are presented.

Meets unsheltered individuals in places not meant for human habitation such as campsites in the woods and parked cars.

Responds to community requests for assistance in working with people who are unsheltered.

Advocates for and actively assists individuals in obtaining services (e.g. showers, laundry, food, benefits, medical, mental health, substance abuse, housing referrals, financial assistance).Conducts comprehensive in-depth assessments utilizing uniform intake/assessment tools developed by the Fairfax County Office to Prevent and End Homelessness (OPEH) as well as assessment and action planning tools developed for Cornerstones Integrated Care Management (ICM) services.

Works with participants to prepare, implement and monitor individual plans and budgets that, at a minimum, address the core outcome areas as well as other significant barriers to housing. Plans must include goals and specific action steps needed to meet those goals.

Works closely with the Housing Locator to educate participants about and assist them with obtaining affordable appropriate housing.

Assesses eligibility and need for benefits and services and makes appropriate referrals, including requests for financial and / or housing assistance, and connection with county and mainstream benefits.

Advocates for and actively assists individuals in obtaining services (e.g. behavioral health, intellectual disability, substance use disorder, housing referrals, financial assistance, employment, training, medical services, mentoring and socialization).Provides mediation and advocacy with landlords on the individual's behalf to develop a workable plan to obtain housing.

Creates and maintains consistent communication channels, both verbal…