Case Manager - Full-Time - Mobile Outreach Program

The MOP Case Manager works as a member of a team to provide case management and counseling to individuals, assess needs, make referrals, link individuals to services, follow up with discharged individuals, assist with transportation to appointments, participate in staff training, and maintain case records in accordance with DOHMH regulations and TSINY policy and procedure.

Contact potential participants and referrals within 24 hours of receipt of the referral.

Assess the needs of the participant upon enrollment to determine current needs and desired life goals.

Inform participants of available mental health resources in the community.

Complete a brief individual service plan with participants.

Meet at a minimum, weekly, with enrolled participants.

Provide case management to participants.

Make referrals and link participants to services & follow-up to ensure that the actual linkage has been made.

Refer participants to programs which offer long-term services such as obtaining benefits/entitlements and supportive housing.

Remain in direct communication with the participant and collaterals to facilitate coordination of care during the 6-8-week engagement period.

Facilitate discharge planning with the participants & follow up with the participants 30 days' post discharge.

Conduct outreach efforts to participants who have been disengaged from services.