Primary Purpose: Functions as the key linkage between homeless persons with mental illness and the service systems throughout the community. Ensures that clients meet the criteria for community based case management. Responds comprehensively to the needs of clients through ongoing case management. It is expected that clinical supervision will be received internally in order that licensure may be obtained. Essential Duties: Carries an average caseload of 35 CBCM clients. If unlicensed, no more than 25 CCS clients will be on a caseload. Documents all services provided to authorized CBCM clients based on established acuity levels. Provides face-to-face direct service contact for clients no less than 1X per month. Provides crisis and emergency services, either by telephone or face-to-face, 24 hours per day for clients on the Case Management Team. Ensures that all individuals who accept, and are eligible for case management services are registered with the AMHD and/or CCS. Conducts intake and assists in assessment, counseling, and referrals for health and social services. Provides clients on the Case Management Team with an Individual Recovery Plan (RP) within 72 hours of intake and 30 days thereafter. Provides Recovery Plan reviews every 6 months thereafter. Conducts outreach in the community and at the homeless shelters. Assists clients in acquiring emergency supplies, including food, clothing, bedding, medicine and hygiene items. Assists clients in applying for entitlements and obtaining identification. Where needed, takes clients through entitlement, medical, and mental health systems to connect them with services and benefits. Assists clients with legal entanglements. Makes appointments for clients and escorts them to such appointments as needed. Provides counseling, consultation, and crisis intervention as needed. Encourages medication adherence as appropriate. Works with the Housing Specialists to assist clients with housing needs. Assists with family and social relationships as appropriate. Where needed, teaches communication and social skills development. Provides appropriate case management services for each client which include:
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