Infant Case Manager

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

Sea Mar is a mandatory COVID-19 and flu vaccine organization

Job Title

Infant Case Manager

Position Summary

The goal of the Infant Case Manager is to improve the clients’ self-sufficiency in accessing and providing care for themselves and their infant/family. The Infant Case Manager aids postpartum MSS clients in obtaining needed social and health services in an integrated and coordinated manner. The Infant Case Manager position requires flexibility, self-initiative, and ability to manage time, resources and client caseload. The Infant Case Manager is responsible for working independently with parenting low-income families who meet specific high-risk criteria and for linking the client with services in the community that meet the family’s identified needs. This is not a counseling role but rather an advocacy and infant case management role in which the client/family is educated and empowered to utilize preventative health and social service resources in the community that contribute to the new child’s health and well-being. There must be a need by the birth parents for assistance in accessing resources and/or providing care for the infant/family in the household. The productivity expectation for this position is 20 visits per week.

Duties and Responsibilities

As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on the belief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances self-worth. Sea Mar is an advocate for its clients and aims to achieve industry-leading, client-centered, culturally-aware services. Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:

 Understanding and empathizing with client needs

 Surpassing client expectations

 Demonstrating a high level of integrity and work ethics

 Exhibiting compassion and commitment

 Advocating for social justice

 Taking pride in individual work as well as that of the team

 Continually learning to stay current with industry standards, best practices and technology

 Utilizing AIDET skills at all times

Job Description

As a Sea Mar employee, the individual in this position commits to adherence to these values to their utmost ability and endeavors to strengthen and embody this mission daily. The Infant Case Manager:

 Is able provide six core services: health promotion, support to client/family, care coordination, referral to social and community resources, care management.

 Conducts mandatory screenings and optional screenings when indicated to identify care needs.

 Creates a health action plan (HAP) with the client and/or family including long term goal, short-term goal, small actionable steps to meet goals.

 Prior to HAP, reviews screenings and electronic record and when appropriate reaches out to other service providers with whom client has had contact to consult how to best support their goals and ensure non-duplicative efforts.

 Uses motivational interviewing and behavioral activation techniques with clients as an adjunct to other techniques to assist the client to achieve HAP goals and progression toward client activation.

 Reviews health action plan and screenings with client and/or family every four months.

 Works with the clients/families to integrate self-care into their activities of daily living.

 Demonstrates knowledge and skills necessary to provide care appropriate to the age of the clients served.

 Participates in case conference with all appropriate team members. When care plans are ineffective, provides recommendations in collaboration with client for change to health action plan.

 Presents caseload to interdisciplinary team members in order to receive expertise of team (from RN and from SW or MSW).

 Participates in regular consultation with behavioral health providers when working with clients with behavioral health diagnoses who are seeing behavioral health therapist.

 As appropriate coordinates with community providers and case managers on client’s behalf.

 Must maintain appointment reconciliation in scheduling database

 Demonstrate knowledge of the principles of growth and development over the life span

 Work independently with parenting low-income families who meet specific high-risk criteria

 Develop and implement ongoing written plan of care with family which includes identified needs, goals, and outcomes

 Refer and link infant/family with other agencies and programs to meet identified need

 Advocate and assist client to overcome barriers to obtaining services Other duties as assigned. Personnel and Performance Metrics: The Infant Case Manager will:

 Adhere to his/her established schedule and must be prepared to provide services and/or engage in other work related duties by her/his established start time, each day.

 Provide services using AIDET skills at all times, for both, external and internal customers.

Qualifications

The Infant Case Manager must be able to perform each essential duty as outlined above satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 The Infant Case Manager demonstrates knowledge of the principles of growth and development throughout the life span, and is able to identify and categorize each patient’s age specific grouping of needs, such as those for infants, adolescents, or geriatric patients. Additionally, the Infant Case Manager must demonstrate knowledge and skill necessary to provide care appropriate to the age of the patient served.

 The person in this position must be of good character and able to maintain the understanding, physical health, emotional stability and personality suited to meet the physical, mental, emotional, and social needs of the population served.

 The person in this position shall have no history or evidence of alcohol or other drug misuse for a period of three (3) years prior to the date of employment at the facility, and no misuse of alcohol or other drugs while employed at this facility.

 This individual cannot be a person who has been convicted of a felony within the last seven years or ever been convicted of child abuse and / or any crime involving physical harm to another person nor be a perpetrator of substantiated child abuse. Knowledge, Skills and Abilities The Infant Case Manager has:

 Knowledge of the Patient Centered Health Home Model of care.

 The ability to work with an inter-disciplinary care team. Members of the team may include medical providers, nursing staff, care coordinators, behavioral health, preventive health and other support staff.

 Knowledge of evidence-based screening tools (PHQ 9, GAD 7, AUDIT, DAST, etc.) and the ability to use these tools as part of a framework to make appropriate level of care interventions and referrals for patients as needed.

 The ability to maintain effective relationships and professional rapport with patients and members of the multidisciplinary team.

 The skills and ability to actively engage patients in therapeutic alliances.

 Strong listening, verbal, and written communica