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Ensure that each client is receiving appropriate and effective case management services
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Conduct comprehensive assessments and develop comprehensive service plans that identify mutually agreed upon long and short-term goals.
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Conduct face to face contacts (home visits/office visits) as specified in the service plan(s); with a minimum of one home visit per month and one contact per week.
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Provide assistance in accessing primary medical care; assistance with adherence to medication regiments; teach activities for daily living; nutritional services; recreation programs; assistance in employment assessments, training, and private sector placement services; prevention with positives; and other necessary services to clients to increase their capacity for independent living.
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Review the case management service plans and conduct reassessments on a quarterly basis to ensure that services are appropriate for the clients’ current needs.
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Provide crisis intervention to clients and their families as needed.
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Maintain ongoing awareness of clients’ medical conditions so that services are appropriate to changing needs.
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Arrange support and home health care services as necessary, making referrals to medical, home care, mental health and/or substance abuse services
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Ensure that clients pay the balance of their rent, telephone and utility bills.
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Provide counseling and orientation regarding tenant’s rights and responsibilities to maintain and retain housing.
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Assist clients in moving from hospitals, nursing homes or other locations into their apartments, and, provide transportation when necessary.
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In collaboration with vocational counselor and entitlement specialist provide advocacy & referrals to employment programs for training and job placement in the private sector.
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Assist clients in locating alternative housing options, when a client’s health so requires.
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Provide and coordinate all supportive services as needed.
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Collaborate with all providers within and outside of Comunilife involved with the client/family. Coordinate and collaborate with HASA personnel as required.
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Maintain regular personal contact, developing a trusting working relationship with clients in order to monitor physical and emotional capacity for independent living
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Maintain and complete required documentation including all contacts made with the client and any contact on their behalf
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Participate in weekly supervision
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Submit a weekly schedule of field visits
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Participate in mandated training workshops, seminars, and case presentations as well as meetings with peers and supervisors
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Perform any other duty as assigned