CAMBA's Transitional Care Coordination (TCC) program will link 72 individuals to housing and primary medical care. Program staff members along with each client will develop a coordinated service plan that will ensure that the client is connected to a wide range of services including, but not limited to, medical, mental health, housing, and substance abuse treatment services and has access to public benefits and other supportive services. When necessary, staff will also accompany clients to medical and other appointments to ensure that their medical and other needs (e.g. housing) are being met. On at least five occasions, staff will conduct one-on-one health promotion counseling sessions with each client, which will follow modules from DOHMH required curricula, such as Prevention for Positives, Me and HIV, What is HIV and how does it affect my body, Identifying and Building Social Support Networks, and Medical Appointments and Providers. Once clients are connected to housing and medical care, program staff will facilitate the transfer of their cases to a Ryan White Care Coordination program, a COBRA program or another case management program. Finally, staff will follow-up with clients after their transfers to ensure that the transitions have been smooth and positive.
Essential Duties and Responsibilities: The person filling this position is expected to: (1) aid individuals and/or families requiring social service assistance; (2) interview and evaluate applicants for services, formulate service plans and goals, and aid clients to implement service plans; (3) locate and make use of appropriate community resources for clients; and (4) evaluate actual living conditions of clients though home visits.
MINIMUM EDUCATION/EXPERIENCE REQUIRED:
Bachelor's degree and two years of applicable experience and/or equivalent experience.
- Bilingual preferred.
- Strong socio-cultural identification with the target population.