The Pathway of Hope Case Manager is responsible for the case management services offered to families through the Pathway of Hope (POH) program at identified Corps or social services sites.
Provide supportive services using Pathway of Hope strengths-based case management, Housing First, and Rapid Re-Housing models to individuals and families with a desire to take action to break the cycle of crisis and change the trajectory of their lives.
Outreach and Engagement
1. Conduct regular outreach to identified Corps or social services sites to identify eligible applicants.
2. Engage and build rapport with target population.
3. Conduct screening interviews with potential applicants in accordance with POH eligibility definitions.
4. Present potential participant to POH team to include the corps officer, youth pastor, Clinical Supervisor, and POH Project Manager.
5. In coordination with Corps case workers, provide appropriate referrals for individuals not eligible for POH services.
1. Perform intake that includes required documentation for admission, referral needs, explanation of program and expectations.
2. Conduct a written assessment on all potential applicants and their families within 72 hours of contact including screening for serious personal safety and mental health issues.
3. Develop a case plan with the participant based on the primary goals of housing stability, increased income/financial resources and skills, and self determination within one week of intake which includes short-term and long-term goals with objectives. Update case plan as needed.
4. Schedule regular meeting times with participants to develop and review goals and objectives. Conduct home visits as determined by the case plan.
5. Provide information and referral services.
6. Assist participants in making linkages and accessing appropriate community resources.
7. Provide advocacy services as needed, i.e., court appointments, landlord/tenant conflict resolution, etc.
8. Provide financial assistance in accordance with program policies and procedures.
9. Coordinate case management efforts with all staff and contracted services to meet individual and family needs.
10. Develop a discharge plan with participants addressing permanent housing stability, economic stability, emotional stability and self determination.
11. Assist participant to develop a crisis plan. Be available during off hours to respond to an emergency.
12. Conduct life skills and budgeting classes.
13. Maintain case files for each participant that includes the assessment, case plan, documentation of progress, challenges, outcomes/accomplishments, discharge plan and summary, and documentation of all follow up contact.
14. Maintain comprehensive and detailed case notes on all participants.
15. Complete required documentation of all educational groups.
16. Prepare case records for proper storage after participant discharge.
17. Ensure client confidentiality in accordance with established procedures and regulations.
HMIS Case Management & Direct Assistance
1. Maintain comprehensive demographic data as required on all participants.
2. Submit monthly summary of service statistics to the Clinical Supervisor.
3. Maintain accurate records of financial assistance provided to participants in their file and in the MAACLink Homeless Management Information System or designated HMIS.
4. Complete other reports as requested.
Agency and Community Networking
1. Attend agency and community meetings as requested.
2. Attend supervisory meetings.
3. Attend clinical staffing team meetings.
4. Maintain working relationships with community agencies to provide comprehensive services for participants and to stay abreast of current trends and resources available.
5. Attend in-service training and outside conferences/workshops as requested and approved by the Program Manager..
6. Provide guidance and support to community volunteers working with the program.
7. Represent the agency’s purpose, philosophy, and function to the community.
1. Track and report unmet needs of participants and their families.
2. Document and report effectiveness of service delivery using consumer, case management and community resource feedback.
3. Participate in other program and outcome evaluation activities.
4. Provide ideas for programming specific to educational or process groups needed for participants.
5. Assist with special events and seasonal programs, as requested.
1. Ensure quality of POH implementation by participation with POH planning and program development at sites.
2. Ensure quality of local data and reporting of information that will support national and territorial POH program outcomes.
3. Ensure relevance and consistency of POH by collaborating with the Clinical Supervisor and Project Manager with ongoing development of policies and procedures, goals and objectives, and outcome based measures related to the POH.
Pathway of Hope Program Evaluation and Outcomes Measurement
1. Ensure the accuracy of data entry into the database.
2. Assist Clinical Supervisor in the annual POH evaluations/outcomes measurement for Corps and summary/review report to Project Manager and Divisional Social Services Director.
3. Report any POH implementation challenges and work with the POH Clinical Supervisor to develop an action plan to address program development needs.
Education and Training
1. Attend training sessions that support the initial implementation phase and ongoing training requirements for the POH.
2. Participate in POH workshops and other training events at the territorial, divisional or local level, as requested and/or assigned.
3. Promote the spiritual dimension of Salvation Army social services programs, emphasizing the importance of Christian influence and evangelism in all Salvation Army ministries, including delivery of social services in contemporary settings.
Program Evaluation and Certification
1. Assist Clinical Supervisor in the completion of quarterly random record reviews and annual review of compliance with standards in order to assure for program evaluation/certification requirements.
• Bachelor’s degree in human service area: prefer BSW from an accredited college or university.
• Relevant experience with a homeless prevention/rapid re-house program may be accepted in place of degree.
EXPERIENCE / BACKGROUND:
• Minimum of two years of case management experience in comparable social service programs that offer multi-faceted casework interventions designed to address the needs of families utilizing a strengths-based approach.
• Experience and/or strong interest in community outreach, organization and community capacity development.
• Must have an interest and ability to work with people and clients of diverse racial, ethnic, and socio-economic backgrounds in a sensitive and culturally appropriate manner.
• Ability to collaborate on complex social issues within families and communities.
• Ability to be creative, original, intuitive, and perceptive.
• Ability to think logically and critically.
• Ability to envision a project from beginning to end.
• Ability to solve complex problems, make appropriate judgments and decisions.
• Ability to speak and understand English in a manner that is sufficient for effective communication with supervisors, employees, beneficiaries and customers.
• Demonstrated capacity to teach adults.
• Familiarity with Salvation Army policies and procedures.
• Excellent oral and written communication skills.
• Clear criminal record.
• Valid Driver’s License and ability to pass motor vehicle check.