Provide psychosocial assessment and determine the need for case management servicesDevelop individualized treatment plans with patients, setting goals and objectives in partnership with the patient and care teamProvide ongoing case management, supportive counseling, financial resources counseling, and crisis interventionAdvocate for patients in reducing barriers to healthcare, including housing, food security, transportation, insurance access, and immigration-related concernsMake referrals for mental health and substance use counseling, DCYF, HIV/AIDS case management, Health Care for the Homeless, Family Planning, and other servicesProvide prenatal assessment, perinatal case management, counseling, and referrals to community agencies supporting pregnant and parenting patientsAccept referrals from medical providers, behavioral health clinicians, and external agencies as a member of the integrated clinical team. Preferred: Prior experience in an FQHC, community health center, or safety-net healthcare settingExperience with HIV/AIDS case management, Ryan White programs, Health Care for the Homeless, or Family PlanningExperience with perinatal case management and prenatal assessmentBilingual (Spanish/English or Portuguese/English) strongly preferredExperience with motivational interviewing, trauma-informed care, and harm reduction approachesCase Management certification (CCM or ACM) or Rhode Island Social Work licensure (LSW/LICSW).