li>Coordinate and evaluate a youth's identified needs and provision of services, including prevention, wellness, medical, mental health, care transitions and social and community services;
Develop and manage comprehensive, individualized care plans addressing medical, behavioral, educational and social needs, working collaboratively with each client and family;
Maintain regular contact with clients and collateral contacts providing face-to-face visits in the home, school and community to provide crisis prevention/intervention/stabilization, referral and advocacy services, coordination of services and assistance with basic needs, as well as engage in discharge planning with youth and family;
Maintain knowledge on available community resources, including but not limited to medical, behavioral health, housing, DSS entitlements, transportation, vocational and other services that address concrete needs;
Maintain detailed, timely and accurate record keeping/charting, assessment forms, accountability forms and direct service requirements of state and county regulations.
Key Elements Of The Role:
Responsible for helping youth and their family access needed services; including service planning, child and family team meetings, referrals and access to needed services, advocacy, and coordinate and manage services across system;
Performs outreach services to engage youth; engage families and other natural supports to identify the youth's needs, facilitate linkages and promote follow-through.