The Role
Provide outreach, assessments, individualized pre-release care plans, and care coordination for incarcerated/reentering clients. Link clients to mental health, substance abuse, housing, and community resources; document services in the EHR within 48 hours; transport clients as needed; serve on multidisciplinary teams and maintain case records and required reporting.
Summary Generated by Built In
Amity Foundation, an internationally acclaimed Teaching, and Therapeutic Community is seeking compassionate and enthusiastic individuals with a desire to teach, learn and join our community as a ECM Pre Release Care Manager. This groundbreaking opportunity will allow you to work with our prison and re-entry programs helping the community and will also enhance your training and experience in the field.
About Amity:
Amity Foundation is a safe place where people can change in an environment that fosters trust; where new values can be formed; responsibility developed, and lasting relationships built. Amity is dedicated to the inclusion and habilitation of people marginalized by addiction, homelessness, trauma, criminality, incarceration, poverty, racism, sexism, and violence. Amity is committed to research, development implementation, and dissemination of information regarding community building.
Remembrance, Resolution, Reconciliation, Restoration, Renewal
About the Position:
The Enhanced Care Management (ECM) Pre-Release Care Manager is responsible for the outreach and coordination, improving health outcomes, enhancing satisfaction, and reducing unnecessary healthcare utilization. ECM is a comprehensive, patient-centered approach to healthcare that aims to improve outcomes for high-need populations. This involves the coordination of medical, behavioral, and social services to address the full range of patient needs, focusing on those with complex and chronic conditions. ECM programs are designed to optimize care delivery, reduce unnecessary hospitalizations, and improve the overall quality of life for . The intention of our services is to help people who have not been able to get the needed help in terms of Housing, Mental Health, Substance Abuse treatment, and linkages to community resources to help minimize recidivism. The role of the ECM Pre- Release Care Manager is to help create a supportive network of services and resources for the client to prevent reincarceration and support long term permanent housing goals.
What you will do:
- Conduct to identify and engage eligible in ECM services, using multiple strategies and modalities for engagement.
- Interview and conduct assessments of students’ needs, including medical, behavioral, and social factors.
- Develop, implement, and monitor personalized care plans re-entry in collaboration with students, healthcare providers, and community resources.
- Monitor and evaluate the effectiveness of care plans and making adjustments as needed to student goals.
- Operate as part of the student’s multi-disciplinary care team.
- Coordinate care across multiple providers and services, ensuring seamless integration of medical and social care.
- Act as a student advocate, ensuring the student’s needs and preferences are central to care decisions.
- Document services in the agency’s Electronic Health Record within 48 hours of each service and in compliance with agency policy, as well as contractual, state, and federal regulations.
- Coordinate and link the client to needed mental health, substance abuse, and housing resources.
- Maintained concise and comprehensive case records on all participants seeking services.
- Provide accurate daily and monthly documentation and case notes as per funding source guidelines.
- Attend workshops, meetings, and trainings as requested by supervisor.
- Performs other related duties as assigned.
What You Will Bring:
- Excellent interpersonal and communications skills and the ability to work effectively with a wide range of constituencies in the community and within the organization.
- Knowledge of contract parameters, objectives, milestones, and other deliverables.
- Knowledge of contracting process and associated local, state, federal and other regulations.
- Ability to integrate budgetary and service utilization data, forecast expenditures, and respond to ensure both effective provider utilization and budget compliance.
- Ability to multi-task, identify problems, provide recommendations to management teams, and implement any applicable systems.
- Ability to work constructively with diverse people and with parties that may have divergent perspectives and interests.
- Ability to clearly express concepts and direction, both orally and in writing, and to prepare complex reports, policies, and procedures.
- Understand and appropriately apply Amity policies and procedures and adhere to agency-wide practices and regulations.
- Strong oral and written communication skills.
- Proficient with software such as Microsoft Office Suite (Word, Excel. Email, Internet, etc.).
- Certifications or Licenses:
- Required: NONE.
- Preferred: Community Health Worker certification through California’s HCAI Department.
- Driver’s License
- Education and Experience:
- Required:
- Bachelor’s degree in social work, psychology, public health, or related field; or Associate’s degree
- And minimum of two years’ experience in client-related field, providing case management and community outreach.
- OR
- The equivalent of a high school diploma and three cumulative (3) years of experience in providing outreach, substance abuse counseling, reentry services, and case management within a culturally diverse population.
- Strong communication and interpersonal skills, capable of building relationships with students, families, team members, and community partners.
- Understand various ethnic and socioeconomic backgrounds within a multicultural environment.
- Knowledge on how to administer assessments, substance abuse counseling, reentry services, and case management within a culturally diverse population, preferably with both men and women.
- This position requires local travel and the ability to navigate public transportation with students.
- Required to use company vehicle as well as personal vehicle to visit county jails and transport clients to and from appointments and other locations as needed.
- Required to have car insurance, vehicle, and valid driver’s license
- Preferred: Bilingual, fluent Spanish/English oral and written skills are highly desirable.
What We Bring:
- Medical, Dental, Vision.
- Paid vacation, sick time, & holidays.
- 401K, HSA, & Life insurance programs.
- Organization committed to community action.
- Community oriented workplace.
Skills Required
- Bachelor's degree in social work, psychology, public health, or related field OR Associate's degree plus minimum two years' client-related experience, OR high school diploma plus three years' relevant experience
- Minimum of two years' experience in client-related work providing case management and community outreach
- Experience with outreach, substance abuse counseling, reentry services, and culturally diverse populations
- Valid driver's license, reliable vehicle, and car insurance; ability to use company and personal vehicle to visit jails and transport clients
- Ability to travel locally and navigate public transportation with clients
- Proficiency with Microsoft Office Suite (Word, Excel), email, internet and experience documenting services in an Electronic Health Record (EHR)
- Document services and case notes timely and in compliance with agency, contractual, state, and federal regulations (within 48 hours)
- Strong oral and written communication and interpersonal skills; ability to work with diverse constituents
- Knowledge of contract parameters, objectives, milestones, deliverables, and contracting processes including local, state, and federal regulations
- Community Health Worker certification through California's HCAI Department
- Bilingual Spanish/English oral and written skills
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The Company
What We Do
Amity Foundation is a non-profit organization dedicated to the inclusion and habilitation of people marginalized by addiction, trauma, criminality, incarceration, poverty, racism, sexism, homelessness, and violence. The organization strives to improve health and promote environmental, social, and economic justice. Amity is committed to the research, development, implementation, and dissemination of information regarding community building, providing comprehensive support services, including residential treatment, workforce development, and reentry programs for individuals and families.
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