County of Alameda

DESCRIPTION

Under general supervision, to perform program-specific, evidence-based, long-term case management in the Health Care Services Agency (HCSA) case management, care coordination, home visiting and/or family support programs and work collaboratively to provide a seamless system of services and support for clients in Alameda County; acts as a liaison between communities, agencies, and other resources, services and program staff; and to do related work as required. Program-specific, evidence-based case management is defined as intensive work with families over a period of two to three years using evidence-based models specific to the program which incumbent is assigned and target client population(s). These programs are proven to improve health and psychosocial status of clients served.


DISTINGUISHING FEATURES

Senior Family Support Case Manager classes are found only in the Health Care Services Agency. Senior Family Support Case Managers are distinguished from the lower level classification Family Support Case Manager by the following elements:

• Performs program mandated home visits (2-4 times per month) following strict guidelines and curricula as dictated by evidence-based models.

• Is responsible for Targeted Case Management Reporting (TCM) and documentation.

• Is assigned to the most complex cases, i.e. clients with complicated medical and social risk factors including but not limited to chronic homelessness, mental illness, and involvement with Child Protective Services or Adult Protective Services.

EXAMPLES OF DUTIES

NOTE: The following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Each individual in the classification does not necessarily perform all duties listed.

1. Describes to clients program objectives, services, capabilities and limitations and explains client rights and responsibilities; evaluates cases and initiates a plan for service.

2. Performs program mandated home visits (2-4 times per month) following strict guidelines and curricula as dictated by the evidence-based model.

3. Performs Targeted Case Management Reporting (TCM) and maintains accurate, detailed and thorough electronic case records and notes of all client encounters, referrals, and case activities which follows the requirements of the evidence-based model.

4. Participates in regular case conferences as part of a multidisciplinary team and as required by the program.

5. Uses evidence-based screening tools to assess client psychosocial well-being in their homes, in the office, in other locations in the field – such as neighborhood centers, health provider offices or other community locations amenable to the client – and by telephone to determine client needs.

6. Assesses mental, physical, and behavioral health status and needs and psychosocial indicators such as nutrition and food access, transportation, child care, housing conditions, family relationships; screens for preventative and urgent dental restorative care; may provide financial counseling and support to clients on managing finances;

7. Provides parent education and support based on program-specific, evidence-based curricula and frameworks.

8. Creates comprehensive care plans for client needs, following strict criteria as required by the evidence-based model; collaborates with other organizations to assure attainment of service and optimal care for the client and family’s needs.

9. Leads, supports and participates in comprehensive quality assurance activities and Continuous Quality Improvement (CQI) activities.

10. Engages in reflective supervision with supervisor and/or program manager regarding workload, case management activities, performance, and work activities.

11. Attempts to address, support and provide interventions regarding the psychosocial and socio-economic needs of clients through reflection, supportive counseling, motivational interviewing and other targeted activities.

12. Identifies and addresses access to care barriers, including but not limited to availability and proximity to care providers, transportation, cultural and/or linguistic.

13. Informs clients of community services available and may contact those agencies/ community-based organizations on clients' behalf.

14. As a case manager, maintains a thorough understanding and knowledge of community services including but not limited to medical/dental providers, domestic violence, food access, family support services, mental health, alcohol and drug services, etc. based on the client’s needs.

15. Participates in required and recommended trainings particularly those required by the evidence-based model and attends staff conferences; staff meetings.

16. Acts as liaison and collaborator with Alameda County agencies, community-based organizations, faith-based organizations, and local public and private service providers to establish strategic alliances to support the development of programs and services for clients.

17. May perform special assignments as directed by the supervisor, manager or department head.

MINIMUM QUALIFICATIONS

Possession of a Bachelor’s degree and three (3) years performing case management duties for clients with complicated medical and social risk factors in a health care or social services setting.

NOTE: The Civil Service Commission may modify the above minimum qualification in the announcements of an examination.

KNOWLEDGE AND SKILLS

NOTE: The level and scope of the following knowledge and abilities are related to duties listed under the “Examples of Duties” section of this specification.

Knowledge:

• Targeted Case Management Reporting (TCM)
• Assessment skills, including facility with validated screening tools.
• Extensive knowledge of community and governmental services and resources
• Interest in working with multi-stressed and multicultural families and the communities in which they live.
• Experience observing clients, recording information, conducting client interviews, implementing service plans
• Knowledge of Ten Essential Public Health Services
• Problem-solving techniques, handling crisis intervention matters, and using proper decision making skills
• A strong desire to help others and the ability to establish trusting relationships
• Effective communication and interpersonal skills including reflective practice
• A sense of responsibility and the ability to manage time effectively.
• Knowledge of and experience with interviewing techniques and methods including motivational Interviewing.
• Understanding of basic social needs, attitudes and behavioral patterns; the principles of counseling and health education, health promotion, disease prevention, and preventive health care.
• Knowledge of community structures and dynamics and method of group facilitation.
• Outreach experience and knowledge of, program development, implementation and evaluation. • Public Health funding mechanisms and compliance
• Knowledge of computer database operation and basic data entry skills.

Ability to:

• Provide interventions to clients beyond supportive counseling and health education.
• Chart all client interactions succinctly and within the charging guidelines provided by the evidence-based model.
• Establish and maintain effective working relationships with clients, their families, professionals, para-professional and support staff in the department, outside agencies, schools and with the general public in a variety of ethnic and cultural communities.
• Communicate clearly and effectively, both orally and in writing with linguistic and cultural proficiency.
• Follow prescribed procedures and policies.
• Obtain and maintain accurate case information in electronic database format.
• Understand and accept differences in attitudes toward health problems resulting from medical, cultural, socioeconomic and other factors Analyze client activities and integrate appropriate program activities/services.
• Understand the connections between social conditions (income/community economics, transportation, education, housing, incarceration) and individual and community health
• Use knowledge to assist clients in accessing resources that address barriers.
• Establish trust with families in order to obtain accurate personal, sensitive and confidential data from clients across ethnic and cultural lines.
• Research, prepare and deliver preventive health presentations.
• Recognize the contributions of diverse opinions and perspectives
• Incorporate ethical standards of practice into all interactions with individuals, organizations and communities
• Leverage assets and resources for improving the health of a community
• Communicate information to influence behavior and improve health

CLASS SPEC HISTORY

Newspecs: 6708
SJ:cs 6/9/16
CSC Date: 6/22/16

BENEFITS

Alameda County offers a comprehensive and competitive benefits package that affords wide-ranging health care options to meet the different needs of a diverse workforce and their families. We also sponsor many different employee discount, fitness and health screening programs focused on overall well being.  These benefits include but are not limited to*:

For your Health & Well-Being

• Medical – HMO & PPO Plans
• Dental – HMO & PPO Plans
• Vision or Vision Reimbursement
• Share the Savings
• Basic Life Insurance 
• Supplemental Life Insurance (with optional dependent coverage for eligible employees) 
• County Allowance Credit
• Flexible Spending Accounts - Health FSA, Dependent Care and Adoption Assistance
• Short-Term Disability Insurance
• Long-Term Disability Insurance
• Voluntary Benefits - Accident Insurance, Critical Illness, Hospital Indemnity and Legal Services
• Employee Assistance Program

For your Financial Future

• Retirement Plan - (Defined Benefit Pension Plan)
• Deferred Compensation Plan (457 Plan or Roth Plan)

For your Work/Life Balance

• 12 paid holidays
• Floating Holidays
• Vacation and sick leave accrual
• Vacation purchase program
• Catastrophic Sick Leave
• Pet Insurance
• Commuter Benefits Program
• Guaranteed Ride Home
• Employee Wellness Program (e.g. At Work Fitness, Incentive Based Programs, Gym Membership Discounts)
• Employee Discount Program (e.g. theme parks, cell phone, etc.)
• Child Care Resources
• 1^st United Services Credit Union 

*Eligibility is determined by Alameda County and offerings may vary by collective bargaining agreement.  This provides a brief summary of the benefits offered and can be subject to change.