Case Manager, Pathway Home

Project Renewal's Pathway Home, is a program that delivers time-limited services in the Bronx to adults with serious mental illness (SMI). Lack of support and poor transitions from the hospital to residence settings, are all contributing factors to avoidable hospital readmissions. This service enhances the system of care for those that are transitioning from institutional settings to a community setting; and facilitates a smooth transition with a focus on reducing and shortening readmissions. The program follows the evidence-based practice of Critical Time Intervention (CTI) model of care, which implements intensive client engagement during the first thirty days, and continuously for six to nine months after enrollment.

Pathway Home aims to ensure that clients maximize positive connections to community resources; and overcome barriers, to develop sustainable skills in medication management, wellness self-management, counselling and reduced reliance on emergency services.

Job Responsibilities:

This is a direct care position assigned to the Pathway Home transition team in the Bronx. Workers in this job category perform a wide variety of tasks related to the care, support, education, socialization, habilitation, recovery/healing, safety, security, and support of adults diagnosed with mental illness and substance abuse disorders, who are transitioning to various levels of independent housing settings. These tasks focus on supporting, instructing and assisting recipients of services to develop the skills needed to live, work, and socialize successfully in the community environments of their choice; and also in maintaining a safe living environment. In addition, workers also advocate for clients and support families or other caregivers in their efforts to assist these individuals. The role will also require on call coverage and a willingness to be flexible.

Engage in-patient clients at acute care hospitals, state psychiatric centers or state operated residences and participate in the coordination of their discharge. Provide intensive emotional and practical support to clients as they transition back into their communities and into a support housing living environment. Conduct home visits as assigned. Develop short term person centered treatment plans to assist client towards achieving their goals. Monitor and record client's progress with respect to treatment goals. Assist and instruct individuals in attending to personal hygiene, grooming, nutrition and daily living. Support clients in sustaining community tenure by ensuring strong linkage to community based treatment programs and resources. Accompany clients to appointments with community based treatment providers and other services as needed. Assist and supervise in meal preparation, laundry and light housekeeping tasks. Comply with all required in-service training and staff development. Provide support, as needed to the peers on the team. Perform other related duties as assigned.

Essential Knowledge, Skills and Abilities:

Knowledge of mental illness and serious emotional disturbances and substance abuse disorders. Knowledge of treatment, rehabilitation, and community support programs as they relate to consumers/residents, families, and staff. Knowledge of techniques for identifying and preventing potentially violent behavior, including crisis management techniques. Ability to develop, evaluate, implement and modify a clinical treatment intervention to meet the needs of individual clients. Ability to prepare accurate and timely reports. Excellent interpersonal skills. Excellent time management and organizational skills. Excellent oral and written communications skills

Minimum Education and Experience Requirements:

Licensed master's degree, preferable in psychology, social work, or mental health counseling. Case management work experience in a social service agency, preferably serving a mental health population is preferred. Knowledge of mental illness and the needs of individual living with severe and persistent mental illness. One year of direct work with the target population.

To apply: e-mail resume and cover letter, indicating position and salary requirement to: EOE