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Care Coordination Specialist

Communities In Schools of Memphis

Memphis, tennessee


Job Details

Full-time


Full Job Description

About Communities In Schools of Memphis:

The mission of Communities In Schools of Memphis (CISM) is to surround students with a community of support, empowering them to stay in school and achieve in life. The vision of CIS of Memphis is to strengthen our communities by addressing non-academic barriers to ensure schools have equitable access to services and interventions, empowering students to graduate from high school prepared for post-secondary opportunities. The organization's core values are passion, diversity, innovation, community and integrity.

At CISM, we are “all-in” for kids. It is our passion - it is our mission. At CISM, we partner with Shelby County Schools and the Achievement School District, to provide resources and create communities of caring adults who work hand-in-hand with educators to make sure young people have the tools they need to stay in school and achieve in life.

Through the implementation of our evidence based model of Integrated Student Supports and our uniquely designed College and Career Readiness Programming, this school year we expect to connect approximately 8,400 students in 21 schools to targeted interventions, services, and life changing programming by bringing community resources into schools, thus mitigating and eliminating non-academic barriers to student achievement. CISM embeds full-time Student Support Specialists and College and Career Specialists in schools to individually case manage students as well as connect the whole school to services. The CISM Care Coordination Program empowers families to make seamless connections to critical community-based resources that are tailored to meet the specific needs of the whole family through the delivery of intensive case management services in order to produce successful outcomes for children, advance families towards economic self-sufficiency, and living a life in accordance with their dreams. We achieve this mission by hiring bright, creative, and innovative team members who have a passion for what we do. Going forward, the organization is preparing to deepen its reach and impact and to thrive amid a resulting period of significant organizational growth.

At CISM, we are proud to be an equal opportunity employer for the benefit of our employees and community. Being smart and good at what you do is all that matters.

Requirements

Brief Job Summary:

Reporting to and working in close partnership with the Care Coordination Manager, this individual will monitor and coordinate services for participating Driving the Dream (DTD) families adhering to individualized care plans while evaluating outcomes and progress. The Care Coordination Specialist will connect participating families with resources and service providers to address underlying barriers, which in turn will foster an environment where their school aged child(ren) can excel. The Care Coordination Specialist will also collaborate with the Care Coordination Manager and his/her team on new program offerings as well as facilitate group sessions to introduce these findings to participants.

The Driving the Dream (DTD) initiative is committed to fostering the development of a more connected and integrated network of agencies to address poverty in the Mid-South. To do this DTD is creating, facilitating, and monitoring an accountable system of care, comprised of agencies whose staff are trained in a client-centered model that utilizes assessment tools within a shared data platform. This framework is a collaboration across a wide array of programs and services, with the goal of improving the effectiveness of service delivery by seamlessly, intentionally, and efficiently moving individuals and their families toward economic self-sufficiency and other life goals which they, the clients, identify.

The Care Coordinator Specialist position will be essential to this effort with the primary responsibility for working with clients to develop care plans, connecting clients to needed services, and following up with clients and providers to assess progress toward client goals. This is a unique opportunity to help cultivate a completely new system delivery model that leads to a healthier, happier, and more hopeful community.

Major Duties:

  • Conduct telephonic outreach and in-person consultations with individuals interested in joining the program.
  • Utilize CaseWorthy, the shared data system, to document program participant assessments, care plans, case notes, and outcomes.
  • Monitor incoming referrals daily, ensuring that weekly status updates are entered into CaseWorthy and participants are connected with appropriate resources.
  • Assess client needs using the Life Area Survey (LAS) tool.
  • Refer program participants to suitable resources based on the LAS results.
  • Coordinate and monitor services received by program participants, maintaining regular communication with providers and reducing duplication of services.
  • Develop and update individualized care plans for program participants, incorporating measurable goals identified by clients to improve outcomes and promote autonomy.
  • Establish and maintain relationships with assigned clients 
  • Develop a meeting cadence to ensure program support and compliance.
  • Foster effective working relationships and communication with service providers to facilitate the smooth transfer of client information and adherence to care plans.
  • Participate in Care Coordination meetings to share insights and identify opportunities for process improvement.
  • Attend professional development trainings related to the Driving The Dream model.
  • Serve as a point of information and resource for clients, fellow staff members, and service providers.
  • Be available on-call one weekend per month to accept referrals and address crisis situations.
  • Conduct outreach activities to agencies, schools, and community organizations to increase awareness and client enrollments
  • Facilitate trainings, workshops, and information group sessions to address participant needs, enhance lagging skills, promote goal achievement, and connect participants to providers and resources.
  • Stay informed about community resources and services available to families and share this information with team members and families.
  • Perform other assigned duties as required.

Successful Candidates possess the following skills and competencies:

    • Proficient in the principles, practices, and ethical standards of secondary transition and work experience, as well as relevant state and federal laws, rules, and regulations, and district policies and procedures.
    • Demonstrates the ability to establish and maintain positive working relationships with employers, work-site supervisors, and external agencies.
    • Exhibits a willingness to learn, improve, and adapt quickly to changing circumstances.
    • Displays passion, sensitivity, and a strong concern for the needs of youth, adults, and their families.
    • Works effectively as a team member, providing direction, leadership, delegation, and possessing strong organizational skills.
    • Possesses exceptional interpersonal and communication skills when interacting with a diverse population.
    • Thrives in a fast-paced environment and can handle multiple tasks simultaneously.
    • Embraces metrics and data-driven reporting to communicate and promote the success of CISM programs.
    • Demonstrates integrity, determination, and the ability to work independently or collaboratively as part of a team.
    • Takes initiative, thinks innovatively, and strategically works toward practical goals and outcomes.
    • Adapts to evolving and unanticipated program needs with flexibility and agility.
    • Attention to detail and commitment to follow-up and follow-through.
    • Proficient in Microsoft Word, Excel, and PowerPoint, as well as database experience.

Education/Prior Experience:

  • Graduation from an accredited college or university with a Bachelor’s degree a human service-related field (Master’s preferred)
  • At least two (2) years’ experience providing social work, care coordination, case management, etc. in human services
  • Experience managing and supporting client's needs
  • A broad understanding of the local services and ability to connect clients to these services to meet their needs
  • Ability to effectively interface with a wide range of partner community agencies
  • Demonstrated commitment to the field and a passion for serving under-served and under-resourced individuals, families and/or communities; particularly people living in poverty
  • Bilingual in English and Spanish preferred, but not required

Special Requirements:

  • Must have a driver’s license, proof of automobile insurance, and reliable transportation.

Benefits

Compensation is commensurate with experience and includes a comprehensive, competitive benefits package.

  • Salary Range for the position: $43,000-$47,000
  • Health Care Plan (Medical, Dental & Vision)
  • Long Term and Short Term Disability
  • Retirement Plan (401k)
  • Life Insurance (Basic, Voluntary & AD&D)
  • Paid Time Off (Vacation, Sick & Public Holidays)

Hours:

This is a full-time position. Working hours are generally 8:30 - 5:00 p.m., however it is expected that this person will have a flexible schedule and will work additional hours occasionally to accommodate evening and weekend activities and reporting deadlines. During the COVID-19 pandemic, employees are allowed to telecommute only if their job duties permit it.

Target Start Date:

May 1, 2024

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