Community Services Coordinator - Intense Case Management

International Institute of Wisconsin, Inc; Milwaukee (WI); In loco; USD 36.000 - 44.000; Tempo pieno

Descrizione del lavoro

International Institute of Wisconsin, Inc. seeks a coordinator to provide individualized, long-term intensive case management. You will assess eligibility, develop Self-Sufficiency Plans, and coordinate services across housing, healthcare, benefits, and more.

Regular client contact and documented progress are required. Responsibilities include intake assessments, SMART goal plans, and 180-day Quality of Life Score updates.

Competenze

• At least two years of case management, healthcare navigation, behavioral health support, disability services, or related experience.
• Ability to manage complex cases, maintain professional boundaries, and document services accurately.
• Valid driver’s license, reliable transportation, and ability to meet IIW driving and insurance requirements.

Mansioni

• Screen referrals for eligibility and need for intensive case management.
• Conduct intake assessment and develop Self-Sufficiency Plan with SMART goals.
• Complete Quality of Life Score and progress assessments every 180 days and at case closure.
• Maintain regular client communication and document contacts; coordinate services across systems.

Conoscenze

Case management

Healthcare navigation

Documentation

Cultural humility

Crisis escalation

Strumenti

QLS

Case management databases

Descrizione del lavoro

You will provide individualized, long-term intensive case management to clients. The coordinator assesses eligibility and need, develops client-specific Self‑Sufficiency Plans, coordinates services across multiple systems, completes Quality of Life Score assessments, maintains regular client contact, and documents measurable progress toward safety, stability, functioning, and independence.

Essential Duties and Responsibilities

• Screen referrals for eligible status, qualifying vulnerability, eligibility window, and demonstrated need for at least six months of intensive case management.
• Verify identity, status, eligibility date, non-duplication, and supporting documentation; complete required notification or approval processes before enrollment.
• Conduct the intake assessment, identify the primary vulnerability, provide comprehensive orientation, explain confidentiality and program responsibilities, and obtain the required Letter of Agreement.
• Develop an individualized Self‑Sufficiency Plan within required timelines using SMART goals, action steps, responsibilities, timeframes, referrals, and strategies to remove barriers.
• Complete Quality of Life Score and progress assessments every 180 days and at case closure; use results to revise goals and service intensity.
• Maintain meaningful client communication at least monthly and more often based on risk, need, and the SSP; document all contacts and attempted contacts.
• Coordinate services across housing, food, income, employment, financial management, physical and mental healthcare, transportation, benefits, social adjustment, and family wellness.
• Accompany or prepare clients for appointments when necessary, advocate for access, follow up with providers, and help clients build skills to navigate systems independently.
• Provide culturally and linguistically appropriate support through qualified interpretation and translated documents; protect confidentiality and informed decision‑making.
• Prepare requests for approved emergency financial, transportation, or childcare assistance when needed to address the client’s vulnerability or enable participation in services.
• Identify and respond to safety concerns involving abuse, neglect, domestic or gender‑based violence, trafficking, suicide risk, exploitation, homelessness, or serious health needs through immediate consultation and established procedures.
• Coordinate dual enrollment and maintain ongoing communication with PIR, MG, PC GAPS, RSS, healthcare, legal, mental health, schools, and other providers to prevent duplication.
• Submit database requests and documentation for beyond eligibility, re‑enrollment, transfer, extension, or other required approvals within established timelines.
• Maintain a complete, secure, and monitoring‑ready PC ICM case file with eligibility, agreements, assessments, QLS, SSP, referrals, assistance, case notes, approvals, and closure documents.
• Complete case closure assessment and letter, document closure status, provide ongoing‑resource referrals, and ensure final database entries are accurate.
• Participate in supervision, case consultation, training, quality review, outreach, monitoring preparation, and program improvement.

Minimum Qualifications

• At least two years of case management, healthcare navigation, behavioral health support, disability services, or related experience.
• Demonstrated ability to manage complex cases, maintain professional boundaries, and document services accurately.
• Valid driver’s license, reliable transportation, and ability to meet IIW driving and insurance requirements.

Preferred Qualifications

• Experience with intensive case management, trauma‑informed services, behavioral health, disability, domestic violence, trafficking, or elder/youth services.
• Training in motivational interviewing, mental health first aid, suicide prevention, trauma‑informed care, or related approaches.
• Experience with QLS/outcome assessments and case‑management databases.
• Fluency in a language commonly spoken by IIW clients.

Knowledge, Skills, and Competencies

• Intensive, client‑centered case management; assessment; goal planning; advocacy; and coordinated referral follow‑up.
• Strong cultural humility, trauma‑informed communication, confidentiality, boundaries, and crisis‑escalation judgment.
• Ability to organize long‑term cases with multiple providers, due dates, risks, and changing goals.
• Clear, objective case‑note writing, data entry, and documentation of measurable outcomes.

Working Conditions and Physical Requirements

• Work occurs in the office, client homes, hospitals, clinics, behavioral‑health settings, schools, government offices, and community locations.
• Local travel and occasional evening or weekend work may be required based on client availability and urgent needs.
• The position regularly serves clients affected by trauma, disability, serious illness, mental health concerns, family conflict, social isolation, or housing instability.

Key Performance Expectations

• Eligibility and enrollment decisions are accurate, supported, and non‑duplicative.
• Assessments, QLS, SSPs, monthly contacts, referrals, assistance, and case notes are timely and complete.
• Clients demonstrate measurable progress in priority vulnerability and self‑sufficiency domains.
• High‑risk concerns are recognized, documented, consulted on, and escalated promptly.
• Case files and database records remain secure, accurate, and monitoring‑ready.

Salary starts at $40,000 annually

Other Duties and Employment Statement

This description identifies the primary functions of the position and is not intended to be an exhaustive list of every duty. Responsibilities may be adjusted to meet program, grant, client, and organizational needs. Employment is subject to IIW policies, applicable law, funding availability, and satisfactory performance. Reasonable accommodations may be made for qualified individuals with disabilities.