Case Manager (SOS) - Community Support Program

The Bridge offers supportive housing and behavioral health services to vulnerable New Yorkers facing behavioral health and substance use challenges. As a recognized leader in developing and operating supportive housing and community-based programs, The Bridge has 70 years of experience helping New Yorkers with mental illness, including those affected by homelessness, incarceration, and institutionalization.

Requirements

• Persistent and assertive outreach and engagement using strength-based approaches
• Continuously assess the health and social needs of participants through SOS’s conversational and observational assessments
• Work in collaboration with the centralized SOR Hub to identify available housing
• Participate in hospital discharge planning meetings
• Collects and reports data, as required, and works closely with team leaders, data analysts, and other SOS teams
• Once housed work with participants and their housing providers to resolve clinical issues
• Foster relationships with the community to ensure that recipients are connected with appropriate services
• Appointment navigation, including accompaniment to appointments, travel training, reengagement in community care
• Review documentation and conduct comprehensive psychosocial assessments
• Obtain historical and collateral information from multiple sources
• Monitor, evaluate, and record the progress of participants with respect to care plan goals
• Attend and participate in team meetings and supervisory sessions
• Perform other related duties as assigned