JOB TITLE: Social Worker/Case Manager – Supervised Housing Program (Full-time)

EMPLOYER: Pathways, INC

DEPARTMENT: Clinical Programs

REPORTS T0: Clinical Director and/or Designee;

FLSA Status: Exempt

SUMMARY:

The Social Worker/Case Manager provides recovery-oriented case management and rehabilitative services to adults (18+) with serious and persistent mental illness and/or co-occurring psychiatric and substance use disorders, including individuals who are medically indigent. Services are delivered within a 24/7 supervised housing environment and in community settings in accordance with Connecticut Department of Mental Health & Addiction Services (DMHAS) contractual requirements, Local Mental Health Authority (LMHA) coordination, and Pathways, Inc. policies. The Case Manager supports individuals to develop skills for successful community living, increased independence, and sustained recovery.

Essential Duties & Responsibilities

Assessment & Planning:

Conduct comprehensive, person-centered assessments (strengths, needs, skill deficits, recovery goals, supports).Formulate individualized rehabilitation/recovery plans with measurable goals, objectives, interventions, responsible parties, and timelines in collaboration with the client, supervisor, and community support team.Prepare and complete quarterly assessments/treatment plan updates covering residential functioning; psychiatric/mental status; social/vocational domains; financial/money management; use of community resources; and progress toward goals.Review and update rehabilitation plans on an ongoing basis and formally every 90 days to determine continued appropriateness of placement and services. Service Delivery & Skill Development:

Provide case management and rehabilitative services consistent with DMHAS Supervised Housing requirements and Pathways procedures.Teach, coach, and assist with IADL and daily living skills, including:Personal hygiene and groomingMeal planning and preparationShopping and budgeting/money managementMedication adherence and monitoringUse of public transportation/travel trainingTime management and use of leisure timeInterpersonal and communication skillsHousekeeping and maintaining safe living environmentsDeliver supportive counseling focused on community living, interpersonal relationships, and recovery goals.Assist in developing coping strategies, relapse prevention, self-management skills, and problem-solving abilities.Provide or arrange individual and group services, and referrals as clinically indicated. Community Integration & Coordination:

Facilitate access to community resources, recovery supports, self-help groups, advocacy organizations, mentors, and entitlements/benefits (federal, state, and local).Coordinate referrals to medical, behavioral health, substance use, vocational, educational, and other services.Assist clients in obtaining and maintaining competitive employment or enrolling in educational/vocational programs.Support housing stability via housing resource coordination—assisting with finding, obtaining, and sustaining safe, affordable housing as needed.Promote community integration through involvement in faith-based, recreational, civic, and social activities. Crisis Intervention & Support:

Provide crisis intervention/support following agency protocols and DMHAS guidelines; complete timely incident reports per agency and state requirements.Coordinate with emergency services, LMHAs, and other providers during crisis episodes to ensure continuity and safety. Family & Collateral Involvement

With client consent and when clinically appropriate, involve family members, significant others, and authorized advocates in recovery planning and service delivery.Provide education, consultation, and support to families regarding recovery and community living. Documentation, Compliance & Quality:

Maintain timely, accurate, and complete documentation in the Electronic Health Record (EHR), including progress notes, treatment/rehabilitation plans, quarterly reviews, discharge summaries, and other required records within defined time frames.Maintain proper documentation of medication changes for residential clients and communicate changes to residential staff. For the MRO/Davis program (or as applicable), record medication refills and prescriptions in the client chart.Complete state-required documents in accordance with deadlines, e.g., DMHAS reporting, Mental Health Waiver, Time Studies, and (as applicable) DDAP and related state forms.Complete CARF-required tasks (e.g., quarterly chart reviews for another program, monthly CARF trainings, and required CARF forms).Conduct quarterly record reviews and annual face sheet reviews with ongoing updates.Enter required data into DMHAS information systems by established deadlines.Support program compliance with utilization requirements, performance outcomes, audits, site visits, and quality assurance standards. Collaboration & Teaming:

Maintain effective working relationships with LMHAs, DMHAS, and community providers.Participate in case conferences, clinical/staff/community meetings, interdisciplinary planning, and supervision to prevent gaps in services.Investigate and present case information relevant to treatment and goal planning. Intake & Orientation:

Complete intakes and provide client orientation regarding program philosophy, expectations, rights/responsibilities, and transitional services for clients transferring to new case management programs. Professional Development & Special Projects:

Pursue ongoing professional growth (trainings/CEUs) and stay current with trends, best practices, and theories relevant to serious mental illness, co-occurring disorders, and recovery-oriented practice.Maintain MSW state licensure or actively pursue licensure requirements (e.g., weekly supervision and examinations), if applicable.Supervise interns and/or support special projects as assigned.Follow CSP, MHW, Group Home, DMHAS, and Pathways requirements for service delivery. Knowledge, Skills & Abilities:

Knowledge of recovery-oriented, person-centered and trauma-informed practices.Understanding of serious and persistent mental illness and co-occurring disorders; willingness to learn substance use supports.Strong case management, assessment, and service coordination skills.Ability to teach/model daily living, coping, and self-management skills.Effective verbal and written communication; excellent organizational, documentation, and teamwork skills.Calm and professional crisis management.Proficiency with Office 365, State of CT software, EHR systems, and data/reporting platforms.Strong knowledge of community resources and state, local, and federal entitlement programs. Education & Experience:

Minimum: Bachelors in Human Services, Social Work, Psychology, or related field.Preferred: Master’s degree (MSW, counseling, or related) and professional licensure (LMSW/LCSW or equivalent).Experience: Two (2) years working with adults with serious mental illness and/or co-occurring disorders in residential and/or community-based settings preferred; experience with supervised housing, residential services, and case management strongly preferred. Licenses & Certifications:

Valid driver’s license and reliable transportation required for community-based work.Relevant professional licensure or certification preferred, as applicableCompetencies:

Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.Oral Communication - Speaks clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.Problem Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem solving situations; Uses reason even when dealing with emotional topics.Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed Physical Requirements:

Ability to sit, stand, walk, and move throughout residential and community settings.Ability to lift up to 25 pounds occasionally.Ability to respond to emergencies/crises as needed. Work Environment:

Supervised residential housing settings and community-based environments.Position may require evenings, weekends, holidays, and on-call responsibilities to support 24/7 program operations. Benefits:

Competitive salary

Generous PTO package

Medical and dental insurance coverage

Other Duties:

Perform other related duties as assigned to support program operations and DMHAS contractual compliance.

Employee Acknowledgment:

I have read the foregoing job description and understand the responsibilities of the job. I agree that I am able to perform the essential duties of this position.

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Date: ___________________________ Date: __________________________