Community-Based Case Manager

The Community-Based Case Manager provides intensive substance use disorder case management, brief counseling, and care coordination for adults served by the Meharry Addiction Clinic. The position works primarily in the surrounding community and periodically in the clinic to connect clients with substance use disorder treatment, HIV/HCV services, insurance, housing, employment, and other supports and to promote continued engagement in care.

Essential Functions (Principal Duties and Job Responsibilities):

• Provide brief counseling and recovery-support interventions at least monthly, and more frequently when clinically or programmatically appropriate, in accordance with office-based opioid treatment requirements.
• Assess client needs and coordinate proactive linkage and follow-up for substance use disorder treatment, HIV/HCV prevention and treatment, medical care, health insurance, housing, employment, and other social services.
• Conduct community-based outreach, client check-ins, and coordination with authorized support persons and service partners to address barriers and promote continued engagement in care; provide clinic-based support as needed.
• Maintain timely, accurate, and confidential case-management records, service notes, referral outcomes, and an ongoing communication log in required systems.
• Compile, verify, and submit program activity data and reports required by the department, College, and funding agencies.
• Maintain current knowledge of treatment options, patient-assistance programs, housing and employment resources, and community services; participate in required training, supervision, team meetings, and related program duties.

Knowledge, Skills and Abilities Required:

• Knowledge of substance use disorders, harm reduction, recovery services, and HIV/HCV prevention and treatment resources.

• Ability to assess client needs, identify barriers to care, develop service plans, and coordinate referrals across multiple systems.

• Ability to recognize crisis situations, respond appropriately, and remain calm when clients express anger, fear, or distress.

• Strong verbal, written, interpersonal, and documentation skills, including the ability to communicate with clients, staff, healthcare providers, and community agencies.

• Ability to maintain confidentiality, professional boundaries, and culturally responsive, trauma-informed interactions with people from varied backgrounds.

• Ability to organize a community-based caseload, manage competing priorities, work independently in changing environments, and collaborate with an interdisciplinary team.

• Proficiency with Microsoft Word, Excel, PowerPoint, electronic records, and program data systems.

• Knowledge of community resources and field-safety practices applicable to outreach and community-based service delivery.

 Knowledge, Skills, Abilities Preferred:

• Skill in motivational interviewing, brief counseling, and engagement of people who use drugs.

• Knowledge of office-based opioid treatment, medication for opioid use disorder, and local health and social-service systems.

• Experience locating and coordinating insurance, housing, employment, transportation, and patient-assistance resources.

Education and Experience Required:

• Bachelor's degree in Social Work, Psychology, Counseling, Public Health, Human Services, or a related field; an equivalent combination of relevant education, training, and experience may be considered.

• At least one year of relevant experience providing case management, behavioral health, substance use, healthcare navigation, outreach, or community-based social services.
  

Education and Experience Preferred:

• Two or more years of case-management experience with people affected by substance use disorders, housing instability, infectious disease, or other complex health and social needs.
• Experience providing services in community, outreach, harm-reduction, or street-medicine settings.
  

Licensure, Certification or Registration Required:

• No professional license, certification, or registration is required. A valid driver's license and acceptable driving record are required when operating a College or department vehicle.

Licensure, Certification or Registration Preferred:

• Current CPR/First Aid certification or a relevant case management, substance use, behavioral health, or peer-support credential is preferred.