Wellness Navigator/Case Manager
Ruth Ellis Center, Inc – Detroit, MI
Ruth Ellis Center is a 10 year old, youth-focused social service organization that provides residential safe space and support services for lesbian, gay, bi-attractional, transgender and questioning youth in Detroit and Southeastern Michigan. The organization has three core program elements that provide a continuum of care for the youth that we serve: Street Outreach, Transitional Living, and Basic Emergency.
Wellness Navigator Case Manager Ruth Ellis Center
Assist HIV+ and high risk HIV minority populations, especially LGBTQ youth and young adults, in accessing and retaining medical care and provision of quality community services. Assist in ensuring that appropriate services, including health care, benefits assistance, etc. are actualized by the client. Responsible to meet patient needs to support self-care as the overall goal.
Primary Functions:
- Assist high risk patients to reduce barriers that interfere in their medical care needs.
- Assess needs and make appropriate referrals.
- Connect to primary care services and take client to appointments as needed.
- Link to Medical Case Manager and work together to assess barriers, risk assessment; psychosocial; care plan, monitoring of referrals; care acquisitions and attendance of medical appointments.
- Connect with psycho educational support groups at community partner organizations.
- Work with to facilitate access to appropriate referrals based on identified needs, available community resources, and financial status of client.
- Accompany clients to community resources, such as medical appointments and applying for benefits, for enrollment and/or advocacy assistance as needed.
- Coordinate through contact with client and service providers to insure optimal utilization of offered services and adequate provision of needed care.
- Assist medical case managers in locating clients who are at high risk for “fall out” of the care system.
- Establish and maintain up-to-date client records including demographics, progress notes, and signed consents.
- Collect and submit data reports at designated intervals for program monitoring and evaluation.
- Input and maintain client level data in computer.
- Assist in developing and maintaining a friendly network referral system in the health care and social service community by becoming familiar with formal and informal services available to both clients/families, reporting new services or changes in established services, and identifying gaps in available community services.
- Maintain a cooperative working relationship with other staff, physicians, other disciplines and the public by facilitating and enhancing communication, displaying honesty and respect, sensitivity and compassion.
- Participate in multi-disciplinary case conference meetings.
- Perform other duties as assigned.
- Supports the mission of the Ruth Ellis Center, which is to provide short-term and long-term residential safe space and support services for runaway, homeless and at-risk gay, lesbian, bi-attractional, transgender and questioning youth in Detroit and Southeastern Michigan.
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