Case Specialist

Job Description

Job Description

Position Overview 

The Case Specialist serves as a key member of the Case Management team, providing holistic, family-centered case management services to admitted participants and their families. The Case Specialist develops trusted relationships with families, conducts comprehensive assessments, coordinates Program benefits and community resources, identifies unmet needs, and provides ongoing support throughout the participant's relationship with the Program. 

Working within an interdisciplinary team, the Case Specialist utilizes critical thinking, sound professional judgment, trauma-informed approaches, advanced communication and de-escalation techniques, and person-centered care principles to support participants with complex medical, developmental, and social needs. The position routinely conducts home visits, collaborates with internal and external partners, and serves as an advocate and trusted resource for participants and their families. 

This position is Exempt under the Fair Labor Standards Act (FLSA). 

Duties & Responsibilities: 

Case Management & Care Coordination 

• Manage an assigned caseload by providing ongoing assessment, care coordination, proactive follow-up, and support to participants and their families.  

• Develop and maintain trusting, long-term relationships with participants and families while maintaining appropriate professional boundaries.  

• Conduct comprehensive assessments to identify participant and family strengths, unmet needs, barriers to care, and opportunities for additional Program benefits.  

• Develop individualized service and support plans in collaboration with participants, families, and interdisciplinary team members.  

• Provides individualized, age-appropriate, family-centered case management and long-term care planning tailored to each participant's evolving needs 

• Coordinate services across multiple Program benefits and community resources to promote participant well-being and quality of life.  

• Monitor participant progress and adjust support strategies as needs evolve.  

Family-Centered and Trauma-Informed Case Management  

• Apply family-centered and trauma-informed principles in all interactions with participants, families, providers, and community partners.  

• Recognize the impact that trauma, disability, and complex medical needs may have on participants and caregivers.  

• Foster trusting relationships through respectful communication, active listening, empathy, and collaboration.  

• Promote participant choice, dignity, and self-determination while supporting informed decision-making.  

• Consider the impact of Program decisions on family stability, continuity of care, and participant well-being.  

• Support coordinated service delivery that minimizes unnecessary stress or disruption for families.  

• Identify situations requiring additional support or intervention and coordinate appropriate referrals or leadership involvement.  

Participant & Family Engagement 

• Conduct home visits to assess participant needs, observe environmental and social factors, strengthen relationships with families, and identify opportunities to improve participant outcomes.  

• Serve as a trusted resource for participants and families by providing education, advocacy, guidance, and ongoing support.  

• Proactively identify unmet participant needs and connect families with appropriate Program benefits, community resources, healthcare providers, and support services.  

• Support participants and families in navigating complex medical, social, educational, and community systems.  

Communication & Problem Resolution 

• Serve as a primary point of contact for assigned participants and families, ensuring timely, accurate, compassionate, and responsive communication.  

• Utilize trauma-informed care principles and advanced de-escalation techniques to effectively manage emotionally charged or high-stress situations.  

• Identify root causes of participant or family concerns and develop practical, family-centered solutions.  

• Address concerns by collaborating with families, clarifying Program policies, coordinating internal resources, and facilitating resolution.  

• Communicate effectively with participants, families, healthcare providers, contractors, community organizations, and other stakeholders.  

Collaboration & Program Support 

• Collaborate with Case Management, Benefits, Policy & Quality, Housing, Finance, and other Program staff to coordinate participant services.  

• Participate in interdisciplinary case conferences and team meetings to develop coordinated support strategies.  

• Assist in identifying opportunities to improve participant engagement, care coordination, and service delivery.  

• Support implementation of departmental workflows, procedures, and continuous improvement initiatives.  

• Participate in special projects and perform other duties as assigned.  

Documentation & Compliance 

• Maintain timely, accurate, and confidential case documentation in accordance with Program policies, HIPAA requirements, and professional standards.  

• Document assessments, interventions, home visits, care plans, referrals, participant communications, and follow-up activities.  

• Ensure case records accurately reflect participant's needs, services provided, and ongoing case management activities.  

Qualifications: 

• Valid Virginia Driver's License and access to reliable transportation to travel to participant homes and other Program-related locations required. 

• Strong assessment, analytical, critical thinking, and problem-solving skills.  

• Demonstrated ability to build trusting, collaborative relationships with participants and families experiencing complex medical, emotional, and social challenges.  

• Experience utilizing trauma-informed care principles and family-centered practice.  

• Demonstrated ability to effectively de-escalate emotionally charged situations while maintaining professionalism and empathy.  

• Strong case management, care coordination, advocacy, and resource navigation skills.  

• Demonstrates sound judgment in determining when leadership consultation is needed and follows appropriate escalation pathways 

• Excellent interpersonal, written, and verbal communication skills.  

Education & Experience: 

• Bachelor's degree in Social Work, Nursing, Occupational Therapy, Human Services, Public Health, Counseling, Psychology, Rehabilitation or a related field required. Master's degree preferred.  

• Minimum of 5 years of progressively responsible experience in case management, care coordination, social work, healthcare, disability services, nursing, public health, occupational therapy, rehabilitation or a related human services field. 

• Experience supporting children and young adults with complex medical needs, disabilities, chronic health conditions, or other medically fragile populations strongly preferred. 

• Experience conducting home visits and coordinating community-based services preferred. 

• Experience working with pediatric participants and their families is strongly preferred. 

• Experience working in healthcare, disability services, rehabilitation, pediatric specialty care, or other multidisciplinary environments preferred.  

• Current professional licensure or eligibility for licensure in the Commonwealth of Virginia, as applicable to the individual’s profession (e.g., LCSW, LMSW, RN, LPN, OTR/L), preferred. 

Compensation:

• $65,000 - $95,000 annually 

Virginia Birth Injury is an Equal Opportunity Employer. Virgina Birth Injury does not discriminate in hiring or employment practices based on race, color, religion, gender, age, sexual orientation, marital or family status, national origin, non-job-related disability, or status as a veteran.   

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