C. SCOPE OF WORK The Case Manager will receive referrals from Santa Fe County Sheriff's office, Edgewood police, and other community partners of eligible individuals at the point of diversion or referral and obtain written consent from the individual to participate in the engage program. The services will include providing mobile, intensive, and long-term case management for individuals with mental, substance, and possibly recidivism issues. The Manager will be an advocate for the client using the Transtheoretical Model of Behavioral Change and Motivational Interviewing tools in all aspects of service delivery. Although not required, preference may be given to individuals who are bi-lingual (English-Spanish Speaking). This case management position represents a vital role to provide comprehensive support services for individuals with behavioral health and substance use challenges in Santa Fe County. The role centers on delivering mobile, intensive case management through direct client engagement, service coordination, and advocacy. Working closely with law enforcement and community partners, the case manager will develop individualized service plans, conduct regular client meetings, and utilize evidence-based approaches including motivational interviewing and trauma-informed care. The position involves maintaining strong professional relationships across partner agencies while ensuring thorough documentation and data collection for program evaluation. Operating on a standard Monday-Friday schedule with occasional flexible hours, this role combines direct service delivery with collaborative teamwork through regular meetings and professional development opportunities. The ideal candidate will bring strong organizational skills, clinical knowledge, and potentially bilingual English-Spanish capabilities to serve this diverse community effectively. Requirement 1. Program Intake and Referral Management 1.Process diversions and referrals from Santa Fe County Sheriff's Office and authorized partners 2. Conduct initial participant engagement and secure written program consent 3. Implement intake procedures following established protocols Requirement 2. Case Management Services 1. Deliver mobile, intensive, and long-term case management 2. Conduct comprehensive needs assessments covering: medical needs, mental health status, substance abuse evaluation, legal circumstances, psychosocial domains 3. Develop and monitor individualized service plans 4. Facilitate weekly participant meetings and provide ongoing support 5. Coordinate service delivery and appointment scheduling 6. Provide participant advocacy and accompaniment services as needed Requirement 3. Program Communication 1. Maintain effective communication with: the operations work group, case coordinating team, clinical supervisors, program managers, service providers, and referral partners 2. Participate in regular clinical supervision and program management meetings 3. Attend required operational and case coordination meetings Requirement 4. Service Delivery Methodology 1. Implement: Transtheoretical Model of Behavior Change and Motivational Interviewing techniques 2. Adhere to program principles and Santa Fe County protocols 3. Maintain strict confidentiality compliance 4. Participate in approved professional development activities
