Linked members to necessary resources and conducted biopsychosocial assessments.Coordinated with community-based programs to provide comprehensive support services for resettling refugee and migrant families.Collaborated with care coordinators, members, family/caregivers, and discharge planners to assist in transition planning and address barriers.Participated in case reviews with care coordinators and accountable care managers.

Conducted comprehensive needs assessments to address the unique challenges faced by children and families.Developed and implemented individualized service plans, coordinating with service providers to deliver effective support.Managed cases for over 40 families, including migrant and refugee families, ensuring access to necessary services and resources.Coordinated with legal and social service agencies to facilitate immigration support and address barriers to resettlement.Monitored and documented client progress, adjusting plans as needed to meet evolving needs.Provided crisis intervention and support, helping families navigate complex systems and secure stable housing and resources