Community Healthlink

Medical Case Manager - Homeless Outreach and Advocacy Project- Medical

Location US-MA-Worcester
# Positions
Experience (Years)
Case Management


HOAP - Homeless Outreach & Advocacy Project:  Many years ago Community Healthlink recognized that so many of the homeless in our society also battle mental illness, and often a substance abuse problem. In 1985, the Homeless Outreach & Advocacy Project was established with a commitment to link the region's homeless to a complement of services that would offer: screenings, assessments, counseling, health care, rehabilitation, and referral to other support systems.  In addition, a physician and registered nurses and nurse practitioners perform medical evaluations at HOAP's primary care clinic, 72 Jaques Ave., Worcester. They visit area shelters to evaluate and refer people for treatment. A psychiatrist and a team of licensed clinicians perform mental health screenings and offer counseling and medications. Case Management staff helps clients to enroll in available health insurance programs, access health care and social security benefits, and resolves other benefits-related issues.


Outreach performed by HOAP staff is done in the community, through a variety of shelters and other emergency care programs. Staff also seeks to establish contact with the homeless at vacant lots, and even along railroad tracks and bridges. Basic services are also available at HOAP's primary care clinic and staff offices.


HOAP also offers services in partnership with other local health care providers such as the Great Brook Valley Health Center and Family Health Center in Worcester.


National Health Service Corp Loan Repayment Program approved site.



Provides all needed levels of supportive services and coordination of other essential services (i.e., housing) to homeless adults seeking assistance through the Homeless Outreach and Advocacy Project (HOAP).

  • Perform comprehensive intake and assessment of the supportive service, clinical, emergency shelter and/or housing needs of homeless adults.
  • Develop appropriate service plans in conjunction with clients for the delivery of essential services.
  • Work collaboratively with HOAP multi-disciplinary team to coordinate the delivery of appropriate clinical and other support services.
  • Make appropriate referrals to existing community agencies for additional supportive or housing services as needed within the Worcester community.
  • Assist clients with obtaining various entitlements and benefits (i.e., SSI, EAEDC, Mass Health).
  • Provide transportation assistance to homeless individuals as needed.
  • Attend relevant case management training activities.
  • Make referrals and assist clients with applications for subsidized (Worcester Housing Authority) housing, sober housing or other housing resources.
  • Participate in collaborative case conferences regarding service planning for homeless adults.
  • Regularly attend weekly HOAP Staff meetings, clinical team, supervision and all other required program meetings.
  • Identify gaps in homeless services and provide data for the purpose of client advocacy.
  • Prepare and maintain confidential client documentation, service records, staff activity logs (SALS) and preparation of statistical reports.
  • Perform all other duties as required.



  • Grade 5-Case Manager I: HSD/HiSet/GED required; Associates degree preferred
  • Grade 6- Case Manager II: Bachelors degree required; degree in Social Work, Psychology, Counseling or related field preferred
  • Demonstrated knowledge base of homeless population and relevant community resources.
  • Ability to coordinate all appropriate client services.
  • Ability to effectively communicate with consumers, peers and other professionals.
  • Timely and accurate documentation skills.
  • Bilingual/Bicultural, Spanish helpful.
  • Knowledge of homelessness and related issues.
  • Familiarity with community resources and entitlements (i.e., substance abuse, mental health).
  • Current valid US-issued drivers license and ability to provide a registered, inspected and insured automobile for work related purposes including transporting clients in your own vehicle
  • Must be able to pass a CORI background check

Community Healthlink is an Affirmative Action/ Equal Opportunity Employer. We do not discriminate in employment and personnel practices on the basis of race, sex, gender identity, age, ancestry, disability, religion, national origin, marital status, sexual preference, political affiliation or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
If applicable, Community Healthlink shall also abide by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified protected veterans and qualified individuals on the basis of disability. These regulations require affirmative action by Community Healthlink to employ and advance in employment qualified protected veterans and individuals with disabilities.


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