Position Summary This position will serve our inmates in social services including educational information, referrals for assistance and follow up, assessment of SDoH, registration for insurance coverage, assistance with appointment scheduling prior to release, collaboration with the judicial system, and coordination with both medical and psychiatry services prior to discharge. This position will serve the needs of individuals returning to society from the Winnebago County Jail. Duties Responsibilities Provide guidance on social services to inmates, including assessments, case planning, follow-up and documentation in the EMR. Prepare care plans describing the services the client may need and use and the method of assessing medical and/or drug treatment and needed social services. Advocate on the clients’ behalf to obtain necessary and appropriate services; provides referrals and follow up services within a multidisciplinary team of providers. Provide patients with information and university/agency services and assist with support services and; such as disabilities (SSI), food pantries, guardianship, Meals on Wheels, homeless shelters/housing, child care assistance programs, homemaker services, home health, services through the Department of Aging, parenting classes, transportation, mental health issues, substance and domestic abuse counseling, etc. Assists patients in the health insurance enrollment process requiring certification as a Certified Application Counselor. Assembles and maintains necessary statistical information for administration as required i.e. daily work logs Maintain complete and accurate files on all community resources. Participate in local coordinating committee meetings. Perform other duties as assigned.