Schedule: Sunday – Thursday (8:00am – 4:30pm)

Benefits: Medical, Vision, Dental, Life Insurance, 403(b) Retirement plan

ESSENTIAL DUTIES AND RESPONSIBILITIES

Under the supervision of the Assistant Director and Director, the Case Manager’s responsibilities are to:

• Facilitate intake for individuals who are referred into interim housing
• Provide case management (linkage to income/benefits, supportive services, housing opportunities etc.) and follow-up services to a caseload of 15-25 individuals
• Perform a comprehensive needs assessment (screening and intake) for all case managed clients, and develop an individualized service plan that is based on client’s needs, barriers and goals
• Promote client independence by collaboratively establishing patient care goals, providing information to patients regarding their medical condition and medications, and supporting self-care skills.
• Create a supportive environment and ensure clients’ progress towards permanent supportive housing and psycho-social rehabilitation
• Utilize a client-centered approach that includes motivational interviewing, harm reduction, trauma informed care and housing first models
• Facilitate enrichment and life skills groups
• Provide crisis intervention when needed
• Work directly with TPC nursing staff on collaborative and whole person care
• Work directly with referring partners on oversight and acceptance of appropriate referrals
• Coordinate with primary care providers’ medical teams to ensure that clients’ medical needs are met.
• Coordinate medical transportation to support clients’ needs
• Maintain a cooperative relationship among care teams by communicating information, responding to requests, building rapport, participating in team problem-solving methods
• Maintain accurate documentation of client information (intake, referrals, progress notes and service delivery)
• Maintain accurate client records and statistical data (manually and via computerized database system)
• Participate in scheduled weekly clinical and case file meetings, monthly staff meetings, trainings and retreats
• Develop effective, trusting relationships with clients using a client centered approach that includes motivational interviewing, harm reduction, trauma informed care and housing first
• Utilizing harm reduction approach to provide health services support to individuals experiencing homelessness with acute and chronic medical conditions
• Collaborate with local Federally Qualified Health Centers (FQHCs) and other medical facilities to coordinate medical and mental health care for clients
• Communicate effectively and in a timely manner with management team, peers, collaborators, and clients
• Research available community resources and make referrals
• Coordinate information sharing among staff; consult as needed; coordinate and disseminate information to guests
• Facilitate bi-weekly caseload group and weekly House Meeting as needed
• Collaborate with other projects/agencies who share case management

QUALIFICATIONS

• BA or equivalent work experience in social services organization
• Minimum of two (2) year of experience in case management preferred
• CNA/MA background, experience coordinating medical care or experience in a healthcare environment preferred
• Demonstrated knowledge of and experience in dealing with issues faced by the population served (homelessness, mental illness, substance abuse, medical issues, and domestic violence)
• Skilled in non-violent crisis intervention
• Able to work in a high tolerance Harm Reduction and Trauma Informed Care model with members who have multiple barriers
• Detail oriented with strong time management, organizational, written, verbal, and computer skills
• Able to learn quickly and work effectively with a wide range of constituencies
• Strong interpersonal and team building skills
• Strong knowledge of Word Document, Excel and use of Emails systems (Outlook, 365, OneDrive) *Computer skill test may be requested during the interview. Please request reasonable accommodation in advance, if necessary.
• Knowledge of social services agencies and community resources
• Valid CA Driver’s license and an acceptable driving record
• Able to obtain and maintain CPR/1st Aid certification