Case Manager - ICMS/Housing Navigation

Job Title: Case Manager - ICMS/Housing Navigation

Location: Downtown Los Angeles, CA (Skid Row)
Schedule: Mon- Fri, 8:00 am - 4:30 pm

Dept: Housing Department

Reports To: Program Manager

Status: Hourly / Non-Exempt,

Benefits: Medical, Dental, Vision, Retirement Planning (403b) EAP

SUMMARY

As part of a multi-disciplinary team, the Intensive Case Management Services (ICMS) Case Manager/Housing Navigator will engage with high acuity clients in the Skid Row Community and work with clients to attain and sustain permanent housing in partnership with the County Department of Health Services (DHS). The ICMS Case Manager/Housing Navigator will work with clients to assess housing stability, provide stabilization services, and coordinate multiple services to meet each client's specific needs related to housing, health, mental health, and income.

ESSENTIAL DUTIES & RESPONSIBILITIES

1. Ensure enrollment in CES and have a VISPDAT score
2. Remove barriers to permanent housing; e.g., acquisition of identification, legal aid, benefits/income assistance, transportation to appointments
3. Provide a needs assessment on most appropriate type of housing
4. Assist with housing applications
5. Identify permanent housing units to move individuals into housing as quickly as possible once linked to a rental subsidy (TBV, PBV, EHV, TLS)
6. Document activities in HMIS
7. Work with a diverse and marginalized client caseload of 20 clients experiencing many barriers including homelessness, complex trauma, medical, mental health and substance use
8. Ensure that case management services to clients are reflective of the "Whatever It Takes" model, which emphasizes customer choice, harm reduction, trauma-informed care and psycho-social rehabilitation
9. Ensure that each client on caseload has an up-to-date and comprehensive biopsychosocial assessment, and that this assessment is used in collaboration with the client to create individualized case management plans designed to improve quality of life and improved health outcomes
10. Collaborate with each client to develop creative goal plans aimed at improving overall well-being and housing stability; review and update quarterly and upon completion of goals
11. Develop and maintain a complete, accurate, and current client file with all required documents and data in agency records and electronic databases
12. Document all client contacts in PIP format (Purpose, Intervention, Plan) and in accordance with Housing Department productivity expectations
13. Coordinate with DHS and community partners to ensure clients are connected to primary health care and insurance to reduce need for emergency health care services
14. Maintain confidentiality of client files per HIPAA and all applicable guidelines
15. Responsible for coordinating appointments, transportation, and follow-up services for clients accessing primary health care, mental health care, recovery services, and other community resources
16. Transport clients in your vehicle to various agencies and healthcare providers in the greater Los Angeles area to increase community support services and community reintegration
17. Develop effective, trusting relationships with clients, with a focus on facilitating independence and maintenance of improved physical and mental health
18. Assist in the screening, assessment, and enrollment of clients, including orientation to program policies, resources and goals
19. Maintain a current, thorough knowledge of community resources and utilize them to provide comprehensive, wrap-around services to clients
20. Assist clients with becoming involved in daily activities, scheduling and attending appointments, budgeting, socialization, health maintenance, sense of community, and progress in recovery
21. Work cooperatively and cohesively with other clients of the staff team, including participation in weekly staff meetings and staff trainings
22. Perform other duties as assigned