Case Manager – ICMS/Housing Navigation

Role: Case Manager – ICMS/Housing Navigation

Reports to: Program Manager – ICMS/Housing Navigation

Program: 1603- Housing Retention

Department: Permanent Housing

Location: The Nest – 222 South Hill St. 7th Floor, Los Angeles, CA 90012

Setting: Not 100% Onsite

Schedule: Monday – Friday, 8:00am – 4:30pm

Status: Full-time/Non-Exempt/Non-Management

Benefits: Medical, Vision, Dental, Life Insurance, 403(b) Retirement plan, Employee Assistance Program (EAP), etc.

Openings: 4

Job Description 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.

Job Description Essential Duties and Responsibilities:

• Ensure enrollment in CES and have a VISPDAT score.
• Remove barriers to permanent housing; e.g., acquisition of identification, legal aid, benefits/income assistance, transportation to appointments.
• Provide a needs assessment on most appropriate type of housing.
• Assist with housing applications.
• Identify permanent housing units to move individuals into housing as quickly as possible once linked to a rental subsidy (TBV, PBV, EHV, TLS).
• Document activities in HMIS.
• Work with a diverse and marginalized client caseload of 20 clients experiencing many barriers including homelessness, complex trauma, medical, mental health and substance use.
• 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.
• 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.
• 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.
• Develop and maintain a complete, accurate, and current client file with all required documents and data in agency records and electronic databases.
• Document all client contacts in PIP format (Purpose, Intervention, Plan) and in accordance with Housing Department productivity expectations.
• 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.
• Maintain confidentiality of client files per HIPAA and all applicable guidelines.
• Responsible for coordinating appointments, transportation, and follow-up services for clients accessing primary health care, mental health care, recovery services, and other community resources.
• 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.
• Develop effective, trusting relationships with clients, with a focus on facilitating independence and maintenance of improved physical and mental health.
• Assist in the screening, assessment, and enrollment of clients, including orientation to program policies, resources and goals.
• Maintain a current, thorough knowledge of community resources and utilize them to provide comprehensive, wrap-around services to clients.
• Assist clients with becoming involved in daily activities, scheduling and attending appointments, budgeting, socialization, health maintenance, sense of community, and progress in recovery.
• Work cooperatively and cohesively with other clients of the staff team, including participation in weekly staff meetings and staff trainings.
• Perform other duties as assigned.

Job Description Qualifications:

• High School Diploma or GED or Equivalent
• Valid CA Driver’s license, reliable car, auto insurance, and an acceptable driving record
• Able to transport clients in your vehicle
• Bachelor’s degree preferred; or a minimum two years’ case management experience working with individuals experiencing homelessness, preferably those living with mental illness and/or substance addictions, or an equivalent combination of education and experience
• Demonstrated knowledge of case management
• Able to work in a high tolerance Harm Reduction model with clients who have multiple barriers

Job Description Work Environment: