Case Manager, CAL AIM - Santa Cruz County & Monterey County (One Year Assignment 36 Hours/Week)

Eden Housing

5d•$28 - $33

About The Position

Under the supervision of the Associate Director, Supportive Housing the CAL AIM Case Manager is responsible for oversight of the delivery of resident services programming at properties that serve high needs individuals, families, seniors and those with special needs within Eden Housing’s portfolio. The CAL AIM Case Manager is responsible for the coordination of services for high-need populations and low- income households living at each site. Additionally, this role is responsible for the development of collaborative relationships with county provided services providers, Enhanced Case Management (ECM) providers and with outside community-based organizations to bring robust and relevant programming to Eden Housing residents.

Requirements

BA or BS degree in social work, psychology, counseling, or related field required and master’s degree in same fields preferred.
3 years’ experience serving the needs of senior populations and special needs (mental illness, substance use, co-occurring disorders.
Must be bilingual in speaking Spanish.
Experience working with farm worker communities.
Experience using and administering multiple assessment tools and interpreting information/data derived from assessments
Experience supporting program and service implementation and coordination
Experience collaborating with local service providers
Excellent reading, writing and verbal communications skills and comfortable communicating across language barriers, including using translation apps and services to navigate multiple language needs; [some positions may also include “proficient in Spanish, Russian, Korean or Vietnamese” if required at a specific property] bilingual requirements are determined based on resident/property population and will be applied accordingly
Solid judgment, discretion, problem-solving skills when working with clients
Excellent relationship-building, active listening, and conflict-resolution skills
Excellent attention to detail and organizational skills and demonstrated ability to work independently
Willing to learn, committed to improving and staying abreast of exemplary practices in the field of social services for special needs populations
Effectively use Outlook, OneDrive, Teams, Zoom, Salesforce, Microsoft Office Suite, and other technology tools to support interactions with peers and supervisor
Constantly perform desk-based computer tasks, frequently sitting
Occasionally stand/walk, reach/work above shoulders, grasp lightly/fine manipulation, grasp forcefully, use a telephone, sort/file paperwork or parts, lift/carry/push/pull objects that weigh up to 15 pounds
Rarely twist/bend/stoop/squat, kneel/crawl
Ability to read, analyze, and interpret common scientific and technical journals, financial reports, and legal documents.
Ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community.
Ability to write speeches and articles for publication that conform to prescribed style and format.
Ability to effectively present information to top management, public groups, and/or boards of directors.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to define problems, collect data, establish facts, and draw valid conclusions.
Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

Responsibilities

Independently deliver onsite programs, ensuring implementation of programs at assigned locations to meet agreed internal standards and objectives and applicable regulatory expectations
Regularly conduct door-to-door, phone, e-mail outreach and other marketing strategies to make residents aware of services offered
Assist in and/or provide crisis intervention and follow-up (including but not limited to child abuse or adult abuse reporting); appropriately implement mandated reporting policies and procedures
Support case management services for identified residents who exhibit signs of functional impairment, including support to develop independent living skills
Provide group and one-on-one services to residents and support community building activities at assigned properties
Collaboratively work with the residents to support independent living and personal and professional goals. Ensure collaboration is being met with residents’ ECM providers and county case workers to ensure residents’ needs are met.
Conduct in-depth needs assessments and develop personalized care plans in collaboration with residents, ensuring Strengths-Based alignment with Trauma-Informed Care (TIC) principles and Harm Reduction philosophy.
Coordinate care with various providers (doctors, therapists, social workers) through in-person consultations and remote communication, prioritizing culturally competent and client-centered approaches.
Conduct home visits to build rapport with clients, assess their living environment, and provide direct support to ensure safety and stability.
Monitor client progress and adapt care plans as needed based on client interactions, feedback, and observations, in alignment with best practices for care management and eligibility for billing.
Document all client interactions and services accurately and daily, ensuring authorizations, case notes, care plans, and assessments meet required standards for billing and quality service delivery.
Attend multi-discipline coordination meetings to discuss case progress, barriers, and receive guidance from health professionals.
Assist in the development of resident care plans to be submitted to the managed care plan for approval.
Educate residents about programmatic options and advocate for residents’ needs
Ensure that all established HIPAA policies and procedures are maintained and strictly adhered to.
Familiar with Services’ partnership goals and selection criteria; engages with property-level partners to support these goals/criteria and communicates with supervisors where improvements may be needed
Collaborates well with local community agencies in proximity to assigned property
Work collaboratively with Eden Property Management, Eden Resident Services staff, community partners and community-based services providers to address/ resolve property concerns or neighbor disputes
Support property-level needs assessments and associated follow-up (e.g., community meetings)
Participate in development of property service plan that is responsive to resident needs
Communicate and execute actions based on stated and assessed needs
Offer exemplary customer service and responsiveness to residents
Maintain accurate property-level records and files (including but not limited to entering data and tracking all service activities on a daily/weekly/monthly basis)
Ensure timely property-level reporting, consistent with Services’ policies, procedures, and training
Participate in staff and team meetings, training, group outings and other site sponsored events
Apprise direct supervisor of activities and incidents in a timely manner
Cultivate collaborative relationships with Property Management peers and colleagues at the property level
Performs other duties as assigned