Case Manger III/Patient Navigator

Administrative Office•San Francisco, CA

About The Position

The Case Manager/Patient Navigator serves as a primary intensive case manager for families in the Rita da Cascia Community, helping homeless families with multiple diagnoses attain and maintain housing, medical care, and social services for themselves and their children. The role coordinates patient navigation with primary care facilities, substance use programs, and therapeutic services through the Title IV Family Service Network collaborative. It also locates patients who have lost contact with care and reconnects them to medical services through coordinated case management. The position provides home-based medical and psychosocial case management to homeless women living with disabling HIV disease and their children. Services include assessment, counseling, crisis intervention, advocacy, care coordination, referrals, and support with housing and medication management. The role develops individualized service plans, documents services, maintains electronic databases, coordinates family activities, and works with agency staff and community partners. It also conducts outreach to reconnect lost-to-care patients with medical homes and support services.

Requirements

Bachelor’s degree in Social Work, Psychology, or a related field, preferred, with four years of directly related experience.
At least two years of experience working with homeless women.
Sensitivity to and knowledge of HIV/AIDS, women and family issues, child development, substance abuse, domestic violence, and mental health issues.
Substantial knowledge of local HIV services and the child welfare system.
Ability and experience supervising volunteers and interns.
Commitment to the mission of Catholic Charities.
Knowledge and training in counseling, substance abuse, multiple diagnoses, and health.
Reliable, self-motivated, and independent work ethic.
Functional knowledge of Microsoft Office products, networking concepts, and computer-related skills.
Knowledge of mandatory reporting requirements for people working with children, including laws and procedures related to child abuse matters.
Ability to drive a van; valid driver’s license and clean DMV record required.
Ability to listen actively and communicate effectively with individuals and groups.
Organizational skills, independent follow-through, and sensitivity to the client population.
Ability to be achievement-oriented and maintain teamwork and cooperation with staff and care providers.
Demonstrated ability to work successfully in a team environment and collaborate effectively.
Ability to set and meet goals, deadlines, and overall performance expectations.
Ability to deliver culturally competent services and work effectively in cross-cultural situations.
Required before the first day of employment: fingerprints, negative tuberculosis test, First Aid Certificate, and proof of COVID-19 vaccination.
Ability to meet physical demands that include frequent bending, standing, stooping, kneeling, reaching, twisting, walking, lifting, pushing, and pulling; intermittent repetitive wrist, hand, or finger motions; and exertion of up to 20 pounds occasionally and up to 10 pounds frequently.
Visual acuity sufficient to operate motor vehicles or heavy equipment.
For driving duties, a valid California driver’s license and proof of DMV record and personal insurance, if required.

Nice To Haves

Advanced degree with clinical skills and training.

Responsibilities

Provide home-based medical and psychosocial case management, including assessment, counseling, crisis intervention, advocacy, care coordination, and referrals, for homeless women living with disabling HIV disease and their children.
Support clients’ housing and medication management needs.
Develop comprehensive Individualized Service Plans and document assessments and interventions as they occur.
Maintain electronic databases, including CARES and ARIES.
Provide assessment, counseling, and referrals related to completion of legal documents, including joint guardianship agreements, Durable Power of Attorney, and wills.
Participate in developing and maintaining continuous quality improvement systems.
Assist with developing and implementing program activities, workshops, support groups, and presentations for participants.
Participate in planning and implementing family activities consistent with families’ abilities and preferences, including directly supervising the activities program.
Participate in case conferences, staff meetings, in-service and other trainings, and greater-agency meetings.
Directly supervise volunteers in the activity program.
Complete required client and program documentation.
Provide facility and auto maintenance support as assigned.
Serve as liaison with collaborative partners, including local hospitals, agencies, and therapeutic programs, to coordinate care.
Develop and implement outreach within the HIV services community to locate and re-stabilize lost-to-care patients in their medical homes.
Link lost-to-care patients to case management and support services.
Collaborate with medical providers and other partners to ensure lost-to-care patients are referred for Patient Navigator services.
Generate a Patient Navigator Tracking System to document services.
Use clinical training and skills to maintain boundaries and provide effective patient navigation and medical case management.