Critical Time Intervention (CTI) Case Manager

Jewish Family Service • Buffalo, NY

7h • Hybrid

About The Position

The Critical Time Intervention (CTI) Case Manager provides case management services to individuals in critical transition periods, including those moving from institutional care (such as hospitals or shelters) to community living. The CTI Case Manager is responsible for coordinating care, developing personalized plans, linking clients to resources, and providing consistent support to ensure a successful reintegration into the community. The role involves working closely with a multidisciplinary team to support the overall well-being of the client during this transition.

Requirements

• Bachelor’s or master’s degree in social work, psychology, public health, or a related field.
• At least 2-3 years of experience in case management, social services, or a related field.
• Experience with mental health, substance use disorders, or homelessness is preferred.
• Experience working with individuals in transition (e.g., moving from institutions to community living) is highly desirable.
• Experience with the CTI model or similar time-limited interventions is a plus.
• Strong communication and interpersonal skills with the ability to build rapport and trust with clients
• Excellent organizational and time-management skills to manage multiple cases and resources
• Knowledge of local community resources and services, including healthcare, housing, employment, and social services
• Strong problem-solving and decision-making skills
• Ability to work collaboratively in a team-based environment and navigate complex service systems
• Exhibited ability to effectively work within an inclusive and culturally and linguistically diverse environment
• Ability to assess client needs and develop individualized care plans
• Familiarity with case management software and documentation systems
• Strong internet research and computer skills, especially with Outlook, Word, Excel, PowerPoint, and web-based health information systems
• English speaking and writing fluency required.

Nice To Haves

• Bilingual skills desirable.

Responsibilities

• Conduct comprehensive assessments of clients’ needs, including housing, mental health, substance use, physical health, and social support.
• Develop individualized, strength-based care plans in collaboration with the client, identifying goals and the steps necessary to achieve them.
• Ensure that the care plan is dynamic and adjusted as needed based on the client’s progress and changing needs.
• Communicate regularly with other professionals involved in the client’s care to ensure a coordinated, team-based approach.
• Connect clients to community resources, including housing, healthcare, mental health services, employment opportunities, and social services.
• Advocate on behalf of clients to ensure they have access to the resources and services they need, including navigating complex systems (e.g., public benefits, healthcare).
• Help clients complete necessary applications, attend appointments, and access services in the community.
• Provide crisis intervention and de-escalation support as needed, especially during periods of heightened stress or challenges.
• Offer ongoing emotional and practical support to ensure clients can cope with the challenges of transitioning to community living.
• Ensure that clients receive timely support during any immediate crisis situations related to housing, health, or mental health.
• Work collaboratively with other CTI team members (nurses, counselors, social workers, and healthcare providers) to ensure a holistic approach to care.
• Attend team meetings to discuss case progress, identify challenges, and develop strategies to address client needs.
• Share client updates and concerns with the team to ensure seamless coordination of care and support.
• Promote a welcoming, inclusive, and non-judgmental environment for clients and for the team.
• Regularly monitor client progress and maintain frequent contact to provide ongoing support.
• Ensure that clients remain engaged in services and have the support they need to maintain stability.
• Track and document client outcomes, challenges, and achievements to evaluate the effectiveness of the intervention.
• Educate clients on their rights, available services, and self-care techniques to increase their independence and confidence.
• Empower clients to make informed decisions regarding their care, housing, and life choices.
• Promote client engagement in activities that foster long-term success, such as job readiness, social connections, and self-sufficiency.
• Accurately document all interactions with clients and all efforts made towards client engagement. Submit all progress notes within 48 hours of the client encounter.
• Effectively utilize electronic systems including electronic documentation and reporting systems.
• Provide education to other members of the Care Coordination Division and other JFS departments on Critical Time Intervention services.
• Attend agency and department in-service training and staff meetings as well as any other agency related activities as required.

Benefits

• Health, Dental, and Vision insurance.
• Accrued Paid Time Off (PTO) of 4+ weeks in addition to a paid agency wide shut down between Christmas and New Year's Day.
• 401k retirement plan with agency contribution of 4%.
• 13+ observed holidays annually.
• Reduced full-time work week of 35 hours and early close on Fridays.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level