CALAIM CASE MANAGER

Homeward Bound of Marin•San Rafael, CA

2d•$32 - $34•Onsite

About The Position

Homeward Bound of Marin is seeking a Housing Focused Case Manager to support residents in a housing program for disabled adults transitioning out of homelessness. The position focuses on Medical Case Management and CalAIM services. Through consistent, onsite support, the Case Manager helps residents maintain housing, address medical needs, navigate challenges, and build stability, self-sufficiency, and independence. The role provides intensive, outcome-driven housing-focused case management to a caseload of 15 participants. It includes facilitating CalAIM services, developing individualized housing and care plans, coordinating with healthcare, behavioral health, county, and community partners, and supporting residents through referrals, crisis response, and housing stabilization strategies. The Case Manager also maintains compliant records and data, reviews CalAIM billing reports, and participates in team meetings, supervision, training, quality assurance, and audits.

Requirements

Bachelor’s degree in social work, psychology, social welfare, or a related field, or two years of experience in a related residential or housing program.
At least two years of experience working with under-resourced or low-income populations.
Experience in residential and/or housing programs.
Knowledge of Housing First, harm-reduction, and trauma-informed principles.
Working knowledge of SSI, SSDI, SDI, and other entitlement programs.
Experience with data entry systems such as HMIS, Salesforce, or similar.
Proficiency with Microsoft Word, Excel, cloud-based systems, and Adobe.
Ability to work in a culturally and ethnically diverse environment.
Ability to sit and use a computer for moderate periods of 1–3 hours per day.
Ability to stoop, crouch, kneel, or crawl occasionally.
Ability to lift or move objects up to 40 pounds.

Nice To Haves

Experience working with individuals experiencing homelessness or unhoused populations.

Responsibilities

Manage a caseload of 15 individuals and provide intensive, outcome-driven supportive services using a Housing First approach.
Facilitate CalAIM services and work with the Program Director to develop capacity in Medical Case Management and individualized care plans.
Review monthly CalAIM billing reports to verify correct coding and readiness for submission to managed care plans.
Integrate CalAIM care coordination and housing stabilization strategies into individualized housing and care plans with healthcare, behavioral health, and community-based partners.
Provide housing-focused case management in individual and group settings.
Identify and address barriers to housing stabilization, including homelessness, health needs, substance use disorders, under-employment, lack of income, and systemic barriers.
Prevent and resolve conflicts using strength-based and trauma-informed approaches.
Respond to urgent and crisis situations, coordinating with emergency and community partners as needed.
Provide supportive services, guidance, and referrals to community resources.
Engage participants consistently, support program participation and progress toward housing stability, and adapt interventions as needed.
Coordinate with the onsite County behavioral health team and attend weekly care conference meetings.
Maintain professional boundaries and set appropriate limits.
Complete timely, accurate, compliant documentation, including case notes, assessments, care plans, and progress updates.
Ensure client records document eligibility, service delivery, engagement, and progress toward housing goals.
Maintain accurate and timely data in HIPPO (Salesforce database) and HMIS.
Meet documentation and case management deadlines for intake, enrollment, reassessments, housing goals, and discharge documentation.
Participate in quality assurance, monitoring, and audit processes, including documentation reviews and corrective actions.
Develop, implement, monitor, and update individualized client-centered housing and care plans.
Coordinate services with internal teams and external partners to support continuity of care and timely referrals.
Document housing and service outcomes for program performance measurement and grant reporting.
Manage a full caseload and bi-weekly/monthly meetings using strong organization, time management, and prioritization.
Communicate professionally with supervisors, coworkers, volunteers, and program participants.
Participate in weekly supervision, program and all-staff meetings, and required training.
Maintain confidentiality and comply with agency policies, including HIPAA where applicable.
Contribute as a collaborative and accountable member of the Homeward Bound team.
Perform other duties as assigned.