Intensive Case Manager - Friendship Shelter Care Coordination

Friendship Shelter•Laguna Woods, CA

4d•Hybrid

About The Position

Friendship Shelter Care Coordination (FSCC) is a services-only program designed to provide supportive services to individuals experiencing or at-risk of experiencing homelessness, with the goal of resolving homelessness and supporting long-term housing stability. The FSCC Intensive Care Manager (ICM) will manage a varied caseload of participants, ranging from 15-20 participants. The FSCC ICM will deliver targeted outreach and engagement, intensive case management, connection to Coordinated Entry, housing navigation and sustainability services, financial assistance to secure interim or permanent housing or resolve housing barriers, and referrals to community resources. Community resources include but are not limited to shelter or interim housing placements, healthcare, behavioral healthcare, substance use disorder treatment, benefits advocacy, and other resources that support stability. Additionally, the ICM will provide community support services through the California Advancing and Innovating Medi-Cal (CalAIM) initiative, including Housing Navigation, Housing Stabilization, and Enhanced Care Management. Friendship Shelter is contracted by the Office of Care Coordination to provide service coordination in the South SPA for individuals experiencing homelessness. The program prioritizes the following subpopulations: Transitional Aged Youth (TAY) and Older Adults. TAY participants are classified as individuals who are between the ages of 18 and 24 at program entry. Older Adults are classified as individuals who are over the age of 62. In carrying out these responsibilities, the ICM is expected to reflect and advance Friendship Shelter’s core values by treating every client with dignity, respect, compassion, and empathy; building trusting and collaborative relationships; promoting equity and inclusion; maintaining professionalism and accountability; and approaching challenges with integrity and a solutions-focused mindset. The ICM will work collaboratively with clients, colleagues, healthcare providers, housing partners, and community-based organizations to ensure services are coordinated, responsive, and aligned with each client’s individual goals and needs.

Requirements

Case Management experience
Experience working with individuals with severe and persistent mental illness, substance use disorder, or other disabling conditions.
Must have a valid driver’s license and vehicle with valid registration and insurance.
Desire to be a part of a team that is passionately committed to ending homelessness.
Comfortable working in a Housing First, Trauma Informed, and Harm Reduction setting.
Ability to navigate the local Orange County social services arenas, such as Medi-Cal, CalOptima, food stamps/GR, ID services, social security and other social service or behavioral health providers.
Well organized, detail-oriented, and able to handle a fast-paced work environment.
Ability to understand and follow specific instructions and procedures.
Conflict management skills.
Decision-making skills.
Good interpersonal skills.
Ability to effectively communicate (verbal and written).
Basic computer skills, including Microsoft Word, PowerPoint, Excel, Teams, Outlook, and web browsers.

Responsibilities

Conduct outreach and engage individuals at-risk or experiencing unsheltered homelessness to determine eligibility and facilitate program enrollment through in-person meetings, mail, email, text, and phone communication.
Provide ongoing services through regular in-person appointments, including assessments, care-plan development, service coordination, coaching, education, and referrals to community resources.
Support client engagement by scheduling appointments, providing reminders, coordinating transportation, including driving clients to appointments, and addressing barriers to service engagement.
Collaborate with the client's care team, including internal and external partners, to coordinate care, facilitate case conferencing, and make referrals.
Maintain accurate and timely documentation, including case notes and client data, to ensure compliance with funding regulations and support Medi-Cal billing and project tracking.
Foster positive relationships with staff, partner agencies, and community volunteers to enhance service delivery.
Assist clients in securing and maintaining housing, providing advocacy and support for housing-related tasks.
Enter data into HMIS, CalOptima Connect and other required databases, ensuring all records are accurate and up to date.
Use a team approach to resolve housing barriers and respond to client crises as needed.
Represent the organization in county-wide meetings and other forums as required.
Provide instruction and assistance to improve clients' independent living skills, including budgeting, household care, and personal care.
Connect clients to resources that enhance housing stability, such as employment, income benefits, medical care, mental health services, and legal aid.
Participate in team and agency staff meetings.