Residential Case Manager - 890 Residential Services

HealthRIGHT 360•San Francisco, CA

1d•Onsite

About The Position

HealthRIGHT 360 is a nonprofit organization dedicated to providing accessible and comprehensive healthcare services to vulnerable populations. Our mission is to address systemic barriers to healthcare and promote health equity. We offer a range of services including mental health care, residential and outpatient substance use treatment, and primary health services, along with transitional support for individuals re-entering the community from the criminal justice system. By integrating physical and behavioral health, we aim to empower individuals to overcome challenges, foster resilience, and facilitate recovery. The Men’s Residential and Detox or 890 Residential Services program is part of HealthRIGHT 360, serving male-identifying clients with approximately 105 beds. This program provides residential treatment for substance use disorder (SUD) for up to 90 days, with clients supported by behavioral health professionals offering counseling, education, life skills training, and individual and group therapy. The Residential Case Manager is a crucial part of the treatment team, ensuring smooth service coordination for clients undergoing SUD treatment within HealthRIGHT 360’s residential programs under the Drug Medi-Cal Organized Delivery System (DMC-ODS) in San Francisco. This role involves care coordination, referral and linkage, transition planning, medication management support, and interdisciplinary collaboration to aid clients in their recovery and successful community reintegration.

Requirements

High school diploma or equivalent required.
A minimum of 5 years of experience in care coordination, case management, or substance use disorder services, preferably within a residential or community-based setting.
AOD Registration from an Accredited authority (CCAPP, CADTP, CAADE) is required.
First Aid and CPR certification.
A valid California driver’s license.
Understanding of substance use disorders, co-occurring mental health conditions, harm reduction, trauma-informed care, and recovery-oriented systems of care.
Familiarity with ASAM Criteria, DMC-ODS regulations, and Medi-Cal billing procedures is highly preferred.
Strong interpersonal and communication skills, with the ability to build rapport with diverse populations and advocate for clients' needs.
Ability to work effectively in a fast-paced, collaborative, and client-centered environment.

Nice To Haves

AOD Certification from an Accredited authority (CCAPP, CADTP, CAADE).
Bachelor’s degree in a related field.

Responsibilities

Conduct comprehensive assessment of case management needs and utilize information in the clients’ American Society of Addiction Medicine (ASAM) Assessment to determine and provide appropriate care coordination services.
Support clients in obtaining and maintaining benefits including Medi-Cal.
Develop individualized care coordination goals for clients’ treatment plans that align with clients’ needs, preferences, and recovery goals, ensuring integration with co-occurring mental health and medical services when applicable.
Monitor and track clients’ progress toward care coordination goals, making adjustments to care plans based on evolving needs and treatment responses.
Collaborate with the clients’ treatment team to ensure appropriate use of case management business passes that do not interfere with clients meeting daily treatment requirements.
Serve as the primary point of contact relating to care coordination needs for clients, their families (when appropriate), and internal and external service providers to ensure a holistic, client-centered approach to care.
Completes all Releases of Information.
Facilitate linkage to internal and external community resources, social services, medical care, mental health care, and housing to support clients in accessing and utilizing services to meet their care coordination goals and support long-term recovery.
Facilitate linkage to lower or higher levels of care when clinically indicated.
Coordinate warm handoffs to outpatient treatment providers, mental health professionals, and other community-based resources to provide a supported transition out of residential care and into lower level of care.
Advocate for clients’ rights and access to necessary services, ensuring that cultural and linguistic needs are met.
Develop aftercare and discharge plans that prioritize continued care engagement and relapse prevention strategies.
Transition planning and preparation for enrollment in education or employment programs after residential treatment.
Participates in weekly reauthorization team meetings regarding ongoing medical necessity, facilitates identified linkages, and facilitates transition planning.
Collaborate with therapists, case managers, housing navigators, and any providers involved in clients’ care to coordinate continuity of ongoing aftercare services and assist clients in successfully reintegrating into the community.
Conduct follow-up coordination with clients within 14 days post-discharge to monitor successful linkage to aftercare services and encourage continued participation in treatment.
Assist clients in scheduling and attending medical, MAT, dental, and psychiatry appointments as well as follow-up and specialty care appointments and supports clients in picking up medications to teach clients skills to independently manage their healthcare while navigating triggers in the community.
Support clients in completing SDI applications as needed.
Coordinate transportation for in-person appointments and connect clients remotely for telehealth appointments.
In the event of hospitalization, communicate with hospital and HR360 medical leadership to determine hospital discharge timeline and appropriate level of care following hospital discharge.
Maintain open and timely communication and collaboration with multidisciplinary treatment teams, including therapists, case managers, medical staff, and social workers.
Ensure accurate and timely documentation of services provided, including progress notes, assessments, referrals, treatment updates, and transition and discharge documents in compliance with DMC-ODS billing and documentation guidelines.
In addition to care coordination services, facilitates and documents client group activities, psychoeducation and clinical groups, as well as individual counseling services as needed.
Meets service delivery expectations.
Responsible for ensuring a safe and orderly treatment environment for clients, staff, and visitors which includes crisis management and de-escalation, emergency response, overdose prevention and response, safety checks to account for the well-being of all clients at least hourly, property searches, substance use testing, nexus/front desk duties, monitoring meal periods, incident reporting and other required documentation.
Participate in case reviews, team meetings, staff and agency meetings, and audits to ensure adherence to program standards and continuous quality improvement.
Participates in and completes all training.
Perform other duties as assigned.