Supportive Housing Case Manager Full-Time

Episcopal SeniorLife Communities•City of Rochester, NY

About The Position

Episcopal SeniorLife Communities (ESLC) provides services ranging from skilled nursing and restorative care to housing, assisted living, and community-based wellness programs. Its mission emphasizes high-quality, culturally competent services and support for individuals and their families through transitions. The Service Coordinator works cooperatively with older adults and their supports to identify goals and locate services that enhance well-being and help participants maintain housing in ESLC’s Supportive Housing Program. The program is funded by the Empire State Supportive Housing Initiative (ESSHI) and provides housing to adults aged 55 and older who are homeless or at risk of homelessness, have active Medicaid, and can benefit from service coordination. This role coordinates care with participants, their natural supports, community providers, and medical professionals; completes assessments and care plans; helps participants access services and maintain housing; and completes program documentation within required timeframes. The position also involves supporting activities and programs, attending meetings, assisting with benefits management, and providing cross-training and coverage for other Medicaid waiver service coordination programs as needed.

Requirements

A bachelor’s degree in Social Work or a related field is preferred; an associate degree plus two years of experience working with homeless individuals who have co-occurring mental health, substance abuse, and physical health problems also qualifies.
Valid New York State driver’s license.
Reliable transportation.
Flexibility, organization, and the ability to exercise independent, sound judgment.
Knowledge of community resources, Medicaid services, and available non-Medicaid services.
Demonstrated ability to collaborate effectively in a team setting.
Ability to maintain effective, professional relationships with participants and other care-team members.
Strong communication skills.
Ability to engage participants effectively in a person-centered relationship.
Ability to meet with participants in their apartments and in common areas of the building.
Working knowledge of differential diagnosis of common mental health and/or substance use disorders, when appropriate.
Computer skills, including working within a Windows operating system and creating, saving, opening, closing, and forwarding electronic documents and emails.
Ability to organize the workday and work independently while remaining flexible and able to work in a team environment.

Nice To Haves

Bachelor’s degree in Social Work or a related field.

Responsibilities

Coordinate care needs with participants, their natural supports, community providers, and medical professionals as needed.
Complete Health and Wellness Assessments and care plans at move-in and every six months.
Use assessments and care plans to help participants work toward their goals.
Participate in food delivery and distribution to residents.
Facilitate support groups.
Participate in bi-weekly team meetings to maintain communication with the team.
Participate in and possibly facilitate required or requested meetings involving participants, natural supports, service providers, and other designated individuals.
Document all encounters with participants, participant providers, other agencies, and supports.
Ensure participants have the tools and support needed to maintain housing in the community.
Facilitate referrals to indicated services, including housing assistance, vocational rehabilitation, substance abuse treatment, day programs, and medical providers.
Complete required documentation for services in which an individual is enrolled and meet program-regulation timelines and timeframes.
Encourage participants to attend programs and provide in-person support during programs as needed.
Inform residents about local resources, including the ESLC Neighborhood Program, and support participants and Neighborhood Program participants in the program.
Provide cross-training and cross-coverage for Medicaid Waiver Service Coordination Programs, including Traumatic Brain Injury and Nursing Home Transition Diversion, as needed.
Attend weekly, monthly, and quarterly meetings.
Ensure participants maintain active Medicaid and assist with managing other benefits.

Benefits

100% employer-paid medical insurance for the High-Deductible Health Plan for single subscribers.
Health Savings Accounts with weekly employer contributions or Flexible Spending Accounts.
Dental insurance with orthodontist coverage.
401(k) with a 100% company match on the first 3% of employee contributions.
Competitive pay and weekly payroll.
Tuition assistance for courses and degrees that support professional growth.
Earned Time Off that accrues weekly and is available for use after 90 days of employment.
Six designated paid holidays and one floating holiday.
Voluntary benefits and insurance, including Short-Term Disability and Vision.
Employee Assistance Program.
Access to Workforce Success Coaches.