Stabilizer/Retention Case Manager
Coordinated Entry System (CES)
Coordinated Entry System provides comprehensive services designed to address the root cause of poverty and homelessness within SPA 1 of Los Angeles County. Participants may be mentally ill, have intellectual developmental disabilities, substance abuse issues, and chronic medical/physical disabilities, exiting institutions and are homeless.
Case Manager’s will provide intensive participant engagement, coordinate services, monitor housing plans and mutually designed goals while advocating for each client. The emphasis is on long-term economic and housing stability in keeping with the Housing 1st
goals. The Case Manager works with clients, which have been placed in housing. They are actively engaging clients to address any barriers or challenges, which hinder the client from remaining in stable housing.
Case Managers are responsible for the development and implementation of a housing stabilization plan for formerly homeless individuals and families who are newly housed; the housing stabilization plan will focus on increasing housing sustainability. Housing stabilization support will occur via phone, email, mail and/or in person. Responsible for building and maintaining relationships with landlords/management firms/property owners as well as with partner agencies and resource providers in the Coordinated Entry System. Case Managers are also responsible for learning and staying up-to-date on the best practices in homeless services (e.g. Housing First Model, Harm Reduction, Motivational Interviewing, etc.).
Essential Job Functions:
Knowledge, Skills & Abilities:
- Assess each participant’s acuity using evidence-based assessment tools and work with participants to create a housing stabilization plan that will maximize housing retention and increase quality of life and community engagement. Assessments will be conducted face-to-face and in the participant’s home whenever possible.
- Review and update stability plan monthly and upon completion of goals.
- Assist participants with accessing resources and services to increase housing stability (e.g. linkage to primary care physicians, health insurance, food banks, credit repair, legal aid, In Home Supportive Services (IHSS), money management, tenant rights and responsibilities, mental health, benefits enrollment, etc.).
- Conduct regular home visits and accompany participants as needed to appointments related to housing stability (e.g. HACLA appointments, doctor appointments, court appearances, benefit hearings, etc.).
- Provide counseling, instruction, and assistance (one-on-one and in group settings) to participants in the area of increasing skills of independent living such as paying bills, budgeting, household management and cleanliness, personal care, cooking, nutrition and non-hoarding behavior.
- Assist participants in developing and attaining goals related to education, vocational training, and/or employment.
- Provide crisis intervention as needed, if participant is at imminent risk of returning to homelessness.
- Provide advocacy as needed to help address issues and barriers between landlords and participants. Submit legal referrals as needed to ensure participants are well informed of tenant rights and remove any barriers to housing.
- Work to consistently develop and maintain collaborative relationships with partner agencies and services providers within the Coordinated Entry System to address participant needs relevant to increasing income, improving daily living skills, and increasing community engagement.
- Participate in case conferences, tenant meetings, staff meetings, and community meetings as required.
- Work with a diverse and marginalized caseload of participants, experiencing many barriers including homelessness, complex trauma, medical, mental health needs and substance use
- Assist individuals at every stage of the housing stabilization process including flexible services to meet the individual needs of participants
- Engage participants in problem solving dialogue to assess for additional resources available within the participant’s own network.
- Interview and evaluate participants to identify social, emotional, and economic factors, which may interfere with attaining stability and optimum health
- Obtain consents and authorizations for participants in the program
- Perform housing location duties to identify appropriate housing options for participants, when necessary
- Assist participants with accessing temporary housing and obtaining permanent housing. Facilitating the move in process before and after move in. Including but not limited to assistance with housing applications, housing identification, landlord negotiation and on-going landlord engagement, when necessary
- Meet face to face with participants between one and three times a month prior to obtaining housing and once participant has successfully moved into stable housing
- Transport/accompany participants in agency or personal vehicle to unit search, viewing, lease signing and to various agencies and healthcare providers in the greater Los Angeles area to increase community support services and community reintegration
- Assist participant with linkage to community resources for in-home supportive services if necessary
- Provide participants with linkage to benefits establishment, vocational resources and employment to increase income
- Link participants with appropriate medical, mental health, substance abuse providers, as well as recuperative care, food, clothing and transportation resources
- Help to create safe and healthy activities for leisure/recreation, guide participant on developing positive interpersonal relationship skills and adapt to their neighborhood
- Complete regular reassessments to ensure that the participant continues to require assistance
- Develop and maintain complete, accurate, and current files with all required documents and data in agency records and electronic database, HMIS. Includes updates to changes in income and any demographic domain
- Maintain confidentiality of participant files per HIPAA and all applicable guidelines
- Document services provided within 24 hours
- Ensure services to participants are reflective of customer choice and emphasize housing first, harm reduction and trauma-informed care models
- Use effective communication skills such as active and reflective listening to build rapport
- Utilize appropriate motivational interviewing interventions to increase positive outcomes
- Liaise with other providers within the agency, as well as outside to formulate strength based strategies that focus on housing retention and general wellness
- Participate in staff meetings, individual and group supervision, case conferences and training as required
- Adhere to agency policies and procedures including confidentiality, child abuse reporting, and code of ethics
- Additional tasks, projects and or responsibilities as assigned by Supervisor that are not outlined but which are an important part of the agency’s goals and/or program outcomes
Qualifications & Experience:
- Clear understanding of the concepts of Housing First, Harm Reduction, Trauma Informed Care, Motivational Interviewing, and the Coordinated Entry System
- Knowledge of issues facing homeless individuals (e.g. chronic health, substance abuse, mental health, domestic abuse and resources for undocumented individuals)
- Knowledge of housing resources, subsidies, and local and federal programs
- Knowledge of public systems of care for homeless individuals, including mainstream resources
- Knowledge of supportive housing, housing markets, city planning and/or public policy
- Knowledge of federal, state and local Fair Housing Laws
- Knowledge and understanding of policy, systems, and local programs that impact homeless persons and related public funding sources, regulations, requirements, and procedures
- Knowledge of best practice models for assisting homeless people with varying degrees of needs/conditions and have a strong understanding of contractual requirements/compliance and applicable performance measures
- Knowledge of resources including legal, medical, housing, educational and social service agencies and other resources in the community
- Ability to respond quickly and effectively to individuals who may be ill, using substances, lack of personal care, in crisis situations and/or potentially hostile situations
- Ability to deescalate aggressive/agitated individuals
- Ability to work with a diverse population and provide culturally competent advocacy
- Must be able to exercise initiative, independent good judgment, flexibility, discretion, and solid decision making
- Actively promote positive, nurturing interactions between participants
- Ability to handle common problems without supervisor intervention while knowing when supervisor participation is warranted
- Must be able to successfully manage multiple priorities, meet deadlines, adjust to changing; circumstances, and demonstrate confidence working with diverse stakeholders
- Work effectively under conditions of limited supervision, high stress and rapidly changing situations and circumstances
- Able to take appropriate steps to deal with emergency situations with the goal of maintaining the safety of all participants
- Promote cooperation and commitment within a team to achieve goals and objective; collaborate with team members, sharing ideas and differences openly; be receptive to new ideas and adapt to change as necessary
- Considers impact of personal and professional choices. Consistently make decisions in keeping with organizational values and Supervisor’s direction
- Excellent organizational skills and the ability to follow through from beginning to end on tasks
- Outstanding communication skills, both written and oral; must communicate professionally and positively with participants, co-workers, management, community partners, employers, landlords, and other service providers
- Proficient with office communication equipment and machines (telephone, copier, calculator, fax machine, personal computer, laptop, computer printer and scanner).
- Proficient in use of laptop/desktop computer, Microsoft Windows and Office software programs (Word, Excel, and PowerPoint) and Google drive
- Strong time management skills and the ability to multi-task and prioritize in a fast-paced environment, while exercising sound judgment.
- Strict confidentiality must be observed as it relates to participant information, agency business, program decisions and all other personal information
- Use of a personal vehicle may be required to travel in and around Antelope Valley and/or Los Angeles County and periodically transport participants
- Maintain professional boundaries and work collaboratively with participants, volunteers and staff
- Ability to communicate effectively orally and in writing
- Accountability – be on time for scheduled shifts
- Be able to read and write English
- Bilingual Preferred but not required
- High School Graduate or equivalent
- Bachelor’s Degree in Social/Human Services or related field, strongly preferred
- One year experience in case management for homeless individuals
- Experience with Homeless Management Information System (HMIS)
- Experience with homeless, vulnerable and/or diverse population
Work Conditions & Physical Demands:
- Must have a valid California Driver’s License;
- Reliable transportation;
- Auto Insurance;
- Clean driving record;
- Employee will be required to complete a TB test, fingerprinting, drug screen (employment pending on drug screen), 72-hour Domestic Violence/Sexual Assault training and CPR/First Aid certification.
The following are work conditions that one may encounter in the course of performing their job duties:
- May be in contact with individuals in crisis
- May experience unpleasant sensory demands associated with an individual’s use of alcohol and drugs, and lack of personal care
- May experience crisis situations and potentially hostile situations, must be ready to respond quickly and effectively.
An employee is required to:
Walk and climb stairs; Handle, grasp and feel objects and equipment; Reach with hands and arms; extend both arms above the head and/or reach below the waist; Communicate ideas and information verbally and written word; Be able to move oneself quickly and easily from place to place; Repeat various motions with hands, wrists, fingers; Climb on stools, steps and/or ladders; Be subject to outside environmental conditions, including but not limited to: Rain, heat, wind.
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions. If accommodation(s) are required, employee must inform Human Resources by the first week of employment. If an accommodation is not required at the time of employment, but is later required, you must inform Human Resources at the time it is needed.
* Remote Work: Valley Oasis considers Remote Work to be a viable, flexible work option when both the employee and the position are suited to such an arrangement and must meet eligibility requirements
||Employee Assistance Plan
||Cafeteria 125 Plan
||Remote Work *
||14 Observed Holidays
Monday – Friday 8am – 5pm (may be required to work other than normal duty hours, to include evenings, weekends, holidays and/or on call status)
An Equal Opportunity Employer: Selection will be based solely on merit and will be without discrimination because of age, race, sex, religion, national origin, marital status, sexual orientation, mental or physical disability.
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