Clinical Case Manager

SUMMARY

Responsible for providing high quality program-based case management services to families assigned to a homeless shelter within SVDP Homeless Services Division. The Case Manager assists clients in developing goals that lead to housing stability, monitors progress toward these goals, and provides structure, direction, and service linkage for participants to assist them in transitioning from shelter to permanent housing. Case Managers aid people across a variety of age groups, cultural backgrounds and varying mental and physical conditions. Case Managers act as an advocate for their client’s overall health and social stability to ensure they receive the appropriate level of care based on the client report and appropriate results of administered assessments. Case Managers develop service plans that best fit the needs of the individual or family being served. Case Managers develop transitional plans for clients to ensure they continue receiving excellent care after being discharged from an SVDP program, within the community or via another SVDP related program.

PRIMARY DUTIES

• Develops with each client or family a detailed Service Plan centered on goals that assist in maintaining stable housing. The Service Plan will include specific goals established and executed while the client or family is being triaged in their assigned program within the Homeless Services Division. Goals should be centered around housing stability, developing action plans aimed at successful attainment of goals and timelines for the following areas:

• Community service linkage
• Family supportive services
• Employment and Educational Services
• Mental health support
• Financial needs and Budgeting
• Somatic health management
• Landlord/Tenant Relationship and Community Living

• Ensures the successful completion of assigned goals for client or family documented within the Individual Service Plan (ISP).
• Ensures timely and thorough case notes within external and internal documentation systems.
• Provides individual life skills support and support to address barriers to success.
• Provides a minimum of two case management sessions each month to participants.
• Monitors and provides community linkages for participants in the areas of health, mental health, education and employment, housing, mainstream benefits, and parenting assistance; if applicable.
• Collects monthly statistics and submits to Director as required.
• Complete applicable assessments for program participants to ensure proper services and resources are offered.
• Complete appropriate person-centered planning to develop short- and long-term goals which correlate with prescribed time the individual should be allotted support from their assigned program.
• Identify and provide linkage to community resources which will assist the client in achieving their own autonomous success.
• Advocate for clients, when applicable, to decrease the number of systemic barriers that may prevent the client from achieving success.
• Work collaboratively with internal and external stakeholders to ensure appropriate case coordination to ensure optimal communication and transition within the service delivery process.
• Gather relevant data via the identified organizational tools to properly monitor activities that aim to support the client in achieving short- and long-term goals within their time-of-service engagement.
• Develop transitional plan 90 days prior to discharge of every client and family household to ensure the implementation of transitional resources and service linkage for the continued success of the client.

SECONDARY DUTIES

• Keeps updated on most effective means of accessing services available within the larger community and maintains an active database for referrals and community partners.
• Participates in registration and processing of participants via the electronic Homeless Management Information System (HMIS).
• Ensures that each participant agrees, understands, signs, and is in compliance with the Participant Service Agreement.
• Provides crisis intervention as and when needed.
• Represent St. Vincent de Paul of Baltimore to various groups, organizations, and service providers appropriately and within organizational standards.
• Upholds the vision, mission and values of St. Vincent de Paul of Baltimore.
• Attends all staff meetings and other meetings as directed.
• Supports a welcoming and positive environment for volunteers and works with them effectively.
• Other duties as assigned within the scope of the position.