Case Manager, CAL AIM - Santa Cruz County & Monterey County (One Year Assignment 36 Hours/Week)

Job DetailsLevel: ExperiencedJob Location: Santa Cruz, CA - Santa Cruz, CA 95060Position Type: Full TimeEducation Level: Graduate Degree or a combination of educSalary Range: $28.01 - $32.67 HourlyTravel Percentage: Requires travel during the workdayJob Shift: DayJob Category: Nonprofit - Social ServicesWage Range: $28.01 - $32.67 per hour

POSITION SUMMARY

Under the supervision of the Associate Director, Supportive Housing the CAL AIM Case Manager is responsible for oversight of the delivery of resident services programming at properties that serve high needs individuals, families, seniors and those with special needs within Eden Housing’s portfolio. The CAL AIM Case Manager is responsible for the coordination of services for high-need populations and low- income households living at each site.  Additionally, this role is responsible for the development of collaborative relationships with county provided services providers, Enhanced Case Management (ECM) providers and with outside community-based organizations to bring robust and relevant programming to Eden Housing residents.

ESSENTIAL DUTIES AND RESPONSIBILITIES

Independently deliver onsite programs, ensuring implementation of programs at assigned locations to meet agreed internal standards and objectives and applicable regulatory expectations
Regularly conduct door-to-door, phone, e-mail outreach and other marketing strategies to make residents aware of services offered
Assist in and/or provide crisis intervention and follow-up (including but not limited to child abuse or adult abuse reporting); appropriately implement mandated reporting policies and procedures
Support case management services for identified residents who exhibit signs of functional impairment, including support to develop independent living skills
Provide group and one-on-one services to residents and support community building activities at assigned properties
Collaboratively work with the residents to support independent living and personal and professional goals.
Ensure collaboration is being met with residents’ ECM providers and county case workers to ensure residents’ needs are met.
Conduct in-depth needs assessments and develop personalized care plans in collaboration with residents, ensuring Strengths-Based alignment with Trauma-Informed Care (TIC) principles and Harm Reduction philosophy.
Coordinate care with various providers (doctors, therapists, social workers) through in-person consultations and remote communication, prioritizing culturally competent and client-centered approaches.
Conduct home visits to build rapport with clients, assess their living environment, and provide direct support to ensure safety and stability.
Monitor client progress and adapt care plans as needed based on client interactions, feedback, and observations, in alignment with best practices for care management and eligibility for billing.
Document all client interactions and services accurately and daily, ensuring authorizations, case notes, care plans, and assessments meet required standards for billing and quality service delivery.
Attend multi-discipline coordination meetings to discuss case progress, barriers, and receive guidance from health professionals.
Assist in the development of resident care plans to be submitted to the managed care plan for approval.
Educate residents about programmatic options and advocate for residents’ needs
Ensure that all established HIPAA policies and procedures are maintained and strictly adhered to.

Partnership Management

Familiar with Services’ partnership goals and selection criteria; engages with property-level partners to support these goals/criteria and communicates with supervisors where improvements may be needed
Collaborates well with local community agencies in proximity to assigned property
Work collaboratively with Eden Property Management, Eden Resident Services staff, community partners and community-based services providers to address/ resolve property concerns or neighbor disputes

Customer Service

Support property-level needs assessments and associated follow-up (e.g., community meetings)
Participate in development of property service plan that is responsive to resident needs
Communicate and execute actions based on stated and assessed needs
Offer exemplary customer service and responsiveness to residents

Data-driven Decision-making

Maintain accurate property-level records and files (including but not limited to entering data and tracking all service activities on a daily/weekly/monthly basis)
Ensure timely property-level reporting, consistent with Services’ policies, procedures, and training

Effective Team Building

Participate in staff and team meetings, training, group outings and other site sponsored events
Apprise direct supervisor of activities and incidents in a timely manner
Cultivate collaborative relationships with Property Management peers and colleagues at t