Case Manager

About the role

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 and transitional plans to ensure continued excellent care after discharge.

Responsibilities

• Develops with each client or family a detailed Service Plan centered on goals that assist in maintaining stable housing, including specific goals established and executed while the client or family is being triaged in their assigned program. Goals should focus on:
  • 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.
• Completes applicable assessments for program participants to ensure proper services and resources are offered.
• Completes appropriate person-centered planning to develop short- and long-term goals correlating with the prescribed time the individual should receive support from their assigned program.
• Identifies and provides linkage to community resources to assist the client in achieving autonomous success.
• Advocates for clients to decrease systemic barriers preventing success.
• Works collaboratively with internal and external stakeholders to ensure appropriate case coordination and optimal communication during the service delivery process.
• Gathers relevant data via organizational tools to monitor activities supporting the client in achieving short- and long-term goals.
• Develops a transitional plan 90 days prior to discharge for every client and family to ensure implementation of transitional resources and service linkage for continued success.

Secondary Duties

• Keeps updated on the most effective means of accessing services 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 each participant agrees to, understands, signs, and complies with the Participant Service Agreement.
• Provides crisis intervention as needed.
• Represents 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.
• Performs other duties as assigned within the scope of the position.