Case Manager III

Responsibilities

• Assesses veterans referred to the program to include any problems, needs, or barriers identified in the following areas: Housing, Employment, Education/Training, Financial, Sobriety Support/Addiction Treatment, Legal, Family/Social, and Medical/Psychiatric
• Coordinates care with VA personnel and other community partners on behalf of clients to for eligibility documentation, mental and physical health services.
• Facilitates client intake process and compiles client files ensuring all program eligibility documentation is complete
• Collaborates with clients to complete Individual Action Plans (IAP)
• Provides guidance to Case Manager I & II staff on client IAPs, client intervention strategies, progress notes, discharge planning, etc.
• Conducts crisis intervention and supports Case Manager I & II staff with client issues
• Maintains confidential client files in a professional and timely manner ensuring all forms are the most recently revised versions and in compliance with organization standards; all required documents are present, complete, signed by the client and staff as applicable; and documents are placed in the correct order according to organization standards
• Mets with clients as specified by program requirements and documents progress notes in Data/Assessment/Plan (DAP) format
• Reviews and documents updates for IAPs on a monthly basis
• Completes timely discharge summaries
• Conducts home visits (whether at project-based units or scattered site) to provide case management services and ensure health and welfare of clients
• Aids in quality management activities, data collection, and preparing reports
• Facilitates client life skills classes
• Provides specialized case management services and life skills groups/classes to veteran subpopulations as applicable (such as female veterans, disabled veterans, Iraq/Afghanistan veterans, etc.)
• Conducts random drug and alcohol screenings of clients
• Maintains confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA) standards
• Aids in auditing of client documentation such as client eligibility documentation, case notes, IAPs and IAP reviews, discharge forms
• Aids in training new staff and providing training to team members
• Aids with urgent client issues outside of business hours as needed
• Completes accurate and timely data entry into the HMIS system as applicable and other required internal and external databases
• Documents client referrals for services
• Attends scheduled team meetings and trainings
• Maintains and submits time sheets, mileage logs, client expenses, and other required documentation accurately and in a timely fashion
• Drive company vehicle for client transportation or other work-related activities

Additional Program-Specific Duties

• Transitional Housing Clients:
• Focuses on providing case management services that result in clients transitioning to permanent housing
• Ensures clients are accounted for daily through contact, bed check, and/or daily sign-in logs
• Makes sure program rent/participant fee compliance to assist clients in prioritizing housing
• For programs with scattered-site transitional housing such as the Transition In Place (TIP) Program, locates housing units in the community that meet clients’ needs
• Permanent Housing Clients:
• Focuses on providing case management services that result in clients obtaining and maintaining permanent housing
• For programs with scattered-site permanent housing, locates housing units in the community that meet clients’ needs
• For programs that serve families with dependent children, ensures that children and youth are enrolled in school and connected to the appropriate services within the community, including early childhood education programs
• Workforce Clients:
• Aids with Workforce Program Assessment and Enrollment processes
• Works with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with the planning of short-term and long-term employment goals to include education and training goals
• Provides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive services
• Facilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.
• Makes presentations of clients’ employment backgrounds to prospective employers
• Learns and maintains knowledge of community employment agencies and procedures, along with any modifications to those procedures
• SSVF Clients:
• May report directly to the SSVF Team Leader if applicable
• Conducts rapid rehousing and homeless prevention services for veterans and their families
• Works with clients to develop a Housing Stability Plan
• Provides case management services to family members in the veteran household
• Conducts home visits to provide case management services
• Ensures that dependent children are enrolled in school and connected to the appropriate services within the community, including early childhood education programs
• Maintains compliance with VA regulations and organization protocols in requesting and distributing Temporary Financial Assistance to third-parties on behalf of veteran households to include cross-referencing HMIS
• Aids in rapidly placing homeless veteran families into housing
• Coordinates with VA Grant & Per Diem Transitional Housing Programs for immediate placement of clients and case manages them while they are on the Rapid Rehousing Track of the program
• Incarcerated Veterans Transition Program (IVTP) Clients:
• Assists with Program Assessment and Enrollment processes for clients currently in jail/prison or recently released from jail/prison
• Works with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with the planning of short-term and long-term employment goals to include education and training goals
• Provides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive services
• Facilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.
• Makes presentations of clients’ employment backgrounds to prospective employers
• Learns and maintains knowledge of community employment agencies and procedures, along with any modifications to those procedures
• When clients are currently incarcerated, meetings and classes will be conducted in the jail/prison
• Ability to pass background for clearance into jails/prisons
• PREFERRED EXPERIENCE WORKING WITH CLIENTS TRANSITIONING FROM JAIL/PRISON
• HUD VASH Clients:
• Provide case management and care coordination to facilitate appropriate delivery of health care services, incorporating complex multiple causation in the differential diagnosis and treatment of Veterans including making psychosocial and psychiatric diagnoses within approved clinical privileges or scope of practice
• Is professional, tactful, and mindful of the local environment on the ground when interfacing with clients and partners alike
• Possess fundamental knowledge of medical and mental health diagnoses, disabilities, and treatment procedures
• Work with veterans and their families experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, and psychosocial challenges
• Facilitate client intake process and compile client files ensuring that all program eligibility documentation is complete
• Assess veterans referred to HUD/VASH holistically to include any problems, needs, or barriers identified in the following areas: Housing, employment, education/training, financial, sobriety support/addiction treatment, legal, family/social, and medical/psychiatric
• Examines psychosocial factors to identify level of functioning and degree of impairment in housing, employment, education/training/academic, financial, sobriety support/addiction treatment, legal, family/social, and medical/psychiatric areas, and implement clinically-indicated treatment modalities
• Evaluate and assess lethality, perform Mental Status Exams (MSE), identify psychiatric manifestations of various medical conditions
• Collaborate with clients to complete Individual Housing and Employment Plans (IHEP) and Mental Health Treatment Plans (MHTP)
• Possess knowledge of the criteria and state laws for legal commitment and involuntary hospitalizations
• Ability to assess and intervene with patients of suspected abuse
• Provide counseling or psychotherapy for individuals, families, and groups
• Facilitate housing stability supportive services to Veterans which include, but are not limited to: Resident Town Halls, recovery groups, recreational activities, life skills groups, substance abuse groups, bringing in community resources (e.g., legal, financial), peer support groups, faith-based services and/or employment services/opportunities
• Conduct in-home, community, and in-office visits to provide on-going re-assessments with the veteran
• Establish and maintain effective working relationships and communicate with clients, staff, and representatives of community agencies
• Complete accurate and timely data entry into the HMIS and HOMES systems as applicable and other required internal and external databases
• Review and document updates for IHEPs monthly and MHTPs at a minimum every six months or as needed
• Aid in auditing of client documentation such as client eligibility documentation, case notes, IHEPs and IHEP reviews, and discharge forms
• Document client referrals for services
• Maintain Basic Life Support (BLS) certification; American Heart Association certification is preferred
• Attend scheduled team meetings and trainings
• Maintain and submit data reports, tracking sheets, time sheet