Clinical Case Manager - AT HOME Program

Supports the multidisciplinary permanent supportive housing team with clinical skills and experience. The primary role is to assess, plan, develop, coordinate, and provide therapeutic and rehabilitative services to an average caseload of 17 clients with severe and persistent mental illnesses, chronic health conditions, and/or substance use disorder. Utilizes Housing First, harm reduction, and trauma-informed approaches to assist clients in overall improved well-being, stability, and quality of life in conjunction with safe and stable housing. Provides services in clients’ homes at a single supportive housing property and assists them in accessing additional services, resources, and supports in the community.

Responsibilities

• Provide case management and advocacy for an assigned group of clients in coordination with a multidisciplinary team, assuming primary responsibility for developing, implementing, evaluating, and revising goals and individualized service plans in collaboration with clients.
• Provide regular and timely opportunities for face-to-face meetings to assure clients’ progress toward self-sufficiency.
• Provide symptom education to enable clients to identify symptoms of mental illness.
• Conduct ongoing assessment of clients’ mental illness symptoms and response to treatment; make appropriate changes in treatment/service plans to ensure immediate and appropriate interventions are provided in response to changes in mental status or behavior (e.g., suicidality).
• Teach behavioral symptom management techniques to alleviate and manage symptoms not reduced with medication and to promote personal growth and development by assisting clients to adapt and cope with internal and external stresses.
• Coordinate with outside programs and facilities to assist clients in identifying and accessing appropriate substance use treatment, including medical detox programs, inpatient and outpatient recovery programs, and self-help programs (e.g., Alcoholics Anonymous, Narcotics Anonymous). Develop plans for aftercare.
• Provide ongoing assessment, problem-solving, side-by-side services, skill training, supervision, and environmental adaptations to assist clients with activities of daily living.
• Assist and support clients to have and effectively use a personal primary care physician, dentist, and other medical specialists as required.
• Assist in establishing initial housing, rehousing, and housing stability.
• Plan and provide work-related supportive services, linking participants with other agencies/organizations/programs that assist with educational and career planning.
• Teach money-management skills.
• Provide nutritional education and assistance with meal planning, grocery shopping, and food preparation.
• Help clients to access reliable transportation; transport clients to appointments in personal vehicle as needed.
• Plan, structure, and prompt social and leisure-time activities on evenings, weekends, and holidays.
• Work creatively and professionally with other team members to determine best integration of activities and resources for clients in the agency and community.
• Engage in appropriate teamwork functions to provide a professional working environment and effective service delivery.
• Act as a liaison and consult with community agencies and families to maintain coordination in the treatment process.
• Build relationships with other service providers to enhance service delivery.
• Develop contacts with the public and private sectors for education and training opportunities.
• Manage case data by entering it in a timely manner into Service Point, the database utilized for the Homeless Management Information System (HMIS).
• Regularly prepare and maintain accurate records and reports, following documentation guidelines.
• Work cooperatively with all components of Caritas of Austin services.
• Participate in regular staffing meetings, monthly department meetings, and quarterly all-staff meetings.
• Attend training sessions as required.
• Comply with all company safety, personnel, and operational policies and procedures.
• Perform other duties as necessary to fulfill the Caritas of Austin Mission.

Requirements

• Bachelor’s degree from an accredited college or university.
• LBSW, LMSW, LCSW, LPC-A, LMFT, LCDC, Community Health Worker (CHW), or other applicable licensure. Licensure must be obtained prior to or within 90 days of hire.
• Minimum one year of professional related experience.
• Valid Texas driver’s license, ability to drive, and reliable transportation.

Preferred Qualifications

• Master’s Degree from an accredited college or university in the area of human services (e.g., social work, psychology, public health, counseling).
• Past work in housing programs, a clinical or rehabilitation setting, or with people experiencing homelessness; experience working with people with mental health disorders.
• Bilingual proficiency (English and Spanish or other language).
• Experience with HMIS (Homeless Management Information System).

Skills

• Ability to work with diverse populations including clients and staff in critical and emergency situations.
• Ability to formulate collaborative, comprehensive treatment plans and address problematic and/or crisis situations with clients and/or other team members.
• Strong self-care practices to manage stress well.
• Excellent interpersonal, communication, listening, and writing skills.
• Sensitivity to cultural, economic, gender, and sexual orientation differences.
• Ability to work with diverse racial, ethnic, and economic groups.
• Flexible work schedule and ability to work on-site or remotely with high productivity in both settings.
• Ability to set appropriate limits, work under deadlines, and multi-task.
• Strong organizational, prioritization, and self-motivation skills to deliver results.
• Strong work ethic and adherence to the highest ethical standards, personally and professionally.
• Basic knowledge of severe and persistent mental illness and substance use disorder.
• Basic knowledge of community resources available for clients with serious and persistent mental illness and homelessness.
• Openness and willingness to receive feedback and suggestions from superiors and others, and to learn new skills to improve job performance.
• Ability to form partnerships in the community and seek out community resources.
• Strong oral and written communication skills.
• Strong organizational, time management, and data management skills.
• Proven ability to work effectively both individually and as part of a team.
• Ability to multi-task and problem-solve under pressure.

Benefits

• Salary: $52,091 - $62,278, with final offer based on education and experience.
• Health Benefits: Medical, dental, vision, life, and disability insurance, including one medical plan fully paid by Caritas of Austin for employee-only coverage, with additional plan options available.
• Time Off: 20 days of PTO in year one (increasing with tenure) and 14 paid holidays.
• Retirement: 403(b) retirement plan with employer match.
• Additional Perks: Mileage reimbursement, monthly phone stipend, discounted memberships (e.g., LegalShield), and parking for employees working from the downtown location (if applicable).
• Student Loan Forgiveness: Qualifying employer under the Public Service Loan Forgiveness (PSLF) program.