Permanent Supportive Housing Case Manager - Pecan Gardens

Service Delivery: Provide case management to a culturally diverse population and promote a successful desired outcome. Provides case management expertise, including assessments, care planning, supportive counseling, community resources, monitoring progress, collaboration with other providers, and care coordination. Focus on service delivery such as housing, basic needs, physical and mental health, substance use, financial stability, and overall well-being, aiming to enhance the client's self-sufficiency and quality of life. Conduct community-based outreach and are expected to actively navigate various field environments to locate referred individuals, establish engagement, complete required outreach documentation, verify homelessness and chronic homelessness status, obtain vital documents, and coordinate housing placement. Respond to communication regarding referrals and clients within 24 hours during the work week. Consistently advocate on behalf of clients; act as a mediator and seek solutions to housing stability concerns and crisis situations. Collaborate and build relationships with external providers and entities, including landlords, property management companies in support of housing retention and stability. Collaborate with community organizations such as healthcare providers, behavioral health agencies, hospitals, correctional facilities, funding partners, and other stakeholders to support housing access, service coordination, and housing retention outcomes. Develop individualized service plans to establish scope of services and to monitor progress toward client goals; ensure that service plans are person centered, participatory, comprehensive, and measurable. Ensure payments related to housing stability are made on time and in full. Maintain client contact to achieve the goals set in the service plan. Assists clients with securing and maintaining benefits, entitlements, wrap-around services, disability support resources, and other income. Assist in maintaining information in each client's EHR, including demographics, assessments, care plans, progress notes, and discharge summaries. Maintain updated client eligibility documentation to ensure program compliance. Maintain client records in accordance with HIPPA guidance and Family Eldercare standards. Complete accurate and timely progress notes in accordance with funder and Family Eldercare requirements. Maintain a regular caseload of 13 – 15 clients, or the number of clients necessary to maintain the full capacity of the program. Participate in weekly staff meetings and other required meetings and/or training. Completes daily time sheets accurately document time spent with clients and ensure that each grant-related activity is recorded correctly.