Supportive Case Manager - Pecan Gardens

Permanent Supportive Housing Case Manager

Permanent Supportive Housing (PSH) is permanent housing in which housing assistance (e.g., long-term leasing or rental assistance) and supportive services are provided to assist households with at least one member (adult or child) with a disability in achieving housing stability. Our mission is to ensure that individuals experiencing homelessness receive not only a safe and secure place to live but also access to the critical wrap around support services they need to achieve stability and improve their quality of life.

Pecan Gardens: a community serving seniors ages 55 and older who have a verified disability, which includes chronic health conditions, serious mental illnesses (SMI), and substance use disorders (SUD) and documented history of chronic homelessness. Located in Williamson County, Pecan Gardens is a former hotel that has been converted into a 78-unit apartment community. Family Eldercare provides on-site supportive services, including Peer Support, Service Coordination, SOAR services, and a partnership with the UT Clinic.

We also partner with Bluebonnet Trails Community Services to provide on-site mental health services. In accordance with city program requirements, participation in supportive services is required for residents. Property management services are provided through our partner, Volunteers of America Management. Please note that Pecan Gardens is an independent housing community and is not a nursing home or assisted living facility.

Staff to client ratio is 1:15.

Essential Responsibilities:

1. 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…