Low Threshold Case Manager

Low Threshold Case Manager – Victory Programs

The Low Threshold Case Manager is responsible for coordinating and delivering case management services to identified individuals at our Low Threshold Housing Program. The program provides shelter, case management, housing advocacy, navigation, and recovery referral services to unsheltered/homeless individuals with chronic substance use. It helps clients address barriers to housing, supports those who want to reduce substance use, and assists them in finding permanent housing.

• Act in accordance with Victory Programs, Inc.’s Standards of Excellence, maintaining professional ethics, boundaries, and client confidentiality.
• Ensure that policies and procedures of the programs are followed.
• Identify housing support needs and coordinate appropriate services and resources to help clients optimize health outcomes and housing stabilization toward self‑sufficiency.
• Provide housing stabilization services to clients including eviction prevention, recertifications, and accessing funding and benefit sources.
• Accompany clients to resource‑related appointments, appeals, and follow up on submitted applications.
• Formulate and document individualized plans for clients; goals must be achievable, concrete, measurable, and time‑limited.
• Develop a wide‑ranging resource network for people living with HIV in the Greater Boston area.
• Coordinate, link, and follow up with existing service programs to maximize access to services.
• Act as a liaison between clients, property management, medical personnel, volunteers, and families; navigate and identify components of a client’s support system.
• Develop and coordinate a system for follow‑up/outcome measurement for up to six months post‑discharge.
• Maintain timely and accurate records of all client work, completing all program‑required assessments.
• Maintain clear, concise, and accurate client files and data‑based records.
• Attend weekly team meetings, weekly supervision, monthly clinical supervision meetings, staff meetings, staff trainings, and program collaborative meetings.
• Obtain signed consent to support and empower clients with coordination of referrals and housing search, including direct advocacy.
• Accompany clients, as needed, to appointments.
• Facilitate a monthly aftercare group to maintain housing stability.
• Complete any additional agency or funder reports as requested by the immediate supervisor or other designated person.
• Maintain contact with other internal and external client providers, including counselors, case managers, and housing providers.
• Implement best practices in compliance with Victory Programs’ Philosophy of Care and our Housing First philosophy.
• Meet with clients as they are permanently housed or in the community, providing weekly case management unless otherwise noted.
• Continue to assess and provide referrals and other community‑based recovery, health, nutritional, and support services for individuals receiving stabilization services.
• Develop and maintain service linkages to support clients/residents and their families, including local service providers.
• Promote access to and participation in the community, gathering and distributing information regarding community meetings, events, and resources.
• Assist with program coverage as needed by maintaining building security, adhering to all program policies and protocols, and completing all required documentation in shift logs and staff communication logs.

• Participate and support the agency in program holiday events, State House rallies, fundraising and advocacy events, HIV/AIDS rally and walk, and any additional functions.
• Attend weekly staff meetings, in‑service training, and agency workshops.
• Attend additional training as requested by the supervisor to enhance skills.
• Perform any other duty or task that may be requested by a supervisor or the Program Director.
• Represent Victory Programs, Inc. in external meetings, as requested.

• Bachelor’s degree with 1‑2 years of experience preferred, or high school diploma with 3 or more years of client advocacy experience.
• Relevant experience may include housing search, housing retention, case…