Intensive Services Case Manager; Onsite

Job Description

This position provides high quality, client-centered intensive supportive services to clients in permanent supportive housing through Housing for Health. The clients are DHS patients who meet/met the HUD definition of Chronically Homeless and were/are high utilizers of DHS services.

Case management duties include outreach and engagement; intake and assessment; service planning; housing and rental assistance; ongoing monitoring and follow-up; assistance with benefits establishment, transportation, and legal issues; crisis management; eviction prevention; client education; housing location services; and coordination and collaboration with HFH partners. This program incorporates harm reduction strategies to support participants in permanently retaining their rental housing.

• 401(k) and 401(k) matching
• Health, dental, and vision insurance
• Life insurance
• Employee assistance program
• Paid time off

• Process and accept referrals from DHS and HFH partners
• Establish rapport and determine client eligibility
• Conduct face‑to‑face screenings within 2–5 days of referral
• Obtain necessary consents and authorizations
• Refer ineligible referrals to appropriate services

• Conduct intake and enrollment
• Assist clients with collecting eligibility documentation

• Assist with temporary housing referrals until permanent placement
• Coordinate lease agreements and client move‑ins
• Conduct psychosocial assessments and update service plans every three months
• Maintain regular contact based on client needs and acuity level
• Link clients to physical, mental health, and substance use services
• Support medication compliance, income/benefits access, employment, life skills, and budgeting
• Provide 24/7 on‑call crisis support and educate on appropriate use of emergency services
• Educate clients on tenant rights, responsibilities, and lease compliance
• Provide eviction prevention counseling and document interventions
• Coordinate transitions for clients with changing housing or care needs

• Conduct one‑on‑one check‑ins and meetings to assess satisfaction
• Administer annual client surveys and adjust services based on feedback
• Attend meetings with DHS and HFH partners
• Conduct case conferences with supervisors and team
• Maintain partnerships with community service providers

• Bachelor’s degree in Social Work or related field and 1 year of relevant experience, or 2 years of direct mental health/intensive case management experience
• Experience with homelessness, mental health, chronic health, and substance use issues
• Strong documentation and case management skills
• Familiarity with crisis intervention, eviction prevention, housing rights, and benefits systems
• Proficiency in Microsoft Word and Excel
• Valid driver’s license and active auto insurance
• Ability to drive agency vehicles and meet insurance requirements
• Maintain confidentiality in compliance with HIPAA
• Must attend all required meetings and trainings
• Ability to manage a caseload of 20 clients

• Driving is required as needed to perform job duties
• Prolonged sitting, standing, and frequent bending
• Occasional lifting up to 25 lbs
• Frequent use of computer and phone

This job description is not intended to be a comprehensive list of all duties, responsibilities, or activities required. Duties may change at any time, with or without notice.

Ascencia is an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, gender identity, disability status, age, protected veteran status, or any other characteristic protected by law. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.