Case Manager - CAL AIM Santa Cruz County & Monterey

Case Manager - CAL AIM (36 hours/week - One Year Assignment) - Santa Cruz County & Monterey County

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Under the supervision of the Associate Director, Supportive Housing the CAL AIM Case Manager is responsible for oversight of the delivery of resident services programming at properties that serve high‑need individuals, families, seniors and those with special needs. The role coordinates services for high‑need populations and low‑income households, and develops collaborative relationships with county providers, Enhanced Case Management (ECM) providers, and community‑based organizations.

• Deliver onsite programs independently, ensuring implementation at assigned locations to meet internal standards and regulatory expectations.
• Conduct door‑to‑door, phone, e‑mail outreach and other marketing strategies to inform residents of services offered.
• Assist in or provide crisis intervention and follow‑up (including child abuse or adult abuse reporting) and implement mandated reporting policies.
• Support case management services for residents exhibiting functional impairment signs, including independent living skill development.
• Provide group and one‑on‑one services and support community‑building activities at assigned properties.
• Collaborate with residents to support independent living and personal/professional goals.
• Ensure collaboration with residents’ ECM providers and county case workers to meet residents’ needs.
• Conduct in‑depth needs assessments and develop personalized care plans in collaboration with residents, aligning with Strengths‑Based, Trauma‑Informed Care (TIC) principles and Harm Reduction philosophy.
• Coordinate care with doctors, therapists, social workers via in‑person and remote communication, prioritizing culturally competent approaches.
• Conduct home visits to build rapport, assess living environment, and provide direct support for safety and stability.
• Monitor client progress and adapt care plans as needed, based on interactions, feedback, and observations.
• Document all client interactions and services daily, ensuring authorizations, case notes, care plans, and assessments meet billing and quality standards.
• Attend multidisciplinary coordination meetings to discuss case progress, barriers, and receive guidance from health professionals.
• Assist in developing resident care plans for submission to the managed care plan for approval.
• Educate residents about programmatic options and advocate for their needs.
• Maintain HIPAA policies and procedures in strict adherence.

• Engage with property‑level partners to support partnership goals and criteria; communicate with supervisors for improvements.
• Collaborate with local community agencies near the assigned property.
• Work with Eden Property Management, Eden Resident Services staff, community partners, and community‑based service providers to address property concerns or neighbor disputes.

• Support property‑level needs assessments and associated follow‑up.
• Participate in development of property service plans responsive to resident needs.
• Communicate and execute actions based on stated and assessed needs.
• Offer exemplary customer service and responsiveness to residents.

• Maintain accurate property‑level records and files, entering data and tracking service activities daily, weekly, monthly.
• Ensure timely property‑level reporting consistent with Services’ policies, procedures, and training.

• Participate in staff and team meetings, training, group outings, and other site‑sponsored events.
• Apprise direct supervisor of activities and incidents in a timely manner.
• Cultivate collaborative relationships with Property Management peers and colleagues at the property level.
• Perform other duties as assigned.

• Education and Experience
  BA or BS required in social work, psychology, counseling, or related field; master’s preferred. 3 years’ experience serving senior populations and special needs (mental illness, substance use, co‑occurring…