Intensive Case Manager - Regional Care Coordination

Description

Friendship Shelter is contracted by the Office of Care Coordination to provide Regional Care Coordination (RCC) in South Orange County. RCC is part of the county’s Homeless Service System and is designed to respond to and address the unsheltered homeless conditions in the region through comprehensive care coordination. The RCC Intensive Case Manager (ICM) will manage a varied caseload of participants, ranging from 15-20 participants.

The RCC ICM will deliver targeted outreach and engagement, intensive case management, disability benefit application assistance and advocacy, housing navigation services, financial assistance to secure permanent housing, referrals to community resources including shelter and interim housing placements. Additionally, the ICM will provide community support services through the California Advancing and Innovating Medi-Cal (CalAIM) initiative, including Housing Navigation, Housing Stabilization, and Enhanced Care Management.

· Conduct outreach and engage individuals experiencing unsheltered homelessness to determine eligibility and facilitate program enrollment through in-person meetings, mail, email, text, and phone communication.

· Provide ongoing services through regular in-person appointments, including assessments, care-plan development, service coordination, coaching, education, and referrals to community resources.

· Support client engagement by scheduling appointments, providing reminders, coordinating transportation, including driving clients to appointments, and addressing barriers to service engagement.

· Collaborate with the client’s care team, including internal and external partners, to coordinate care, facilitate case conferencing, and make referrals.

· Maintain accurate and timely documentation, including case notes, case files, databases and financial documentation, to ensure compliance with RCC funding regulations and support CalAIM/Medi-Cal billing and project tracking.

· Foster positive relationships with staff, partner agencies, and community volunteers to enhance service delivery.

· Assist clients in securing and maintaining housing, providing advocacy and support for housing-related tasks.

· Enter data into HMIS, Cal Optima Connect and other required databases, ensuring all records are accurate and up to date.

· Use a team approach to resolve housing barriers and respond to client crises as needed.

· Represent the organization in county-wide meetings and other forums as required.

· Provide instruction and assistance to improve clients’ independent living skills, including budgeting, household care, and personal care.

· Connect clients to resources that enhance housing stability, such as employment, income benefits, medical care, mental health services, and legal aid.

· Participate in team and agency staff meetings.

- This position does not have supervisory responsibilities for direct reports

- This position does not have guidance or mentoring responsibilities for indirect reports

- Driving is an essential duty or function of this job.

- Drive up to 50%

The following are the minimum job-related qualifications which an individual needs in order to successfully perform the essential duties and responsibilities of the job.

· Case Management experience

· Experience working with individuals with severe and persistent mental illness, substance use disorder, or other disabling conditions.

· Must have a valid driver’s license and vehicle with valid registration and insurance.

· Desire to be a part of a team that is passionately committed to ending homelessness.