ICM Case Manager

Title:

ICM Case Manager Division: HOPICS Permanent Supportive Housing
FLSA:
Non-Exempt Full Time Supervisor:
Program Manager
Pay Scale:$22.00 - $26.00 per hour

Under the direction of the Program Manager, the Intensive Case Management Services Permanent Supportive
Housing Case Manager provides participant-centered, housing-focused case management and care coordination to people experiencing homelessness who have complex health, behavioral health, substance use, and social-service needs. The ICMS Case Manager supports participants from referral and engagement through permanent housing placement and long-term housing retention. Services are delivered according to Housing First, harm reduction, trauma-informed care, and cultural humility principles and must comply with Agency, Los Angeles County Homeless Services and Housing, program, privacy, documentation, and funding requirements.

• Outreach Intake and Engagement
• Manage an assigned ICMS caseload without exceeding 100 percent of a full caseload and adjust service intensity according to each participant's needs, acuity, housing status, and Care Plan.
• Accept and process referrals and make reasonable, persistent efforts to contact participants within seven business days of referral or slot assignment.
• Complete face-to-face intake activities within seven days of slot assignment, including required program forms,
  consents, authorizations, opt-ins, participant rights, grievance information, and privacy notices.
• Build trusting relationships through a participant-centered, strengths-based, low-barrier, and culturally responsive approach.
• Coordinate with referral sources, street outreach teams, interim housing providers, housing navigators, County
  staff, healthcare providers, and other members of the participant's care team.
• Assessment and Care Planning
• Complete a comprehensive face-to-face Initial Assessment using County-approved tools within 30 days of
  enrollment and enter the results in CHAMP.
• Develop an individualized Care Plan within 30 days of enrollment that includes participant-selected SMART goals, action steps, target dates, and expected outcomes.
• Complete reassessments and update the Care Plan at least every 90 days, or sooner when participant needs,
  risks, or circumstances change.
• Assess needs across housing, physical health, mental health, substance use, activities of daily living, income,
  benefits, legal, education, employment, family, social supports, safety, and community functioning.
• Housing Navigation and Stabilization
• Support participants with housing eligibility and subsidy documentation, applications, unit searches, viewings,
  property-management meetings, lease review, move-in coordination, furnishings, and basic move-in needs.
• Complete and coordinate subsidy applications within applicable program time frames, including 14 days after slot entry for project-based voucher matches and 21 days for tenant-based voucher matches.
• Educate participants about tenant rights and responsibilities, lease compliance, rent payment, budgeting, unit
  maintenance, neighbor relations, and communication with property management.
• Provide eviction-prevention counseling, advocacy, mediation, reasonable-accommodation support, and referrals to no-cost legal services when housing stability is at risk.
• Monitor rental-assistance or subsidy issues through required portals and promptly coordinate with program
  leadership, payment providers, property management, and County staff when barriers arise.
• Tenancy Support and Care Coordination
• Maintain regular participant contact and provide at least two documented ICMS services per participant each
  month.
• Complete at least one meaningful in-person encounter per month for participants in the low service-intensity tier and at least two per month for participants in the high service-intensity tier, with additional contact based on need.
• Conduct home visits, health and safety visits, field visits, hospital transition-of-care visits, and community-based contacts as appropriate to participant needs and the Care Plan.
• Connect participants to primary and specialty healthcare, mental health care, substance-use services, benefits, health insurance, employment, education, transportation, legal assistance, food, identification documents, and other community resources
• Coordinate case conferences and multidisciplinary services with County departments, managed care plans,
  housing authorities, property management, family or…