Bilingual Spanish - Case Manager, Bethany Senior Terraces

Bilingual Spanish - Case Manager, Bethany Senior Terraces (50617)

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Under the general supervision of the Supportive Housing Programs Supervisor, the Case Manager at Bethany Senior Terraces is responsible for providing ongoing support services for frail elderly tenants exiting shelters into permanent affordable housing. The Case Manager will be part of a team that connects tenants to the health and community building services that ensure they can age safely in their homes and communities.

• Actively coordinate day‑to‑day on‑site services for tenants on their caseload and ensure all service provision is representative of Rise Boro’s mission
• Ensure tenancy of each resident through eviction prevention services, provide tenant/landlord mediation and advocacy when necessary, and work with the property management team to complete annual recertification paperwork
• Complete needs assessments and develop ongoing, individualized tenant, goal‑based service plans for all tenants; review service plans periodically and document the successful completion of tasks and objectives
• Assess tenant’s potential barriers to maintaining stable housing and provide coaching, support, and referrals to improve housing retention, stability, quality of life, and self‑sufficiency (e.g., budgeting life skills, tenancy, and communication skills)
• Identify strategies to address any short‑term or chronic issues, such as substance use or mental illness, which might compromise service plan goals and trigger a relapse into homelessness
• Provide ongoing optimal case management, timely assistance and advocacy, information and referrals to community services including supportive counseling and crisis intervention, and other identified support as needed
• Assist tenants with identifying additional benefits for which they may qualify and facilitate application to said benefits, conducting advocacy as needed
• Create and update social capital map with residents and maintain an ongoing, accurate tracker of residents who have family support including the desired level of engagement
• Assist tenants in developing informal support networks with other tenants by facilitating opportunities for tenant engagement through educational workshops and social activities including birthday parties and holiday celebrations; provide translation during workshop presentations as needed
• Lead resident groups and provide brief counseling support, completing referrals to off‑site mental health providers for more intensive clinical support and services
• Establish a calendar of recreational programming including planning and attending off‑site trips with residents to dinners, Broadway shows, games, and other outings as determined based on tenant interests
• Educate residents on the available on‑site services and other community resources
• Prepare and maintain up‑to‑date resident files including records, personal and eligibility information, services provided, outcomes, and all relevant correspondence
• Ensure timely documentation of all interactions with tenants and instances of service provision in the program’s case notes database
• Maintain regular contact with tenants through monitoring services including home visits, telephone calls, and periodic inspections with property management staff
• Work with community partners to ensure residents can age in place, including coordination of home care services and proper discharge planning from inpatient facilities
• Communicate with on‑site property management and maintenance staff on resident issues and obtain records of resident incidents and hospitalizations that take place during off‑work hours
• Coordinate with Health Services Coordinator and conduct case conferences to ensure residents receive the full breadth of wraparound services available both on‑site and through referrals
• Track tenant benefit expiration and recertification dates and create a plan for timely recertification submissions
• Coordinate with the Supervisor and Program Director to issue bi‑annual resident satisfaction surveys to…