Behavioral Health Specialist Case Manager; Supportive Housing

Job Summary

Permanent Supportive Housing (PSH) is a model that combines low-barrier affordable housing, health care, and supportive services to help individuals and families lead more stable lives. PSH typically targets people who are unable to maintain housing stability without supportive services.

The Professional I Behavioral Health Specialist, Case Manager contributes to the PSH Care Team by providing strength-based case management services to individuals with a history of being chronically unhoused and behavioral health conditions and other psychosocial needs to promote wellness and housing stability and retention. Provides integrated care by ensuring that whole person health needs are met, including medical and behavioral healthcare, as well as substance misuse services.

Uses care coordination skills with individuals, their families, and internal and external providers to ensure seamless care and facilitate linkages to community resources.

• High school diploma with three years of case management or care coordination experience, (bachelor's degree is preferred).
• A valid driver license in the state of Ohio with access to an insured vehicle for client transportation.
• The ability and desire to work closely with other team members.
• The ability to form effective therapeutic relationships to engage clients in the mutual assessment of problems and goal setting and to help coordinate care plans from initial contact through end of service.

• Facilitate the client’s understanding of the rationale, purpose, and procedures associated with case management services.
• Develop and participate in community activities in collaboration with the PSH Care Team.
• Facilitate team-based care for clients by presenting services and providers as a unified team.
• Coordinate move-out plans in collaboration with Property Management and the PSH Care Team.
• Obtain relevant information from the client and meaningful collateral sources to assess the client’s current situation and identify any immediate needs, including but not limited to the safety and well‑being of the client in his or her natural environment.
• Conduct assessments to identify behavioral health needs and develop appropriate interventions.
• With the client, review assessment and screening outcomes to prioritize needs. Translate those needs into immediate, short term and long-term service goals categories and identify the appropriate case management interventions to assist the client in meeting those goals.
• Develop a written Individualized Service Plan (ISP) that reflects assessment outcomes, prioritized and mutually agreed upon needs, measurable goals and objectives, including timeframe and case management strategies.
• Conduct ongoing monitoring activities, including contact with the client, other invested parties and service providers, to assess the effectiveness of the case plan strategies and measure progress on achieving case plan outcomes.
• Use organization’s EMR system to record all relevant case management service activity and information in a clear, concise, observable/objective professional and timely manner.
• Document process, progress, and outcome measurements in accordance with client’s service plan, assuring a clear linkage between case documentation and service plan.
• Follow established professional codes of ethics and standards of practice to promote the best interests of the client and profession.
• Transport and/or accompany clients to scheduled appointments as needed.
• Other Duties as assigned.

• Works in collaboration with the other PSH Manager to coordinate cross-location coverage as needed for transitional-age youth (18‑24) and ad‑hoc building support.
• Participates in various standing, functional, and ad‑hoc committee groups.
• Other related duties as assigned.

The Centers through healing, teaching, and inspiring helps individuals and families to reach their full potential. We provide health, family, and workforce services at 11 locations throughout Greater Cleveland, creating life‑changing solutions for people to lead healthier and more successful lives. We strive…