Case Manager

Our Mission

At Whole Person Care Clinic (WPCC), our mission is to provide holistic, compassionate, and accessible care that nurtures the physical, emotional, and social well-being of every individual we serve. Through an integrated approach that combines medical expertise, mental health support, and community services, we are dedicated to addressing the full spectrum of our patients' needs. By fostering a collaborative and inclusive environment, we empower individuals to achieve their highest quality of life and well-being, regardless of their socioeconomic status.

We strive to create a supportive community where every person is valued, heard, and cared for with dignity and respect.

The Case Manager plays a critical role in supporting the discharge and recovery of homeless clients transitioning from hospitals to Recuperative Care. This position assists clients in stabilizing their health, securing vital resources, and developing an individualized case plan for long-term success. Through advocacy, counseling, coordination with providers, and discharge planning, the Case Manager helps clients achieve housing stability, increased access to care, and reintegration into the community.

• Conduct intake interviews to assess needs, strengths, and eligibility.
• Develop individualized case plans with realistic goals in coordination with care team.
• Update and modify case plans based on changing needs and progress.

• Provide short-term counseling, crisis intervention, and emotional support.
• Guide clients in accessing SSI, EDD, Medi-Cal, food assistance, and other public benefits.
• Assist clients with scheduling transportation to and from appointments.
• Assist clients with identifying and securing transitional or permanent housing.

• Coordinate follow-up care with hospitals, county mental health, and rehabilitation programs.
• Work with internal and external stakeholders to ensure smooth service delivery.
• Provide referrals and linkages to community-based services and supports.

• Support development of exit and aftercare plans, including housing placements.
• Conduct follow-ups post-discharge to ensure continuity of care and resource access.

• Maintain confidential case files and input timely case notes in EHR.
• Complete daily reports, statistical summaries, and evaluation documents as required.
• Perform administrative tasks such as answering phones, scheduling, and filing.

• Assist with building and updating the program’s resource database.
• Participate in interdisciplinary case reviews and staff meetings.
• Perform other duties as assigned.

• Bachelor’s degree in social work or related field preferred but not required.
• Equivalent relevant experience may be considered.

• Minimum 1 year of experience working with at-risk or homeless individuals (preferred).
• Experience working with addiction, mental health, and medical navigation (preferred).
• Familiarity with medical and housing systems, public benefits, and HMIS.

• Current BLS Certification (required before first day of work)

• Valid CA Driver’s License and insurance (required).
• HMIS training or credential (preferred).
• Bilingual in Spanish/English (preferred).

• Cultural responsiveness and trauma-informed care.
• Strong verbal and written communication.
• Time management and organizational ability.
• Crisis response and de-escalation skills.
• Basic computer literacy, including Microsoft Office and web-based systems.
• Professionalism, confidentiality, and compliance awareness.
• Collaboration with internal team and external agencies.

• Work is primarily performed on-site at a care facility or office setting.
• May require lifting up to 25 lbs and helping clients with mobility.
• Frequent standing, walking, and use of computer systems.
• Must follow infection control policies and use PPE when needed.

• Full-time position.
• May require occasional evening or weekend shifts based on client needs.
• Local travel to partner agencies, motels, or service sites as needed.

WPCC is an Equal Opportunity Employer. We are committed to fostering a diverse and inclusive work environment and comply with all applicable federal, state, and local employment laws. WPCC provides reasonable accommodations to qualified individuals with disabilities.

This job description is not designed to cover or contain a comprehensive list of activities, duties, or responsibilities required for the position. Duties and responsibilities may change at any time with or without notice.