Community Based Case Manager - HOPE

Zepf Center has been serving the Lucas County community for over 50 years. We are the leading provider of behavioral health and substance use disorder services in Northwest Ohio. Services include adult and child psychiatric, substance abuse, case management, residential, Crisis Care, and therapy programs, as well as career development and wellness services. Zepf Center also offers primary care medical services to our patients to contribute to their continuum of care.

Zepf Center is a trauma-informed agency and environment for both patients and staff.

We are seeking to hire a HOPE (Homeless Outreach and Person Centered Engagement Project) Case Manger to provide a wide range of community support and coordination of services to people experiencing serious mental illness and/or addiction challenges to ensure their needs are addressed. The HOPE Case Manager supports clients in the development of their short and long-term goals and acquisition of community resources using a person-centered approach.

Services will be provided with respect to cultural preferences and in accordance with clients rights. The person in this position participates in the Homeless Outreach and Person Centered Engagement Project ( HOPE), where they will aide in the development of comprehensive care coordination and treatment planning, advocates for persons on their caseload, utilizes evidence-based assessments, provides linkage and referral to additional community resources as needed, coordinates crisis intervention services and generally supports the client in their pursuit of emotional and physical health and wellness.

Levels of support required by people on caseload may vary greatly. The Case Manager works with the client in the community, home environment, and at agency locations. Works hours/shifts as posted.

• Assesses client strengths and needs with the client and applicable team members, conducts comprehensive care coordination, and develops treatment plans. Monitors and evaluates client progress toward goal attainment. Reviews and modifies treatment plans as needed.
• Maintains contact with the client as indicated in the treatment plan or as needed to ensure stability. Communicates with and provides support to clients in achieving goals and outcomes.
• Provides active outreach as necessary, including crisis intervention and homeless shelters, and acquisition of appropriate community supports.
• Links and/or refers clients to other services, programs, and agencies as needed. Assists in assuring clients obtain and retain applicable entitlements and follows up on same. Serves as an advocate for clients. With appropriate releases, communicates with family members and significant others as indicated.
• Confers with HOPE supervisor and other team members regarding clients and, as appropriate, other agencies with emphasis on provision of most appropriate, effective, and cost-efficient services.
• May provide face-to-face contact with clients who are hospitalized to facilitate discharge planning and coordination of services. Works with hospital and agency medical staff regarding same.
• Assists clients in tracking and keeping appointments.
• Assists clients with developing skills that lead to independence and housing stability.
• Assist client in locating resources needed for the client and children.
• Assist client with navigating housing resources and with completing housing applications
• Provides back up for other staff.
• Completes required documentation in the electronic health record in accordance with timelines and standards required by the agency i.e., within 48 hours of interaction, regulatory bodies, and payors. Demonstrates excellent written and oral communication skills.
• Carries out policies and procedures of the agency; may participate in community work, staff development, agency-wide projects; serve on agency committees/teams, attend meetings, and performs other related duties as requested.
• Attendance of HOPE Team meetings are required, reporting on interventions completed for HOPE caseload and coordinate with HOPE team best effective practices to best serve the client.
• Training requirements include CPR, CPI, new hire, Sanctuary, and annual boosters in addition to any required trainings assigned during employment.
• Must be able to safely drive in all weather conditions in support of client needs.
• Perform other duties as assigned.

• Demonstrate knowledge of the agency mission, vision, goals, and philosophy as well as the policies and procedures.
• Strives for high client satisfaction by providing leadership and/or assistance to coworkers and clients through the integrated care process.
• Demonstrate consistent professionalism.
• Demonstrate teamwork.
• Abide by the agencies and/or professional code of ethics.
• Zepf Center is committed to providing a culture of trauma-informed care through the Sanctuary Model

• HS Diploma and/or equivalent with three years of experience
• OR
• Bachelors degree
• OR
• Masters…