Healthcare Navigator

Community Resource Specialist / Case Manager

Every Veteran deserves dignity, stability, and the opportunity to thrive. As a Community Resource Specialist / Case Manager
, you’ll play a critical role in making that vision a reality. This position is more than case management—it’s about advocacy, empowerment, and connection
. You will walk alongside Veterans and their families, helping them overcome barriers to care, secure housing, strengthen financial stability, and build lasting pathways toward independence.

If you are driven by purpose, believe in person-centered care, and want to ensure that no Veteran faces homelessness or instability alone, this role offers the opportunity to create meaningful change day.

Conduct thoughtful, non-clinical assessments with Veterans, families, and interdisciplinary teams

Review Intake Specialist assessments to determine immediate and long-term supportive service needs

Identify each Veteran’s strengths, challenges, and personal goals

Develop and manage Single Coordinated Care Plans and Housing Stability Plans

Continuously evaluate progress, address barriers, and adjust care strategies to achieve the best outcomes

Provide comprehensive, strengths-based case management that promotes housing security and overall well-being

Deliver supportive services to homeless Veterans while maintaining complete and accurate case files

Request and coordinate Temporary Financial Assistance with Program Manager approval

Develop thoughtful discharge plans with referrals and follow-up supports to ensure continuity of care

Execute participation agreements and maintain active engagement with program participants

Provide housing stability counseling and connect Veterans to rental assistance, subsidies, and housing programs

Educate participants on Fair Housing rights, tenant responsibilities, lease agreements, and financial literacy

Offer financial counseling and assist Veterans in creating and maintaining sustainable personal budgets

Build and maintain strong relationships with community partners and service providers, including:

VA benefits, vocational rehabilitation, and employment services

Healthcare, education, and workforce development programs

Childcare, legal assistance, emergency resources, and daily living supports

Serve as a liaison between Veterans, VA systems, and community healthcare programs

Represent the program professionally with community agencies and the public

Empower Veterans to communicate their preferences and goals through shared decision-making

Advocate for culturally responsive, Veteran-centered care

Provide education, emotional support, and resource navigation for Veterans and their families

Support Veterans in addressing treatment or medication concerns by facilitating open dialogue with providers

Track Veteran progress and document services, outcomes, and assessments in case management and HMIS systems

Evaluate the effectiveness of referrals and interventions; modify plans to improve outcomes

Ensure all documentation is accurate, timely, confidential, and compliant

Coordinate transportation services and distribute bus tickets as needed

Actively participate in team meetings, program planning, and policy development

Perform other duties as assigned in support of the mission

95% of Veterans complete assessments and individualized care plans within 30 days of intake

85% of participants show measurable progress toward care or housing goals within 90 days

90% of enrolled Veterans maintain or secure…