Senior/Aging Case Manager

Senior/Aging Case Manager for New Beginnings will engage, assess and assist senior eligible veterans, unsheltered individuals, and recently housed individuals countywide by partnering with clients to build skills and access resources and support systems necessary to maintain their housing. The Senior/Aging Case Manager will help seniors and their families navigate their way through the challenges of aging including health concerns and care management, household management, legal issues, end of life planning, housing retention, community integration, and life skills. After a comprehensive assessment, the senior case manager will develop a plan of care, provide information for community resources making appropriate referrals and will serve as a guide and advocate along the way to ensure quality of life and success.

DESCRIPTION OF ASSIGNED DUTTIES AND RESPONSIBILITIES:

• Conduct comprehensive health assessments of aging homeless and formerly homeless veterans and non-veterans;
• Strive to recognize the best in each client and to support the meaningful change they seek through building relationships and utilizing motivational interviewing techniques and strength-based case management techniques;
• Determine housing needs, barriers, & daily living needs;
• Support clients, collaboratively working with their landlords, neighbors, and existing case management services as needed for the client to thrive within their housing;
• Update and develop clear, concise, goal-oriented care plans with clients to assure quality daily living and healthcare;
• Implement care plans and follow through on all action items;
• Communicate and collaborate with family members when applicable and with proper releases;
• Identifies barriers to the implementation follow through and updates and modifies plans accordingly;
• Conduct evaluations and assessments for individuals dealing with substance use disorders and refer veteran/client internally or to other community programs;
• Work collaboratively with healthcare team and client to identify system challenges for enhanced care coordination as needed;
• Assist all clients with managing the connection to permanent housing including access to social services, health education, medical, dental, mental health and other services;
• Develop relationships and acts as advocate with landlord and/or links to resource providers for that help as applicable;
• Assist with completing various housing and benefits applications, interpreting care instructions, advocate and act as a liaison with community service providers as needed. Collaborates with other community agencies (with proper releases) to ensure the best possible outcomes for clients;
• Coordinate services with other organizations and programs to assure such services are complementary and comprehensive; directing activities to maximize effectiveness and continuity of care;
• Assist client in connecting to all available public benefits;
• Record and enter relevant information, all interactions and services with and on behalf of the veteran/client into HMIS/other digital platforms within timelines set forth by agency policies and procedures;
• Provide ongoing education and support as needed to the veteran/client and family members as applicable;
• Use clear language to communicate recommendations to support the Veteran and family members or care givers, as well as identify questions Veterans and their families may have about their treatments;
• Consistently meets all agency and program outcome goals;
• Prepare reports including but not limited to outcomes, successes, etc.;
• Adhere to ethical principles about confidentiality, informed consent, compliance and relevant laws and all agency policies and procedures;
• Maintain client privacy by adhering to HIPAA Privacy Practices;
• Responsible for attending all assigned internal and external meetings, ensured timely completion of training and accurately completion of time sheets;
• Perform all related duties as assigned by program management;
• Understands the different roles within the interdisciplinary team and acts with professional boundaries;
• Demonstrating genuine care and understanding for individuals experiencing homelessness.

QUALIFICATIONS AND REQUIREMENTS:

• Possession of a master’s degree in aging/gerontology, social work or professional clinical counseling from an accredited university; or bachelor’s degree in aging/gerontology, psychology or related field;
• Experience working with homeless and/or former homeless veterans, families and individuals;
• Bi-lingual a plus;
• Minimum of 2 years’ experience working with seniors/and or in the healthcare field preferred;
• Must be proficient in the following computer applications – Microsoft Word and Excel, HMIS a plus;
• Must have own transportation to conduct job related travel;
• Must agree to and satisfactorily pass the Company’s background, DMV and reference check; and
• Must meet insurance carrier’s requirements for approval to drive.

Work hours are Monday – Friday, 9-5 although there will be some night time and weekend hours on occasion to attend community events, meet with clients or attend to emergent client and administrative needs. Salary is $26 – $32 per hour DOE and credentials with medical and dental benefits provided, 403b contribution and matching, as well as generous paid time off. Position begins asap.

Please send resume, cover letter and a list of three professional references to hr@sbnbcc.org. If we feel you are a good match for the position, you will be contacted to schedule an interview.

Much of the work will take place in the field county-wide. Mileage reimbursement is provided for all agency travel at the IRS rate.

All qualified applicants will receive consideration for employment without regard to race; color; ancestry; national origin; religion/creed; sex/sexual orientation; gender; gender identity/expression, transition; political affiliation or beliefs; disability, medical condition, generic information, marital status; military/veteran status; pregnancy and conditions related thereto.; or any other characteristic protected by law (as defined by the California Fair Employment and Housing Act — Government Code Section 12900-12996), except where such discrimination is based on a bona fide occupational qualification.