Case Manager Bi-lingual Spanish

2 weeks ago


Los Angeles, United States Step Up on Second, Inc Full time

Program: DHS ICMS / Step up on Second

Reports To: ICMS/Supportive Services Program Manager

Job Class: Non-Exempt

Hours Per Week: 40

**Summary**:
Service Coordinator I DHS-ICMS will engage in the services funded by the Department of Health Services toward the goal of improving independent living skills and housing retention to enrolled members. This position will provide case management and linkage, supportive services, and housing retention services to members utilizing project-based and scattered site housing in the communities of City of Los Angeles, Los Angeles County, City of Pasadena and City of Santa Monica. Step Up on Second fully implements the Housing First and Harm Reduction models of service delivery and using the “WHATEVER IT TAKES” approach.

Essential Duties:

- Work with a diverse and marginalized group of participants, experiencing many barriers including homelessness, complex trauma, medical, mental health needs and substance use.
- Evaluate members to identify social, emotional, and economic factors which may interfere with attaining stability and optimum health. Obtain consents and authorizations for participants in the ICMS Program, as needed.
- Assist members with recertification and collaborate with Housing Location team to access temporary housing, obtain permanent housing, and facilitate the move in process before and after move in.
- Meet face to face with members between one and three times a week prior to obtaining housing, twice per month after member has lived successfully in their housing for at least one year.
- Assist Housing Location Team as needed with transport/accompany member in your vehicle to unit searchers, viewing, lease signing and to various agencies.
- Assist Member with transportation/accompaniment to healthcare providers in the greater Los Angeles area and linkage to healthcare providers.
- Collaborate with each member to develop creative, measurable service plans aimed at improving overall well-being and housing stability; review and update quarterly and upon completion of goals.
- Assist Members with budgeting and housing household management, including cleaning, cooking, household upkeep and cleanliness, and non-hoarding behavior.
- Provide Members with linkage to benefits establishment, and or vocational resources to increase income.
- Link members with appropriate medical, mental health, substance abuse providers, as well as recuperative care, food, clothing and transportation resources.
- Help to create safe and healthy activities for leisure/recreation, guide participant on developing positive interpersonal relationship skills and adapt to their neighborhood.
- Develop and maintain complete, accurate, and current files with all required documents and data in agency records and electronic databases, such as CHAMP and HMIS. Includes updates to changes in income and any demographic domain. Maintain confidentiality of participant files per HIPAA and all applicable guidelines.
- Complete initial Bio-Psycho-Social-Assessment (BPS) once and 5x5 and Acuity Index when completing re-assessment every 3, 6, 9, and 12 months.
- Ensure that appropriate quarterly care plans are developed and update the record with action steps created and fulfilled.
- Document services provided within 48 hours using G.I.R.P. format (Goal, Intervention, Response, Plan).
- Ensure services to members are reflective of the “Whatever It Takes” model, which emphasizes customer choice, harm reduction, trauma-informed care, and psycho-social rehabilitation.
- Use effective communication skills such as active and reflective listening to build rapport. Utilize appropriate motivational interviewing interventions to increase positive outcomes.
- Liaise with other providers within the agency, as well as outside providers to formulate strength-based strategies that focus on housing retention and general wellness.
- Participate in staff meetings, individual and group supervision, case conferences and training as required.
- Other duties as assigned.

**Skills/Abilities**:
Experience working with homeless and chronically mentally ill population, crisis intervention, understanding and commitment to psychosocial/Recovery-Oriented philosophy, strong computer skills, ability to work effectively in an interdisciplinary team. Familiarity with and dedication to the Housing First and Harm Reduction models.

**Qualifications**:
Minimum of 2 years’ experience working with people who experience homelessness and or are diagnosed with a mental-illness or Social Work/Mental Health related Bachelor's degree and minimum of 1 years' experience working with people who experience homelessness and or who are diagnosed with mental-illness in a community or housed setting necessary. Ability to work as a part of a team is crucial. Knowledge of issues facing program members, (e.g. health, substance abuse, mental health, physical health, domestic abuse, child welfare, resources for undocumented person), excellent



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