Case Manager

Case Manager

St Louis, MO, US, 63101-1114 St. Patrick Center provides opportunities for self-sufficiency and dignity to people who are homeless or at risk of becoming homeless. Individuals and families build permanent, positive change in their lives through safe and affordable housing, sound mental and physical health, and employment and financial stability. Working collaboratively with individuals, businesses, government and other service providers, St. Patrick Center will end chronic homelessness in the St. Louis region through Housing First, an evidence-based practice that tells us to remove barriers, do intake and assessment early, move people into housing and offer them support to achieve their goals.

Job Summary

Catholic Charities of the Archdiocese of St. Louis, St. Patrick Center, is hiring a Hospital to Housing (H2H) Case Manager. The case manager is a key member of the multidisciplinary H2H team, working in hospital, office, residential, and community settings to support individuals experiencing homelessness or housing instability with significant mental health, behavioral health, and medical needs. This role prioritizes candidates with experience in mental health care and crisis intervention, particularly in hospital or acute-care environments. The Case Manager provides intensive, person-centered, strengths-based case management services to support individuals transitioning from hospital care to stable housing. The Case Manager collaborates closely with hospital social workers, behavioral health professionals, ministry staff, and community partners to ensure continuity of care and long-term housing stability.

Overview and Responsibilities

Conduct comprehensive, ongoing assessments of clients' mental health, substance use, physical health, housing status, and psychosocial needs, including risk and safety screening. Provide mental health crisis intervention, including de-escalation, safety planning, coordination with hospital partners and emergency services, and on-call crisis coverage as assigned, including evenings, weekends, and holidays. Deliver person-centered individual and group case management services in hospital, office, client home, and community settings, including outreach to clients who miss appointments or disengage from services. Work directly with hospital social workers and discharge planning teams to engage, accept, and process referrals, ensuring effective transition from hospital to community-based care. Serve as liaison and advocate for clients by coordinating care, facilitating warm handoffs, and supporting scheduling, attendance, and follow-up for medical, psychiatric, behavioral health, substance use, and social service appointments. Facilitate housing placement and stabilization, including housing applications, documentation, rent payments, move-in coordination, landlord engagement, and ongoing housing retention support for up to six months post-exit. Conduct in-home and community visits to assess client progress, identify safety or housing risks, and coach clients in independent living skills, problem-solving, and crisis planning, utilizing Housing First principles. Assist clients with financial stability planning, including budgeting, employment resources, public benefits access, and creation and ongoing maintenance of individualized budget plans. Prepare and review check requests and supporting documentation for client support services and monitor client-related expenditures to ensure compliance with funding and program guidelines. Maintain accurate, timely, and confidential client records, including assessments, service plans, housing stability plans, and progress notes, ensuring documentation is entered into CaseWorthy, HMIS, and/or other required systems within established timeframes. Collaborate with H2H team members through meetings and ongoing communication; maintain working knowledge of all H2H programs to provide support or coverage as needed. Foster strong working relationships with community partners and service providers to ensure coordinated, responsive care for clients. Support onboarding and training of new team members as requested, participate in special projects and continuous quality improvement efforts, and perform other duties as assigned.

Knowledge and Experience Requirements

Bachelor's degree in social work, counseling, human services, or a related field and/or 3–5 years of relevant experience providing case management or clinical support to individuals experiencing homelessness, housing instability, and/or significant behavioral health challenges required; Master's degree preferred. Peer Support Certification or experience providing peer-informed services preferred. Valid driver's license (MO residents must possess Class E), reliable vehicle, and current auto insurance required. Demonstrated experience in mental health care settings, including hospital, acute care, psychiatric, emergency department, or crisis response environments, with proven ability to provide mental health crisis intervention, safety planning, and coordination with hospital or emergency service providers. Working knowledge of Housing First, Trauma-Informed Care, and Recovery-Oriented service models, with experience delivering wrap-around services, intensive case management, and conducting home and community-based visits. Knowledge of community resources, housing systems, public benefits, and landlord-tenant rights. Ability to maintain accurate and timely client documentation in electronic case management systems (e.g., CaseWorthy, HMIS).

Skills and Competencies Required

Ability to assess client risk, de-escalate mental health crises, and implement safety plans in hospital, community, and residential settings with minimal supervision. Conduct comprehensive biopsychosocial assessments and develop, implement, and routinely update individualized service, housing stability, and financial plans. Collaborate effectively with hospital social workers, behavioral health providers, and community partners to coordinate referrals, discharge planning, and continuity of care, supporting successful housing placement and retention. Manage a high-acuity caseload by prioritizing competing demands, adapting to changing client and program needs, and maintaining consistent client engagement and outcomes. Maintain accurate, timely, and confidential documentation in required systems, communicate professionally with clients and partners, and actively contributes to multidisciplinary team coordination while applying culturally responsive and ethical practices.

Resources for Which Accountable

None

St. Patrick Center does not discriminate on the basis of handicapped status in the admission or access to, or treatment or employment in, its federally assisted programs and activities. St. Patrick Center is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, or disability. Pre-Employment Screening All candidates receiving an employment offer must submit a pre-employment screening. The screenings will include criminal background check and other background checks (as needed), Family Care Safety Registration, drug screen, an employment and education or licensure/certification verification, and Covid-19 and Influenza vaccination. Various positions will require physical examination, Tuberculosis screening and Hepatitis A.