Case Manager II

This position reports directly to the Program Coordinator or Clinical Director of U.S.VETS. Case Manager III is responsible for providing guidance to veterans to achieve their highest level of independence. Case management is a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the selection of services to optimally meet each individual clients needs.

FLSA Classification: Exempt

Responsibilities:

For Case Managers of all U.S.VETS Programs:

• Assesses veterans referred to the program to include any problems, needs, or barriers identified in the following areas: Housing, Employment, Education/Training, Financial, Sobriety Support/Addiction Treatment, Legal, Family/Social, and Medical/Psychiatric
• Coordinates care with VA personnel and other community partners on behalf of clients to for eligibility documentation, mental and physical health services.
• Facilitates client intake process and compiles client files ensuring all program eligibility documentation is complete
• Collaborates with clients to complete Individual Action Plans (IAP)
• Provides guidance to Case Manager I & II staff on client IAPs, client intervention strategies, progress notes, discharge planning, etc. during weekly program meeting and as needed
• Conducts crisis intervention and supports Case Manager I & II staff with client issues

• Maintains confidential client files in a professional and timely manner ensuring all forms are the most recently revised versions and in compliance with organization standards; all required documents are present, complete, signed by the client and staff as applicable; and documents are placed in the correct order according to organization standards

• Meets with clients as specified by program requirements and documents progress notes in Data/Assessment/Plan (DAP) format
• Reviews and documents updates for IAPs on a monthly basis
• Completes timely discharge summaries
• Conducts home visits (whether at project-based units or scattered site) to provide case management services and ensure health and welfare of clients
• Assists in quality management activities, data collection, and preparing reports
• Facilitates client life skills classes
• Provides specialized case management services and life skills groups/classes to veteran subpopulations as applicable (such as female veterans, disabled veterans, Iraq/Afghanistan veterans, etc.)
• Conducts random drug and alcohol screenings of clients
• Maintains confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA) standards
• Assists Program Coordinator and Clinical Director with auditing of client documentation such as client eligibility documentation, case notes, IAPs and IAP reviews, discharge forms
• Assists Program Coordinator and Clinical Director with program reporting.
• Supervises student interns which includes task assignment, reviewing process recordings, supervision sessions, evaluations, and adhering to university standards
• Assists with training new staff and providing training to team members
• Assists with urgent client issues outside of business hours as needed
• Completes accurate and timely data entry into the HMIS system as applicable and other required internal and external databases
• Documents client referrals for services
• Attends scheduled team meetings and trainings
• Maintains and submits time sheets, mileage logs, client expenses, and other required documentation accurately and in a timely fashion

• Drive company vehicle for client transportation or other work-related activities.
• Performs other duties as required.

Additional Program-Specific Duties:

U.S.VETS has various programs in which a Case Manager may be assigned to, including Transitional Housing, Permanent Housing, Workforce, Supportive Services for Veteran Families, Incarcerated Veterans Transition, and the HUD VASH program that have additional program-specific duties as outlined below.

• For Case Managers working with Transitional Housing Clients:
  • Focuses on providing case management services that result in clients transitioning to permanent housing
  • Ensures clients are accounted for daily through contact, bed check, and/or daily sign-in logs
  • Monitors program rent/participant fee compliance to assist clients in prioritizing housing
  • Additionally, for programs with scattered-site transitional housing such as the Transition In Place (TIP) Program, locates housing units in the community that meet clients' needs

• For Case Managers working with Permanent Housing Clients:
  • Focuses on providing case management services that result in clients obtaining and maintaining permanent housing
  • For programs with scattered-site permanent housing, locates housing units in the community that meet clients' needs
  • For programs that serve families with dependent children, ensures that children and youth are enrolled in school and connected to the appropriate services within the community, including early childhood education programs

• For Case Managers working with Workforce Clients:
  • Assists with Workforce Program Assessment and Enrollment processes
  • Works with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with the planning of short-term and long-term employment goals to include education and training goals
  • Provides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive services.
  • Facilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.
  • Makes presentations of clients' employment backgrounds to prospective employers.
  • Learns and maintains knowledge of community employment agencies and procedures, along with any modifications to those procedures.

• For Case Managers working with SSVF Clients:
  • May report directly to the SSVF Team Leader if applicable
  • Conducts rapid rehousing and homeless prevention services for veterans and their families
  • Works with clients to develop a Housing Stability Plan
  • Provides case management services to family members in the veteran household
  • Conducts home visits to provide case management services
  • Ensures that dependent children are enrolled in school and connected to the appropriate services within the community, including early childhood education programs
  • Maintains compliance with VA regulations and organization protocols in requesting and distributing Temporary Financial Assistance to third-parties on behalf of veteran households to include cross-referencing HMIS
  • Assists in rapidly placing homeless veteran families into housing
  • Conduct Rent Reasonableness Testing and ensure Habitability Standards are met for veteran families rental units
  • Coordinates with VA Grant & Per Diem Transitional Housing Programs for immediate placement of clients and case manages them while they are on the Rapid Rehousing Track of the program

• For Case Managers working with Aftercare Case Management programs:
  • Make home visits by the Case Manager to monitor housing stability
  • Provide or coordinate educational activities related to meal planning, tenant responsibilities, the use of public transportation, community resources, financial management, development of natural supports
  • Making referrals to needed services, such as mental health, substance use disorder, medical, and employment services
  • Participating in case conferencing with other service providers who are working with the veteran

• For Case Manager working with Incarcerated Veterans Transition Program (IVTP):
  • Assists with Program Assessment and Enrollment processes for clients currently in jail/prison or recently released from jail/prison.
  • Works with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with the planning of short-term and long-term employment goals to include education and training goals.
  • Provides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive services.
  • Facilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.
  • Makes presentations of clients' employment backgrounds to prospective employers.
  • Learns and maintains knowledge of community employment agencies and procedures, along with any modifications to those procedures.
  • When clients are currently incarcerated, meetings and classes will be conducted in the jail/prison.
  • Ability to pass background for clearance into jails/prisons.
  • Preferred experience working with clients transitioning from jail/prison.

• For Case Manager working with the HUD VASH :

• Provide case management and care coordination to facilitate appropriate delivery of health care services, incorporating complex multiple causation in the differential diagnosis and treatment of Veterans including making psychosocial and psychiatric diagnoses within approved clinical privileges or scope of practice
• Is professional, tactful, and mindful of the local environment on the ground when interfacing with clients and partners alike
• Possess fundamental knowledge of medical and mental health diagnoses, disabilities, and treatment procedures
• Work with veterans and their families experiencing a wide range of complicated medical, psychiatric, emotional, behavioral, and psychosocial challenges
• Facilitate client intake process and compile client files ensuring that all program eligibility documentation is complete
• Assess veterans referred to HUD/VASH holistically to include any problems, needs, or barriers identified in the following areas: Housing, employment, education/training, financial, sobriety support/addiction treatment, legal, family/social, and medical/psychiatric
• Examine psychosocial factors to identify level of functioning and degree of impairment in housing, employment, education/training/academic, financial, sobriety support/addiction treatment, legal, family/social, and medical/psychiatric areas, andimplement clinically-indicated treatment modalities
• Evaluate and assess lethality, perform Mental Status Exams (MSE), identify psychiatric manifestations of various medical conditions
• Collaborate with clients to complete Individual Housing and Employment Plans (IHEP) and Mental Health Treatment Plans (MHTP)
• Possess knowledge of the criteria and state laws for legal commitment and involuntary hospitalizations
• Ability to assess and intervene with patients of suspected abuse
• Provide counseling or psychotherapy for individuals, families, and groups
• Provide specialized case management services and life skills groups/classes to veteran subpopulations as applicable (such as women veterans, disabled veterans, Iraq/Afghanistan veterans, caregivers, families etc.)
• Facilitate housing stability supportive services to Veterans which include, but are not limited to: Resident Town Halls, recovery groups, recreational activities, life skills groups, substance abuse groups, bringing in community resources (e.g., legal, financial), peer support groups, faith-based services and/or employment services/opportunities.
• Conduct in-home, community, and in-office visits to provide on-going re-assessments with the veteran
• Establish and maintain effective working relationships and communicate with clients, staff, and representatives of community agencies
• Complete accurate and timely data entry into the HMIS and HOMES systems as applicable and other required internal and external databases
• Review and document updates for IHEPs monthly and MHTP's at a minimum every six months or as needed
• Assist Program Manager and VASH Team Supervisor with auditing of client documentation such as client eligibility documentation, case notes, IHEPs and IHEP reviews, and discharge forms
• Document client referrals for services
• Maintain Basic Life Support (BLS) certification; American Heart Association certification is preferred
• Attend scheduled team meetings and trainings
• Maintain and submit data reports, tracking sheets, time sheets, mileage logs, client expenses, and other required documentation accurately and in a timely fashion

12/15/2022

Requirements:

• Masters Degree in Social Work, Psychology, Counseling, or other related social service field required.
• Two years of experience in social services or related field preferred.
• Experience working with homeless and/or veterans preferred.
• Certification in Substance Abuse Counseling preferred.
• Experience facilitating support groups preferred.
• Strong oral and written communication skills.
• Professional manner and appearance.
• Ability to work independently and within a team.
• Ability to take direction.
• Ability to work effectively with diverse group of clients, staff, and community members.
• Computer proficient in Microsoft Office and Internet.
• Valid drivers license required. Must meet company insurance requirements and complete a provided driver training course.

Requirements for HUD VASH Case Managers in addition to the above:

• Must be available for either Sunday-Thursday or Tuesday-Saturday shifts
• Pass a Security/background investigation via National Agency Check with Written Inquiries (NACI) and a Special Agreement Check (SAC) which includes electronic fingerprinting
• Must qualify to complete the credentialing process through the VA's VetPro system