JOB SUMMARY:

The program Case Manager will have the prime responsibility for organizing comprehensive service planning and assessment activity and assuring service plan implementation through direct case management or co-provider services.  The Case Manager will also have either primary or shared responsibility, depending upon the specialty/discipline, in providing the residents with specific linkages/advocacy services with co-providers of housing, mental health, substance abuse, and healthcare services etc. as well as with parole boards.  Together with the residents, the Case Manager will formulate residents’ comprehensive service plan in conjunction with specialty program staff.  For some residents the Case Manager will be the major provider of a particular service and, for others, a secondary support agent. 

ESSENTIAL TASKS:

To perform this job successfully, an individual must be able to perform each essential duty listed satisfactorily.  Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions unless this causes undue hardship to the agency.

Activities with Persons Served

Participates in orientation of new residents by explaining the types of clinical services, recreational activities, and ICL programs that are available to residents. Obtains and documents or files assessment information, such as medical, psychological, and social factors contributing to the resident's situation as well as information about the residents strengths, needs, abilities and preferences. Collaborates with residents to utilize assessment information to complete and maintain resident service plans, offering an Integrated Healthcare approach to services and ensuring that plans include consideration of the residents’ cultural and ethnic background, customs, needs, beliefs and preferred language. Instructs the resident in daily living skills, socialization skill enhancement and conflict resolution. Provides supportive counseling in 1:1 or group formats that assist residents’ with modifying attitudes and behaviors as needed, by increasing understanding of self and others and by addressing service needs, strengths, abilities and environmental resources to attain goals. Obtains and develops resource information for residents in all aspects of their care; disseminates this information to residents in a manner that is clear and understandable. Uses cognitive-behavioral techniques (e.g. role-plays, skills training, plans of action) to assist the resident in meeting service plan goals. May provide Critical Time Intervention procedures. Facilitates individualized services to the resident that meet the diverse needs of the resident and focus on the discharge-planning goal. Performs crisis assessment and nonverbal and verbal crisis intervention. Meet at least weekly with residents to follow-up on service plan goals and objectives. Refers residents to community resources and other organizations; accompanies residents on regularly scheduled or emergency visits to medical treatment facilities, social agencies, government offices, or other locations associated with the treatment or assistance of the resident. Provide residents on both a group and an individual basis with transportation for housing placement, service appointments, recreational, or other service plan related purposes as appropriate Assist residents with developing a savings and money management plans within the scope of Department of Homeless Services and Veterans Administration regulations and optimizing resident income through advocacy with the HRA and VA; will offer and provide residents both group and individual instruction in budgeting, banking, resident skills such as shopping wisely from a price and product perspective, credit, and taxes. Plans, escorts, and/or arranges social or recreational activities for and with residents. Advocates on behalf of resident with outside service providers and within ICL. Assists residents in finding and getting into vocational training or other training opportunities, and works with other team members (e.g. Substance Abuse Specialist) in addressing the needs of residents. Accompanies resident to appointments as needed. Gives support & advice to significant others of the residents and Transitional Veterans Residence staff. Mediates conflicts between residents, negotiating ground rules for relationships. Conducts in vivo assessment and living skills training as needed, accompanies individual during the first day transition from Transitional Veterans Residence to meetings with community providers, and in establishing connections with local community resources. Participates in substance abuse services with the substance abuse counselor/specialist to ensure that residents have necessary transportation and escort to substance abuse appointments and participation. Provide motivational interviewing to residents as needed.

Case Administrative Activities

Performs regular inspections of the residents’ living areas to ensure the safety of the residents, accountability of ICL property, and cleanliness of such areas. Immediately reports serious incidents, serious incident allegations, incidents, or sensitive situations to supervisors; completes incident reports in accordance with ICL policy; accounts for residents and files missing person reports on residents not accounted for in accordance with ICL policy and procedure. Conducts quarterly reviews of the service-plans, assessment information, medical records, and changes in care. and follows-up to determine quantity and quality service provided. Review length-of-stay profile with supervisor and address barriers to getting and/or keeping employment and housing and participates in weekly length-of-stay reviews. Participates in ongoing reviews of existing linkages for their adequacy and, in recognition that a comprehensive co-provider service array is necessary to good outcomes, seek to extend program and other agency linkages as part of Continuous Quality Improvement. Continually documents resident’s treatment progress, developing measurable and objective service plans that maximize a resident’s strengths and abilities in accordance with regulatory guidelines. Assists in the orientation of new personnel when requested. Maintains up-to-date, accurate individual paper and electronic case records on each assigned resident. Complies with attendance and timekeeping rules and reports reliably and regularly to work on an on-going basis. Attends regularly scheduled clinical meetings, staff meetings and supervision as well as in-service training and development activities. Reviews the staff communications log and makes entries concerning essential elements of information designated by program management. Executes emergency plans as outlined in the policy and procedure manual; administers CPR or first aid to staff or residents who require such services. Obtains and maintains CPR and First Aid certifications. Obtains and maintains certification as an OD Responder from NYS Opioid Overdose Prevention Program (NYSOOPP) staff. May have on-call responsibilities. Complies and promotes compliance with all applicable laws, regulations and agency policies helping to strengthen and maintain an ethical organizational culture. Performs other job-related duties that may be assigned.

A high school diploma/GED and three years of experience in providing direct services to individuals with mental disabilities (i.e., persons properly diagnosed as suffering from mental illness, mental retardation, alcoholism, or substance abuse) or to homeless individuals