Job description

Institute on Aging is hiring Care Managers to join our mission! IOA has been around for 40 years working to enhance the quality of life for adults as they age by enabling them to maintain their health, well-being, independence and participation in the community.

The Care Manager II provides intensive case management services for clients with multiple medical and psychosocial needs who are at risk of homelessness. In coordination with Adult Protective Services (APS) staff and San Mateo County provides housing-related assistance to reduce eviction risk and increase housing stability.

RESPONSIBILITIES:

• Provides intensive case management services to clients who are at risk of homelessness and who have a history of or ongoing self-neglect.
• Conducts home visits, visits to clients at acute hospitals, residential care facilities, and skilled nursing facilities. Escorts clients to medical and other appointments as clinically indicated.
• Participates in cross-collaboration with APS, San Mateo County and other community partners, taking a client-centered, trauma-informed, and harm-reduction approach. Demonstrates professionalism and establishes positive relationships with social service providers involved in client care.
• Assesses appropriate level of care for clients and facilitates transition to alternative placement as indicated. Collaborates with various housing agencies to support client community stability and adheres to the principles of the “Housing First” approach.
• Documents via progress notes all case management activity regarding identified problems within 24-48 hours, adding any new problems to the care plan, as needed.
• Completes comprehensive assessments and ongoing re-assessment of the client to evaluate bio-psycho-social needs and risk of homelessness. Based on assessment information develops and initiates the plan of services, which is client-centered and consistent with program guidelines and policies and procedures.
• Establishes and cultivates mutually respectful and inclusive relationships with clients, staff members, colleagues and community partners.
• Provides culturally responsive services to support clients’ engagement, understands how trauma and other psychosocial factors might influence clients’ participation in social services and care
• Actively assesses and responds to a variety of situations that may include crisis intervention and conflict resolution.
• Meets with clients in person as indicated by program’s requirements and as clinically indicated.
• Reviews and modifies their plan of services on an ongoing basis.
• Evaluates client for Purchase of Service needs through financial support that promotes safety and house stability.
• Attends continuing education classes and/or in-service training to increase knowledge, skills and attitudes related to case management, gerontology, family and community systems and other areas relevant to the IOA HomeSafe client population. Completes all mandated trainings required for the role.
• Supports clients connecting with Assisted Living Waiver (ALW), or other resources offered through the regional homelessness continuum of care.
• Engages in program development discussions and related projects, including providing support to team around preparation of reports and audits
• Supports development of IOA HomeSafe Policy & Procedure Manual and collaborates with IOA HomeSafe leadership on annual review and revision of manual.
• Establishes and maintains a care management relationship with clients and their informal support network as appropriate, offering respect, dignity and support. Provides equitable and culturally responsive crisis intervention, advocacy, problem solving, and other services.
• Identifies, arranges for, and monitors appropriate community services based on a good knowledge of Medicare, Medi-Cal, and other entitlement programs.
• Documents via progress notes all case management activity regarding identified problems within 24-48 hours, adding any new problems to the plan of services, as needed.
• Maintains required written documentation and follows a clear, concise, and consistent system of charting to allow for continuity of care. Maintains client files according to company policy and contract requirements.
• Educates clients and informal support network about resources.
• Completes charts, case terminations and other documentation requirements within deadlines.
• Establishes and maintains open and effective communication with community providers, including physicians and other health care and social service workers.  Provides appropriate information on all significant aspects of individual client care and program operations, while maintaining necessary confidentiality.
• Monitors the quantity and quality of the services provided by other involved providers.
• Working closely with the team, continuously evaluates the clients’ ability to remain safely at home; coordinates placement as appropriate, according to program guidelines.
• In collaboration with the client, caregiver, and involved services, terminates clients when appropriate. Documents the process as required.
• Participates in and promotes ongoing efforts towards Continuous Quality Improvement.
• Utilizes supervision appropriately; maintaining open lines of communication and providing updates on caseload activity.
• Actively incorporates the ethical and legal standards of the National Association of Social Workers into all aspects of interactions with others.
• Understands and applies the regulatory and procedural requirements of IOA HomeSafe as well as the policies and procedures of Institute on Aging.
• Participates in meetings and activities related to other IOA programs as appropriate.
• All other reasonably related responsibilities as assigned.

EDUCATION:

A Master’s degree in Social work, Psychology, Counseling or another related field, and at least one year of relevant experience related to job description.

BACKGROUND AND EXPERIENCE:

• One year working with disabled adults and/or older adults required.
• Experience working within a community-based case management program with a similar target population.
• Experience with and understanding of the medical and psycho-social problems of functionally impaired adults and older adults.
• Experience working with individuals with mental and/or behavioral health diagnoses and substance use disorders highly desired.
• Experience working in housing or with populations experiencing homelessness or housing retention concerns highly desired.
• Exceptional communication and presentation skills relating to functionally impaired adults and older adults, their support systems, and teams of health professionals.
• Demonstrates case management skills and experience in the community health care delivery system.
• Exceptional stress and conflict management skills
• Detail oriented with good problem-solving skills and the ability to prioritize multiple tasks.
• Basic computer literacy required.

DESIRED QUALIFICATIONS

• Bilingual language skills (Spanish, Chinese, or other)
• Strong clinical documentation skills

IOA reserves the right to adjust work hours or duties when appropriate.

Institute on Aging is an Equal Opportunity Employer. Institute on Aging is committed to cultivating a diverse and inclusive work environment and providing equal opportunities to all employees and job applicants without regard to age, race, religion, color, national origin, sex, sexual orientation, gender identity, genetic disposition, neuro-diversity, disability, veteran status or any other protected category under federal, state and local law.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Job Type: Full-time

Pay: $72,699.00 - $83,511.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• San Mateo, CA: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• Do you have experience working with individuals with disabilities or the aging population?
• Is your degree in a human services related field such as psychology, counseling, social work, etc?

Education:

• Master's (Required)

Experience:

• Case management: 1 year (Preferred)

Work Location: In person

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