Clinical Case Manager at Interfaith Community Services

About Interfaith Community Services:

At Interfaith, we empower individuals and families in need by providing essential resources and services with compassion and integrity. Together, we foster a community of hope, accountability, and dignity. 

Founded in 1979 in direct response to rising rates of hunger and homelessness in North San Diego County, Interfaith Community Services works to break the cycle of poverty and homelessness by Helping People Help Themselves. Interfaith is the most comprehensive nonprofit social services agency in North County, providing both immediate safety net services and long-term, life-changing programs designed to meet the holistic needs of people in crisis. Together, in partnership with 250+ diverse faith communities, more than 650 recurrent volunteers, and a growing staff of over 200, Interfaith provides a safe haven and pathway towards self-sufficiency for more than 17,000 community members annually. 

If you're passionate about making a difference and thrive in a service-driven environment, we invite you to be part of our mission!

What You'll Do:

In the Clinical Case Manager role, you’ll provide high-touch, community-based recuperative care (medical respite) services to individuals with serious and complex behavioral health and social service needs who are experiencing homelessness. This role supports clients in achieving or maintaining individual stability and prevent hospital admission or readmission and system disengagement by providing persistent outreach, advocacy, and coordination of care across multiple service domains. The position focuses on improving functioning, enhancing quality of life, and promoting long-term stability to prevent returning to homelessness.

ESSENTIAL DUTIES AND RESPONSIBILITIES: 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The following duties and responsibilities are those considered to be essential but do not represent all job functions that may be required to be performed by this position. Other comparable duties and responsibilities may be assigned as needed. 

• Provide comprehensive intensive case management services to individuals who have serious behavioral health conditions, including substance use disorder and experiencing homelessness utilizing trauma informed and harm reduction principles and practices
• Conduct program intakes, comprehensive bio-psychosocial needs assessment and service evaluations 
• Develop, implement and regularly update collaborative care management and housing support plans which support individuals’ needs in the areas of physical health, mental health, substance use disorders, community-based services support, social supports, and social determinants of health 
• Engage in frequent client contact through scheduled or unscheduled visits, in program outreach, and telephonic support—often multiple times per week.
• Advocate for clients to reduce barriers to care and ensure access to benefits and community resources including accessing additional benefits and related documentation (i.e. Social Security Insurance (SSI), CalFresh, cash aid, and obtaining required documentation (ID, birth certificate, social security card, financial records, etc.)
• Collaborate with community partners, legal guardians, law enforcement, and healthcare providers as appropriate.
• Facilitate transitions of care, including hospital discharge planning, linkage to housing, and support during system navigation. 
• Coordinate and integrate services across medical, mental health, substance use, housing, and social service systems.
• Provide crisis intervention, de-escalation, and safety planning as needed.
• Assist clients with life skills education, appointment scheduling, and transportation coordination.
• Monitor and document client progress, including changes in clinical status and service needs.
• Conduct discharge planning to appropriate community housing including application assistance, linkage to resources and referrals to facilitate independence and transition to stable housing. 
• Collaborate and communicate effectively with an interdisciplinary and external care team – often multiple times per day
• Coordinate care with managed care plans (MCP), community providers, other referral sources and caregiver/authorized support person(s)
• Participate in case reviews, multidisciplinary team meetings, and quality improvement initiatives.
• Maintain accurate, timely, and confidential documentation in compliance with agency and regulatory standards.
• Maintain a flexible schedule according to client needs and in communication with program leadership
• Participate in all staff meetings and trainings as requested
• Perform additional duties as assigned 

Who You Are:

You're passionate about making a lasting impact, whether supporting individuals directly or enhancing our organizational effectiveness. To thrive in this role, you'll:

• Master’s Degree in Social Work (MSW), Master’s Degree with an emphasis in Marriage and Family Therapy (MFT) or related field,  required
• License-eligible, and currently registered and in good standing with the State of California Board of Behavioral Science as an Associate Social Worker (ASW), 
• Associate Marriage and Family Therapist (AMFT) or related field, preferred
• Two (2) or more years of relevant work experience, required 
• Knowledge of substance use, mental health, assessments, intervention and coordinated care strategies in a community non-profit setting, preferred 
• Bilingual (Spanish/English), preferred

  SKILLSETS/ ADDITIONAL  REQUIREMENTS:

• Strong clinical judgment and ability to manage high-acuity cases.
• Ability to manage multiple priorities in fast-paced environments.
• Ability to work independently and as part of a multidisciplinary team.
• Ability to establish and maintain professional boundaries with clients 
• Working knowledge and skills in mental health, co-occurring disorders, substance abuse treatment models, and crisis intervention
• Ability to react calmly and professionally to emergency situations
• Ability to identify problems, and research and recommend resolutions
• Knowledge of community and social service agencies
• Knowledge of adult development
• Must have excellent written and verbal communication skills
• Must be highly organized and demonstrate attention to detail
• Demonstrated experience managing multiple deadlines and working effectively under pressure, using independent judgment to produce quality work under time constraints
• Demonstrated experience working with a collaborative team
• Working knowledge of MS Office (Word, Excel, and Outlook)
• Ability to communicate effectively among a diverse workforce population and maintain sound working relations with all levels within the organization
• Work with spirit of teamwork, cooperation and a sense of urgency
• Maintain a high degree of confidentiality over all matters in the course of business operations including client and employee information
• Ability to multi-task in an efficient, thorough, and prioritized manner
• Ability to work quickly, accurately and independently

 WORKING CONDITIONS/ PHYSICAL REQUIREMENTS: 

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

• Must be able to perform work in an office setting
• May be subjected to adverse conditions, including contact from hostile people
• Potential exposure to contagious diseases, hazardous chemicals, and other hazardous fluids 
• Must have the physical ability to sit for long periods of time, stand, walk, bend, kneel on a frequent basis
• Occasionally lifts, carries and balances objects weighing up to 30 pounds
• Pulls and pushes such objects as file drawers, computers and similar office equipment and supplies
• Prioritizes and multi-tasks work and projects requiring good memory, concentration and analytical thinking
• Occasionally is required to perform the safe operation of office equipment and machines, and recognize and abate safety hazards within the workplace
• The noise level in the work environment is usually low

Location: Onsite/Escondido

Hourly Rate: $33.00-$38.00

Hours: Monday-Friday: 10:00am-6:30pm

EMPLOYMENT BENEFITS

· Paid Time Off

· Paid Holidays – 13 scheduled

· Flexible Work Schedules

· Medical, Dental, and Vision Insurance

· AD&D / Group Life Insurance

· Flexible Spending Accounts – Medical and Dependent Care

· Matched 401(k) Retirement Plan

· Early Release Days!

· Work Anniversary Bonuses

· Tuition Reimbursement and Public Service Loan Forgiveness Eligibility

· Employee Assistance Plan (EAP)

· Home Ownership Assistance Program

· Casual Work Environment

· Professional Growth and Career Development Opportunities

Interfaith is an equal opportunity employer. Qualified applicants will be considered without regard to age, race, creed, color, national origin, ancestry, religion, pregnancy, marital status, affectional or sexual orientation, gender identity or expression, genetic information, disability, nationality, sex, veteran status, or any other characteristic protected by federal, state or local law. In addition, Interfaith will provide reasonable accommodations for qualified individuals with disabilities.