SR HOUSING CASE MANAGER- EHE

JOB SUMMARY
The Housing Case Management Program provides comprehensive care and coordination of services for low-income, uninsured individuals and families, including children and other vulnerable populations in need. Our primary objectives encompass various essential tasks mainly including housing assistance, behavioral and medical case management, benefits enrollment, referrals, and linkage to external resources. The Senior Housing Case Manager is responsible for supporting the Manager in the supervision of case management services to ensure proper program administration.

Leadership and Coordination:

• Author's reports, tracks productivity, coordinates with the Grantee and the Manager to ensure the success of the HOPWA program.
• Assists with QA reviews taking corrective action if necessary.
• Ensures the services provided by Housing Case Managers meet or exceed agency and funder standards.
• Reviews Housing Case Manager's documentation and billing to ensure it is timely, accurate, legible and Clear.

• Demonstrates and maintains expertise in the needs of underserved and vulnerable populations such as low-income minority families who are experiencing homelessness.
• Employs a housing first model to provide stable housing to individuals and families experiencing homelessness without prerequisites such as employment, income, etc.
• Screens and/or assesses all new clients for the EHE Program services or other forms of housing
• Completes applications for housing programs and other external housing programs.
• Determines eligibility for housing programs and other external programs.
• Identifies resources and refers to appropriate housing programs.
• Provides essential wrap-around case management services tailored to suit client needs.
• Provides linkage and medical case management to improve client's overall health and adherence to treatment.
• Provides linkage and behavioral health case management to improve client's mental well-being and adherence to treatment.
• Creates rapport through patient interaction to facilitate service access planning and health insurance affordability options.
• Orients each assigned patient every time to agency services and provides information about how to access needed services.
• Enrolls assigned patients into available community programs and coordinates, support, and follow-up on every referral, every time.
• Responsible for applying for benefits such as:
  SNAP, Medicaid, Medicare, ACA, TOPS, and SSI/SSDI, Outreach, Access, and Recovery (SOAR).
• Tracks referral success rates including a monthly, quarterly, and annual benefit analysis.
• Uses knowledge of individual programs to conduct home visits, hospital visits and coordinates with other professionals or family members to apply for services as needed.
• Coordinates with Housing Navigator to identify units for clients.
• Coordinates with physicians and other healthcare professionals for appropriate benefit access.
• Promotes health center services and coordinates patient enrollment by engaging in recruitment and retention initiatives with other departments as required.

• Ensures all documentation is Timely, Accurate, Legible and Clear.
• Develops comprehensive, individualized service access plans or plans.
• Monitors patients to assess efficacy of service plans and re-assesses and adjusts as necessary.
• Empowers patients to participate in their service planning.
• Maintains service plans, benefit applications and notes in patient records as specified in agency policy, program guidelines and performance standards.
• Coordinates with MMA Managed Care Coordinator on behalf of clients' healthcare requirements.
• Inputs patient information using electronic data entry (HMIS) according to agency and departmental guidelines.
• Maintains an accurate record on time sheet reflecting time spent in each program worked (e. g. CM-FQHC 75 hrs, ACA 10 hrs).
• Reports on total services value added per patient monthly, quarterly and annually (e. g. total successful benefits accessed per month for SNAP, Medicaid, Disability, ACA etc. ).
• Prepares necessary program reports and records as requested by the supervisor and/or manager.

• Maintains comprehensive knowledge of community services in order to apply knowledge of services to individual client needs.
• Supports billing through concurrent documentation of service provided and budget activities as required (i. e. reconciling billing across data systems including:
  PCIS, Web-based systems, CASEWATCH, Provide Enterprise CareWare, HIMS, NextGen and client electronic health records).
• Participates in staff training sessions within the timeframes specified and as required by the agency and the funding source.

• Participates in agency developmental activities as requested.
• Other duties as assigned.

• Ensures proper hand washing according to Centers for Disease Control and Prevention guidelines.
• Documents patient's medications correctly, makes sure each patient knows which medicines to take when they are at home and encourages each patient to bring their up-to-date list of medicines every time they visit the doctor.
• Ensures each new patient receives screening for their risk for suicide, risk for depression, substance abuse, tobacco use, STIs and ensures treatment access for those in need.
• Understands and appropriately acts upon assigned role in Emergency Code System
• Understands and performs assigned role in Agency Continuity of Operations Plan (COOP)

• Greets internal or external customers (i. e. patient, client, staff, vendor) with courtesy, making eye contact, responding with a proper tone and nonverbal language.
• Listens to the internal or external customer (i. e. patient, client, staff, vendor) attentively, reassuring and understanding of the request and providing appropriate options or resolutions.

• Provides services required by following established protocols and when needed, procure additional help to answer questions to ensure appropriate services are delivered.

• Takes initiative and anticipates internal or external customer needs by engaging them in the process and following up as needed.
• Prioritize internal or external customer (i. e. patient, client, staff, vendor) requests to ensure the prompt and effective response is provided.