Case Manager Multi-Program Services

Job Description

Position Summary

The Case Manager provides comprehensive case management, resource coordination, client advocacy, and supportive services across all organizational programs and service areas. The Case Manager works with individuals and families participating in IDD Service programs, housing stabilization, veteran services, supportive services, and other community-based programs operated by the organization.

This position is responsible for assessing client needs, developing individualized service plans, coordinating resources, monitoring progress, and supporting clients in achieving stability, self-sufficiency, and overall wellness through a combination of in-person, phone, virtual, office-based, and field-based case management services.

Essential Duties and Responsibilities

Client Assessment & Service Planning

• Conduct client assessments, screenings, and intake interviews.
• Develop individualized service plans based on identified client needs and goals.
• Conduct weekly or bi-weekly in-person case management visits with clients as required by program guidelines, individualized service plans, or supervisory direction.
• Maintain regular client engagement through phone calls, virtual appointments, wellness checks, and follow-up contacts between scheduled in-person visits.
• Monitor client progress, address barriers to stability, and adjust service coordination efforts based on ongoing client needs and participation.
• Provide crisis intervention and problem-solving support when needed.
• Support housing stabilization, healthcare access, employment readiness, transportation, and other supportive service needs.

Resource Coordination & Advocacy

• Connect clients to community resources, benefits, and supportive services.
• Coordinate referrals with healthcare providers, housing agencies, behavioral health providers, workforce programs, and community partners.
• Advocate for clients to ensure access to appropriate services and support systems.
• Assist clients with completing applications, obtaining documentation, and navigating systems of care.

Documentation & Compliance

• Maintain accurate and timely case notes, assessments, service plans, and program documentation.
• Document all in-person, phone, virtual, and field-based case management interactions in accordance with organizational policies and program requirements.
• Ensure client files meet organizational, grant, and regulatory compliance requirements.
• Enter and manage data in case management systems, HMIS, or related databases.
• Assist with program reporting, audits, and quality assurance activities.

Program & Community Support

• Participate in case staffing meetings and interdisciplinary coordination efforts.
• Assist with outreach activities, workshops, and community engagement events.
• Support program enrollment, retention, and discharge planning activities.
• Maintain professional relationships with community agencies and referral partners.
• Conduct home visits, field visits, and community-based client engagement activities as necessary to support service delivery.

Administrative Support

• Track client progress and program outcomes.
• Maintain confidentiality in accordance with HIPAA and organizational policies.
• Attend required trainings, staff meetings, and professional development activities.
• Perform additional duties as assigned to support organizational operations.