Supportive Housing Case Manager (CSP-HI)

About Casa Esperanza

Casa Esperanza, Inc. is a bilingual/bicultural behavioral health treatment provider serving Boston and the Merrimack Valley. Our mission is to empower individuals and families to recover from addiction, trauma, mental illness, and other chronic medical conditions; overcome homelessness and discrimination; and achieve health and wellness through comprehensive, integrated care.

About the role

Casa Esperanza seeks a dynamic, energetic individual who is passionate about delivering recovery and wellness-oriented community-based case management and care coordination for people living with addiction, mental health, and cooccurring disorders as part of our Casa Community Support Program.

The Casa Community Support Program (CSP) addresses the health-related social needs of individuals living with substance use and co-occurring behavioral health disorders to help them thrive and live successfully in the community. CSP-HI delivers intensive case management, including assertive outreach, service coordination, monitoring, and follow-up, to individuals who are experiencing homelessness or at risk. The CSP-HI Case Manager works with the CasaCare multidisciplinary team to provide care coordination for individuals as part of the CasaCare integrated care model, which includes primary care, mental health, and addiction treatment.

The CSP-HI Case Manager must be able to initiate and complete work independently to fulfill the responsibilities of the job and work collaboratively with all members of the care team. With a career at Casa, you will be joining a vibrant team of dedicated and talented people. While there may be opportunities for occasional work from home, this is primarily an in-person, community-based role that requires travel, providing transportation for patients, and in office time.

What you'll do

Service Delivery

• Deliver services in 1) linguistically appropriate and culturally competent manner that embraces the diversity of people's identities including racial, ethnic, gender/gender identity, sex, sexual orientation, and disability including intellectual disability, and 2) an integrated manner that meets the needs of individuals with co-occurring substance use disorder and mental health conditions, honoring their chosen pathway to ending homelessness.
• If the client is coming from a 24-hour behavioral health level of care, including inpatient and diversionary providers, the program will participate, as appropriate, in member discharge planning at the referring provider.
• Generate a Verification of Homelessness as a Homeless Serving Organization or document receipt of such verification from a local Continuum of Care (COC) Homeless Management Information System (HMIS) or comparable system used by other providers.
• Conduct biopsychosocial assessment for each client, including comprehensive assessment of health-related social needs, including those related to housing status, and generate individualized service plans that reflect each client’s unique strengths (including community and family strengths), needs, abilities, preferences, motivation and readiness, as appropriate.
• Conduct discharge planning upon admission of client which includes social supports, care providers, service agencies, parole or probation staff if applicable, crisis prevention, and safety planning.
• Assume primary case management responsibilities for clients after assessment and maintain a caseload of 20 individuals.
• Provide skill-building and wellness education, both individually and in group settings, regarding substance abuse, mental health, HIV, and other health literacy and wellness information to clients and their family members.
• Connect clients to SUD and mental health treatment, recovery support services, supported employment and/or vocational and education services, housing supports, and HIV services at Casa Esperanza and at other agencies across Greater Boston.
• Provide comprehensive coordination across Casa programs and externally across the network of services.
• Provide one-to-one client orientation to support client adherence to the goals in the Individual Service Plan.
• Provide services that actively support the housing process including 1) pre-tenancy supports, including engaging the member and assisting in the search for an appropriate and affordable housing unit; 2) support in transition into housing, including assistance arranging for and helping the member move into housing; and 3) tenancy sustaining supports, including assistance focused on helping the member remain in housing and connect with other community benefits and resources.
• Support patients in securing appropriate services such as: medical, dental, benefits programs such as SSI, HDAP, SNAP, housing, financial, legal, education, training, employment, life skills, peer support, family support, and other services.
• Coordinate with CSP-JI Case Manager to support with the reentry process if needed.
• Provide access to peer-support and peer-reinforced group interventions.
• Work closely with Multi-Disciplinary Team (MDT) on all aspects of care planning, including assessments, transition and discharge planning to engage, retain and monitor clients in care.
• Conduct intensive outreach efforts to reengage or maintain engagement with clients, including at least four instances of case-related work per client over a 30-day period, at least one of which much be a direct connection with the client.
• Work closely with the Patient Access teams to coordinate enrolling clients into CSP-HI services.
• Other duties as assigned.

Administrative & Quality Assurance

• Document comprehensive needs assessment, verification of homelessness, and all subsequent client encounters and other data as required and maintain up-to-date client records in Casa’s electronic health record, Evolv. Update comprehensive needs assessment with the client quarterly in Evolv.
• Document individualized service plans. Update service plans at least every 12 months.
• Document discharge planning upon admission and provide a written copy of the plan to client (as well as individuals or organizations involved with the client’s ongoing care) upon discharge.
• Ensure all data collection and reporting requirements are completed within timeframes specified in the CSP Agreement.
• Attend bi-weekly supervision.
• Write and submit all reporting as required by payors, regulators, and Casa’s internal Practice Management and Quality teams, in a timely manner.
• Attend all relevant case conferences and staff meetings including but not limited to Multi-Disciplinary Team, Recovery Support Services, and Office Based Addiction Treatment.
• Other duties as assigned.

Qualifications

• Bilingual Spanish/English required.
• Knowledge of SUD and mental health treatment, the recovery process and resources, supported employment and/or vocational and education services, housing supports, and HIV services.
• Experience doing outreach and engagement with individuals with a history of or at risk for homelessness, HIV, addiction, mental illness, trauma and violence.
• Able to work weekends and evenings, as needed
• Familiar with social, health and cultural issues specific to the Latine population
• Ability to work as a team member and independently
• Understanding of harm reduction principles and techniques
• Strong verbal and written communication skills
• Strong interpersonal skills and crisis management skills
• Bachelor’s degree or three years of relevant work experience or lived experience.
• Be in good standing with their board of professional licensure, as applicable.
• Computer skills, minimum Microsoft Word

What we offer:

Casa Esperanza Benefits Package:

• Compensation: $48,000-50,000 per year
• Holiday Pay (12 days per year 1 floating holiday)
• Paid Time Off (PTO) - 18 days year one, 20.5 days at year 2, 23 days at year 5
• Sick Pay - 10 paid days per year
• Long / Short Term Disability
• Paid by Company Life Insurance
• Health Insurance (Medical Dental, Vison)
• Health Reimbursement Arrangement (HRA)
• FSA/DCA (Flexible Spending Account & Dependent Care)
• ComPsych Guidance Resources - EAP
• Educational Opportunities
• Tuition Remission
• Employee Ticket at Work (Discounts for Entertainment, travel, movies; etc.)
• Career Advancement Opportunities
• Increased Salary for Credentials
• and more....

Physical & Mental Requirements

While performing the duties of this job the employee is regularly required to walk, stoop, kneel, crouch or crawl and talk or hear. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include distance vision, peripheral vision, and depth perception.

At Casa Esperanza, Inc., the health and safety of our people is our number one priority. That’s why all offers of employment are contingent on the candidate showing proof of being fully vaccinated against COVID 19 (currently one dose of the Johnson & Johnson vaccine or two doses of the Pfizer or Moderna vaccine and boosted, when eligible) to pass the pre-employment requirements. Individuals with medical issues or religious beliefs that prevent them from getting the vaccine may request an exemption from the vaccine requirement.

Casa Esperanza’s EEO Statement

Casa Esperanza, Inc. values its diverse workplace and encourages women, people of color, LGBTQIA individuals, people with disabilities, members of ethnic minorities, foreign-born residents, older members of society, and others from minority groups and diverse backgrounds to apply.

We recruit, hire, employ, train, promote, and compensate individuals based on job-related qualifications and abilities. Casa Esperanza, Inc also has a longstanding policy of providing a work environment that respects the dignity and worth of each individual and is free from all forms of employment discrimination, including harassment, because of race, color, sex, gender, age, religion or religious creed, national origin, ancestry, citizenship, marital status, sexual orientation, gender identity, gender expression, genetic information, physical or mental disability, military or veteran status, or any other characteristic protected by law. All employees, interns, volunteers and contractors of Casa Esperanza, Inc. are responsible for maintaining a work culture free from discrimination and harassment by treating others with kindness and respect.

Casa Esperanza, Inc. also provides reasonable accommodation to qualified individuals with disabilities or based on a sincerely held religious belief, in accordance with applicable laws. If you need to inquire about an accommodation, or need assistance with completing the application process, please email hr@casaesperanza.org.