An Intensive Case Manager (ICM) is responsible for assisting clients who are homeless and who have a chronic illness or physical disability in every stage of the housing stabilization process. Services are provided most often in the clients home, and include intensive coordination and evaluation of the clients needs, abilities, and progress in gaining access and maintaining health, mental health, benefits and housing stability.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Confirm eligibility upon receipt of client referrals, assist clients with gathering other program eligibility documentation, and complete project intake forms.
- Conduct an initial face-to-face DHS-approved comprehensive psychosocial assessment within two (2) business days of the clients enrollment.
- Develop and implement an individualized case management service plan with the client to address the needs identified in the initial DHS-approved psychosocial assessment.
- Conduct DHS-approved comprehensive reassessments and update case management services plan on an ongoing basis, but not less than once every three (3) months.
- Assist client with access to temporary crisis housing and placement (e.g., emergency shelters, transitional livings, motel vouchers, crisis beds, etc.) until permanent housing placement is secured.
- Assist client in completing applications for Section-8, other low-income housing programs and accompany clients to all related appointments.
- Provide housing location services, such as rental lists, cold call rental ads on behalf of the client, internet search, CHIRPLA website, and field housing search.
- Assist clients with the timely completion, submission and coordination of lease agreements.
- Coordinate move-in and provide tenant orientation, including but not limited to educating clients about neighborhood amenities, services and transportation.
- Maintain regular ongoing face-to-face client contact, including home visits and accompaniment to medical appointments with clients, at a minimum of three (3) or more face-to-face visits per week at initial engagement.
- Ensure clients are linked to and accessing health, mental health, and substance use services, and other supportive services, as needed and provide ongoing monitoring and follow-up.
- Assists clients in learning to use fiscal resources through budget planning and instructions in spending, and obtaining income and/or establishing benefits and assisting with applications to entitlements including SSI, SSDI, GR, Unemployment, health insurance benefits, etc.
- Assist clients with locating and securing employment and volunteer and/or educational opportunities.
- Provide transportation, as needed, by means of bus fare/pass or private vendor. Assist clients with increasing their capacity to meet their own transportation needs.
- Assist clients with accessing services to address their immediate needs (e.g., access to temporary housing, food, clothing and other basic necessities).
- Assist clients with life skills and community participation
- Assist clients with gaining, restoring, improving and/or maintaining daily independent living, social/leisure, and personal hygiene skills.
- Assist clients with maintaining medication and treatment regimens, including accompanying clients to appointments with health, mental health and/or other care providers.
- Assist clients with monitoring any legal issues and making appropriate referrals to overcome any barriers to accessing and maintaining permanent housing and supportive services (e.g., credit history, criminal records, and pending warrants).
- Educate clients about tenant rights and responsibilities, including but not limited to effective communication between property owners, ICM, neighbors, and compliancy to lease agreements, house rules, paying rent, eviction prevention, etc.
- Document within the clients records all eviction prevention interventions provided.
- Work with property management staff and Housing for Health partners to help clients resolve issues that threaten their housing stability. Meet jointly with clients and property management staff to address issues and develop plans for improvement.
- For clients who are transitioning out of intensive case management services, staff shall coordinate activities with other service providers to ensure that the client receives assistance with relocating to other affordable housing and linking to ongoing primary health care, behavioral health services, and other supportive services. These activities shall be conducted with the cooperation and/or authorization of the client to be noted within the case closure documentation.
- Maintain a caseload ratio of one (1) full-time equivalent intensive case manager to 20-40 clients (based on acuity), unless other approved by The Los Angeles County Department of Health Services.
- Maintain organized and accurate client records and statistical data, including appropriate case notes and input client information into database.
- Participate in regular staff meetings, staff training programs, supervisory sessions, quarterly program meetings, and accept the responsibility for aiding the development of positive team relationships.
- Adhere to agency policy, procedures and the professional code of ethics.
OTHER DUTIES MAY BE ASSIGNED TO MEET BUSINESS NEEDS.