Social Care Network Case Manager

Description

This position is responsible for the day-to-day operations of Caz Recovery’s service provision through the WNY Integrated Care Collaborative (WNYICC), which is WNY’s regional Social Care Network (SCN). This position is responsible for all aspects of screening, navigation, care management, and housing services related to the SCN service contract. Funding for this position is contingent upon NYS’s Health Equity Reform 1115 Waiver and is expected to expire in spring 2027. Please note, once this position expires, individual has the opportunity to apply for another position in Housing/elsewhere if available which may be a lower paying position.

Duties and Responsibilities

• Provides empathetic and culturally competent screening for social determinants of health to potential program participants telephonically, virtually, and/or in-person
• Processes screenings and referrals daily including calls with potential program participants, completes documentation and insurance/eligibility verifications
• Receives, prioritizes, monitors, and triages screenings and referrals that may require connections across external community-based organizations
• Manages incoming referrals received and ensures successful and timely connections are made between applicants and appropriate community-based organizations
• Documents progress and actions taken with each referral and every interaction in the WNY Integrated Care IT platform, as required
• Conducts in-home assessments with community members when necessary
• Maintains effective communication with potential program participants and/or referring organizations to ensure acceptance and resolution of referrals
• Assists program participants in searching for, obtaining housing, and accessing relevant services and benefits including furnishing and initial pantry stocking
• Assists program participants with coordinating the “moving in” process
• Facilitates relationships between program participants and landlords/property managers, advocating for program participants when necessary
• Establishes working relationships with landlords/property managers and maintains a roster of available housing units
• Works in collaboration with program participants to create individual service plans to support participants’ growth, empowerment, and self-sufficiency
• Informs appropriate staff of any concerns or changes in program participants’ demeanor that may signify exacerbated mental health or other concerns that require intervention.
• Visits program participants’ homes at least once monthly to inspect the unit and ensure participants’ safety and security in the home
• Assists program participants in securing linkages to social supports that lead to successful community integration
• Assists program participants in achieving financial independence by obtaining income, creating and following budgets, and participating in educational or vocational programs
• Responds to and manages crisis or emergency situations that may arise
• Accurately completes case notes in a timely manner
• Manages program participant’s housing chart and ensures all necessary regulatory documentation is current
• Attends WNY Integrated Care Screening/Navigation and Housing workgroup meetings
• Works within WNY Integrated Care social care technology and transportation platforms
• Participates in weekly staff meetings and case conferences
• Carries out duties essential to the above stated responsibilities as assigned
• Attends trainings as assigned to increase knowledge of homelessness and substance use
• Participates in community wide meetings to build a network of other support service workers and to increase knowledge of local resources
• Is mindful of and integrates Trauma-Informed Care and its five principles in all duties and interactions with fellow staff, program participants, and external partners
• Practices Housing First and Harm Reduction in all duties and interactions with program participants
• Regular attendance at work location
• Maintains compliance with all required rules and regulations including Federal Confidentiality (42 CFR, Part 2), HIPAA, Medicaid and/or HUD, and any others.
• Other duties may be assigned
• Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions

Requirements

• Master’s degree in human services or related field OR
• Bachelor’s degree in human services or related field and a minimum of 6 months’ human services experience OR
• Associate’s degree in human services or related field and a minimum of one-year human services experience
• In addition, the qualifications above, a valid New York State driver’s license is required and a reliable automobile