Veterans and Programs Case Manager

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VA & PROGRAM CASE MANAGER

Classification:

Full-Time, Non-Exempt Reports To:

Director of Programs Supervises:

N/A Summary:

Talbot House Ministries was established as a place of hope for people who had lost hope: the hungry, the homeless, and the poor. Planting the seeds of hope is something we do with everyone who comes through our doors. The VA & Program Case Manager is responsible for supporting residents by assessing their needs, providing support and services to meet those needs, and advocating for them to achieve self-sufficiency.

Core Responsibilities/Essential Functions:

• Conduct intake interview and intake process for unsheltered & VA clients
• Attend monthly VA online provider mtgs
• Compile daily VA tracking and monthly billing invoice
• Track the entry and exit dates for each veteran in the program database.
• Work with VA case managers to prioritize document gathering and rapidly identify suitable permanent housing options
• Asses the needs of program residents and develop a case plan and budget for short-term and long-term needs
• Refer residents to appropriate community providers such as SSA, health, legal, and financial providers to offer additional support
• Apply for applicable assistance on the resident's behalf
• Monitor the activities of service providers to ensure the appropriate services were provided
• Schedule and/or provide rides to various appointments, including doctor and court hearings
• Ensure appropriate classes and programs are scheduled and attended by and for residents
• Create a discharge plan including options for housing, medical needs, and counseling

Knowledge, Skills, and Abilities:

• Knowledge of service providers, VA Services and programs in the community
• Knowledge of state and local programs for the displaced and vulnerable populations
• Organizational skills
• Effective and efficient documentation skills
• Excellent communication skills including listening, verbal and written
• Planning and problem-solving skills
• Ability to multi-task, prioritize, and meet deadlines
• Ability to work well with others and under high stress
• Ability to show empathy and compassion
• Ability to be professional and confidential
• Ability to identify crises
• Ability to be flexible
• Ability to drive
• Valid driver's license if operating company vehicle VA Veterans program (CERS emergency units)

Purpose:

Provide rapid, safe, and temporary emergency housing for veterans while they await permanent placement.

KPIs Time to housing placement:

The average number of days (45-60) a veteran stays in an emergency unit before being placed in permanent housing.

Placement rate:

80% of veterans who successfully move from emergency units to permanent housing.

Resource connection rate:

100% of veterans are connected to key supportive services, like VA healthcare, employment services, and mental health support.

Average stay duration:

Tracks how long veterans are housed in the CERS units, aiming for a shorter stay.

Utilization rate:

90% of CERS units occupied at any given time. SMART goals

Goal:

Decrease the average length of stay in CERS emergency units for veterans.

Specific:

Decrease the average length of stay in CERS units to 35 days or less by streamlining the housing application process.

Measurable:

Track the entry and exit dates for each veteran in the program database.

Achievable:

Work with VA case managers to prioritize document gathering and rapidly identify suitable permanent housing options.

Relevant:

A shorter stay in emergency housing frees up resources for more veterans and moves them toward stable housing faster.

Time-bound:

This will be achieved within 6 months.

Purpose:

Provide comprehensive, client-centered case management support to help unsheltered individuals navigate services and achieve housing stability.

KPIs Housing placement rate:

30% of clients move from unsheltered to stable housing (e.g., transitional, permanent).

Case plan completion:

100% of clients who complete key milestones outlined in their individualized case plans.

Exit status:

30% Housing outcome for all clients, whether it's permanent housing, reunification, or another stable situation.

Retention in services:

Meet with residents a minimum of twice a month of ongoing, productive contact with the client.

Service utilization:

100% of clients connected with other vital services (e.g., substance abuse treatment, mental health counseling)

SMART Goals Goal:

Increase the number of unsheltered clients successfully transitioning into permanent housing.

Specific:

Transition 30% of clients entering case management into permanent housing within 12 months.

Measurable:

Utilize the Homeless Management Information System (HMIS) to track program entry, housing status, and exit data for all clients.

Achievable:

Case Managers receive extensive training on effective housing navigation strategies and maintain strong relationships with housing and service providers.

Relevant:

This directly addresses the core mission of helping unsheltered individuals achieve housing stability.

Time-bound:

This will be accomplished by the end of each performance evaluation year.

Physical and Special Requirements:

• Possession of a valid driver's license if operating company vehicle and ability to travel to other locations for business reasons.
• Ability to operate a motor vehicle.
• Hiring requirements include a criminal records background check clearance.
• Ability to remain in a stationary position 25 percent of the time.
• Ability to move throughout the office to access file cabinets, printers, etc.
• Ability to operate a computer and office machinery.
• Ability to move to multiple floors of a building.
• Ability to observe details at close range, communicate and exchange accurate information, and express oneself so others will understand.
• Ability to position self to maintain files and operate equipment, which may require bending, standing, walking, and kneeling.
• Ability to occasionally move and transport items weighing up to 20 pounds.

Employer conducts Screening.

Education and Background:

• Bachelor's degree in social work preferred; will consider an equivalent combination of relevant education and experience
• 1-3 years of experience in a case management position
• Minimum of 2 years in Social Work or Human Services All positions at Talbot House Ministries require mandatory ongoing training, and every employee must be available for all scheduled training.

In addition, employees must attend all mandatory staff meetings.