Case Manager; CSP

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.

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 co-occurring 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  Housing Case Manager (CSP-HI) works with the Casa Care multidisciplinary team to provide care coordination for individuals as part of the Casa Care integrated care model, which includes primary care, mental health, and addiction treatment.

The Housing Case Manager (CSP-HI) 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.

• 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 Housing Case Manager (CSP-HI) to support with the reentry process if needed.
• Provide access to peer-support and peer-reinforced group…