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CalAIM Case Manager - Short Term Post -Hospitalization

Interfaith Community Se
Escondido, CA
  • Expired: January 13, 2023. Applications are no longer accepted.

This position will be specifically assigned to Interfaith's California Advancing and Innovating MediCal (CalAIM) Short-Term Post-Hospitalization Housing Program. Case Managers are responsible for providing intensive case management addressing the needs of individuals who do not have a residence and who have high medical or behavioral health needs with the opportunity to continue their medical/psychiatric/substance use disorder recovery immediately after exiting an inpatient hospital (either acute or psychiatric or Chemical Dependency and Recovery hospital), residential substance use disorder treatment or recovery facility, residential mental health treatment facility, correctional facility, nursing facility, or recuperative care and avoid further utilization of State plan services and achieve a more adaptive level of psychosocial functioning while in the program.


To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The following duties and responsibilities are those considered to be essential but do not represent all job functions that may be required to be performed by this position. Other comparable duties and responsibilities may be assigned as needed.
  • Provides comprehensive case management to individuals who do not have a residence and who have high medical or behavioral health needs
  • Conducts intake, bio-psychosocial needs assessment, housing assessment
  • Develops and implements collaborative care management and housing support plans which support individuals' needs in the areas of physical health, mental health, substance use disorders, community-based services support, social supports, and social determinants of health
  • Assists individuals in accessing additional benefits and related documentation such as, Social Security Insurance (SSI), CalFresh, cash aid, and obtaining required documentation (ID, birth certificate, social security card, financial records, etc.)
  • Conducts discharge planning to appropriate community housing including application assistance, linkage to resources and referrals to facilitate independence and transition to stable housing
  • Collaborates and communicates effectively with an interdisciplinary and external care team
  • Coordinates care with managed care plans (MCP), community providers, other referral sources and caregiver/authorized support person(s)
  • Provides crisis intervention as part of team
  • Participates in individual and group case consultation
  • Completes services and reports as assigned by Interfaith and CalAIM MCP, both clinical and administrative within the allocated time frame
  • Maintains up to date documentation for services provided to respective individuals
  • Maintains a flexible schedule according to client needs
  • Participates in all staff meetings and trainings
  • Performs additional duties as assigned

  • Bachelor's Degree in Social Services or related field required
  • Master's Degree in Social Work (MSW), Master's Degree with an emphasis in Marriage and Family Therapy (MFT) or related field preferred
  • Two (2) or more years of relevant work experience required
  • Knowledge of substance use, mental health, assessments, intervention and coordinated care strategies in a community non-profit setting preferred

  • Paid Time Off - Three weeks to start!
  • Paid Holidays - 13 scheduled
  • Flexible Work Schedules
  • Medical, Dental, and Vision Insurance
  • AD&D / Group Life Insurance
  • Flexible Spending Accounts - Medical and Dependent Care
  • Matched 401(k) Retirement Plan
  • Early Release Days!
  • Work Anniversary Bonuses
  • Tuition Reimbursement and Public Service Loan Forgiveness Eligibility
  • Employee Assistance Plan (EAP)
  • Home Ownership Assistance Program
  • Casual Work Environment
  • Professional Growth and Career Development Opportunities

Interfaith is an equal opportunity employer. Qualified applicants will be considered without regard to age, race, creed, color, national origin, ancestry, religion, pregnancy, marital status, affectional or sexual orientation, gender identity or expression, genetic information, disability, nationality, sex, veteran status, or any other characteristic protected by federal, state or local law. In addition, Interfaith will provide reasonable accommodations for qualified individuals with disabilities.

Interfaith Community Se


Escondido, CA
92025 USA