Case Manager II

USVETS Houston; Houston (TX); On-site; USD 52,000 - 68,000; Full time

Job summary

USVETS Houston is seeking a Case Manager II to guide veterans toward independence through comprehensive case management, intake, and coordination with VA and community partners. The role emphasizes timely documentation, IAP development, and data entry in HMIS and related systems.

The Case Manager II will conduct home visits, track progress, support life skills groups, and participate in team meetings while handling multiple program-specific duties across housing and workforce services.

Qualifications

• Excellent written and verbal communication skills.
• Professional appearance and conduct.
• Proficiency with Microsoft Office 365 suite.
• Valid driver’s license and reliable transportation.

Responsibilities

• Assess veterans referred to the program across housing, employment, education, finances, health, legal, family and medical needs.
• Coordinate care with VA and community partners; prepare eligibility documentation.
• Facilitate intake, maintain confidential client files, and complete Individual Action Plans (IAP).
• Document progress notes in DAP format and update IAPs monthly; prepare discharge summaries.

Skills

Strong communication

Professional demeanor

Office 365 proficiency

Valid driver’s license

Education

Bachelor’s Degree; Social Work/Psychology/Counseling preferred

Bachelor’s Degree required

Tools

Microsoft Office 365

Job description

Case Manager IIThe Case Manager II reports directly to the Program Coordinator of the U.S.VETS program to which the Case Manager is assigned. The CM II is responsible for providing guidance to veterans to achieve their highest level of independence. Case management is a collaborative process which assesses, plans, implements, coordinates, monitors, and evaluates the selection of services to optimally meet each individual clients’ needs.FLSA Classification: Non-ExemptResponsibilitiesFor Case Managers of all U.S.VETS Programs:Assesses veterans referred to the program to include any problems, needs, or barriers identified in the following areas: Housing, Employment, Education/Training, Financial, Sobriety Support/Addiction Treatment, Legal, Family/Social, and Medical/PsychiatricCoordinates care with VA personnel and other community partners on behalf of clients to for eligibility documentation, mental and physical health servicesFacilitates client intake process and compiles client files ensuring all program eligibility documentation is completeCollaborates with clients to complete Individual Action Plans (IAP)Maintains confidential client files in a professional and timely manner ensuring all forms are the most recently revised versions and in compliance with organization standards; all required documents are present, complete, signed by the client and staff as applicable; and documents are placed in the correct order according to organization standardsMeets with clients as specified by program requirements and documents progress notes in Data/Assessment/Plan (DAP) formatReviews and documents updates for IAPs monthlyCompletes timely discharge summariesConducts home visits (whether at project-based units or scattered site) to provide case management services and ensure health and welfare of clientsAssists in quality management activities, data collection, and preparing reportsFacilitates client life skills classesProvides specialized case management services and life skills groups/classes to veteran subpopulations as applicable (such as female veterans, disabled veterans, Iraq/Afghanistan veterans, etc.)Conducts random drug and alcohol screenings of clientsMaintains confidentiality in compliance with the Health Insurance Portability and Accountability Act (HIPAA) standardsCompletes accurate and timely data entry into the HMIS system as applicable and other required internal and external databasesDocuments client referrals for servicesAttends scheduled team meetings and trainingsMaintains and submits time sheets, mileage logs, client expenses, and other required documentation accurately and in a timely fashionMay drive company vehicle for client transportation or other work-related activitiesPerforms other duties as requiredAdditional Program-Specific DutiesU.S.VETS has various programs to which a Case Manager may be assigned. These additional program-specific duties are outlined as follows:For Case Managers working with Transitional Housing Clients:Focuses on providing case management services that result in clients transitioning to permanent housingEnsures clients are accounted for daily through contact, bed check, and/or daily sign-in logsMonitors program rent/participant fee compliance to assist clients in prioritizing housingAdditionally, for programs with scattered-site transitional housing such as the Transition In Place (TIP) Program, locates housing units in the community that meet clients’ needsFor Case Managers working with Permanent Housing Clients:Focuses on providing case management services that result in clients obtaining and maintaining permanent housingFor programs with scattered-site permanent housing, locates housing units in the community that meet clients’ needsFor programs that serve families with dependent children, ensures that children and youth are enrolled in school and connected to the appropriate services within the community, including early childhood education programsFor Case Managers working with Workforce Clients:Assists with Workforce Program Assessment and Enrollment processesWorks with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with the planning of short-term and long-term employment goals to include education and training goalsProvides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive servicesFacilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.Makes presentations of clients’ employment backgrounds to prospective employersLearns and maintains knowledge of community employment agencies and procedures, along with any modifications to those proceduresFor Case Managers working with SSVF Clients:May report directly to the SSVF Team Leader if applicableConducts rapid rehousing and homeless prevention services for veterans and their familiesWorks with clients to develop a Housing Stability PlanProvides case management services to family members in the veteran householdConducts home visits to provide case management servicesEnsures that dependent children are enrolled in school and connected to the appropriate services within the community, including early childhood education programsMaintains compliance with VA regulations and organization protocols in requesting and distributing Temporary Financial Assistance to third-parties on behalf of veteran households to include cross-referencing HMISAssists in rapidly placing homeless veteran families into housingConduct Rent Reasonableness Testing and ensure Habitability Standards are met for veteran families rental unitsCoordinates with VA Grant & Per Diem Transitional Housing Programs for immediate placement of clients and case manages them while they are on the Rapid Rehousing Track of the programFor Case Managers working with Aftercare Case Management programs:Reports to the Permanent Housing Coordinator for sites with this position. Otherwise reports to the Transitional Housing Coordinator or the Director of Behavioral HealthMake home visits by the Case Manager to monitor housing stabilityProvide or coordinate educational activities related to meal planning, tenant responsibilities, the use of public transportation, community resources, financial management, development of natural supportsMaking referrals to needed services, such as mental health, substance use disorder, medical, and employment servicesParticipating in case conferencing with other service providers who are working with the veteranFor Case Managers working with Incarcerated Veterans Transition Program (IVTP):Assists with Program Assessment and Enrollment processes for clients currently in jail/prison or recently released from jail/prisonWorks with clients to develop an Individual Employment Development Plan; assesses, alleviates, and reduces any barriers to employment; assists the veteran with the planning of short-term and long-term employment goals to include education and training goalsProvides individualized assistance to clients in developing cover letters, resumes and obtaining other supportive servicesFacilitates groups or classes, i.e., Job Placement, Job Retention, Employment Barriers, Computer Skills, Motivation, Money Management, etc.Makes presentations of clients’ employment backgrounds to prospective employersLearns and maintains knowledge of community employment agencies and procedures, along with any modifications to those proceduresWhen clients are currently incarcerated, meetings and classes will be conducted in the jail/prisonAbility to pass background for clearance into jails/prisonsPreferred experience working with clients transitioning from jail/prisonFor Case Managers with nursing credentials:Oversee and track infection control protocols; assist with ensuring protocols related to health and wellness are implemented and maintainedAssist with coordinating health testing (i.e. TB, COVID, Flu, etc.) to include mass testing, self-administered testing, any required annual testing, or other testing as instructed and responsible for tracking resultsCoordinate off site testing with the VA and other healthcare partners as neededTrack any required vitals (i.e. temperature checks) at client intake, daily as determined by policy, or as otherwise required per company policiesConduct brief screenings of clients who present with flu-like symptoms and document screening results and referrals madeTriage any reported client symptoms for appropriate careTrack staff and client isolation/quarantine periods including approval of isolation/quarantine start and end dates and required timeline symptom-free periods for ending isolation/quarantineServe as liaison with any healthcare partners related to coordination of care to offsite isolation facilitiesDaily check-ins with clients in hospital, or isolation/quarantine on or offsiteAssist with medication storage and disseminationDocument and submit qualifying services for medical billingConduct universal precaution and blood borne pathogen training for staff annually or as frequent as necessaryCoordinate health-related events at site (i.e. health fairs, mobile medical, healthcare classes)Collaborate with any contracted nurse or other contracted healthcare professional and/or medical labs as needed to carry out these responsibilitiesMust have and maintain required nursing credentials as a Licensed Practical Nurse (LPN) and Registered Nurse (RN)While U.S.VETS may provide trainings that support the maintenance of credentials at the company’s discretion, the employee is responsible for maintaining credentialsFor Case Managers working with Legals Services for Clients:Provide information and education to veterans regarding available resourcesConduct assessments of veterans' legal needs and barriers that are restricting them achieving stabilityCollaborate with other Case Managers and program staff to ensure wrap around support for veteransCollaborate with current community partners and seek out external community legal professionals and organizations to secure legal services for veterans as neededAssist the site leadership with direct service administrative tasks related to the program, such as data entry, reporting, and grant compliance, including follow up and corrections as neededMaintain accurate and up-to-date client records and case notes in compliance with organizational standards, grant requirements, and confidentiality guidelinesCompile and submit service requests for grant support for allowable legal fees and other allowable costs for servicesMaintain a database to track client legal cases, document client legal case status and outcomesEnroll clients as participants under the legal services grant ensuring program targets for clients served are achieved by outreaching to clients and programsRequirementsBachelor’s Degree required. Degree in Social Work, Psychology, Counseling, or other related social service field preferredStrong oral and written communication skillsProfessional manner and appearanceAbility to work independently and within a teamAbility to take directionAbility to work effectively with diverse group of clients, staff, and community membersComputer proficiency in Microsoft Office 365 applications, email, and internet researchValid driver’s license required. Must meet company insurance requirements and complete a provided driver training coursePreferencesTwo years of experience in social services or related field preferredExperience working with homeless and/or veterans preferredCertification in Substance Abuse Counseling preferredExperience facilitating support groups preferred