Holistic Case Manager - Homeless Services

CENTRAL ARIZONA SHELTER SERVICES INC; Charlottesville (VA); On-site; USD 42,000 - 56,000; Full time

Job summary

Paylocity seeks a Case Manager in Charlottesville, VA to work directly with individuals experiencing homelessness, offering support and referrals to help clients achieve self-sufficiency and end homelessness.

The role uses a holistic, trauma-informed approach to assess strengths, needs, barriers, and goals, while coordinating housing placements and supporting job readiness through client-centered planning.

Qualifications

• Associate’s degree in social or behavioral science or related field required.
• One year of social services experience preferred.
• CPR/First Aid within 90 days of employment required.

Responsibilities

• Conduct in-depth client interviews and develop individualized case plans.
• Provide referrals and connect clients to housing, healthcare, and benefits.
• Maintain accurate HMIS records and client notes; monitor progress.
• Collaborate with housing providers and community partners to secure placements.

Skills

Interpersonal communication

Decision making

Case management

Organizational skills

Crisis management

Education

Associate’s degree in social or behavioral science

Tools

Word

Excel

Outlook

Job description

Description

THIS OPENING IS FOR CHARLOTTESVILLE, VIRGINIA.

Schedule will typically be either be Wed-Sat or Sun-Wed. Days may vary slightly depending on coverage needed in the department. Hours will be from 7:30 am to 6:30 PM. Schedule is created at least 2 weeks ahead of time

Job Summary: This position works directly with individuals experiencing homelessness. The Case Manager provides support and referrals to various service providers to help clients become self-sufficient and end their homelessness. The role utilizes a holistic, trauma-informed, client-centered approach to evaluate a client’s strengths, needs, barriers, and goals. The Case Manager also provides support for clients using other evidence-based practices that strengthen an individual’s ties to community support, housing, and services during and after completion of CASS programs.

Essential Functions:

1. Assessment and Case Planning:

• Conduct in-depth client interviews and orient individuals to the program.
• Evaluate client strengths, needs, barriers, and goals to collaboratively create individualized case plans aligned with the Social Determinants of Health.
• Provide referrals, resource information, and guidance to support progress toward goals. Review and update case plans regularly to reflect client progress and changing needs.

2. Ongoing Support and Advocacy:

• Conduct regular follow-up meetings with clients to provide continued support in achieving case plan goals.
• Review progress, monitor notes in system from other departments, and obtain additional information to support client in adhering to the case plan.
• Use established and identified resources to connect clients to essential services and benefits (clothing, transportation, identification documents, healthcare, behavioral health).
• Collaborate with housing providers to expedite placements and ensure long-term housing stability.
• Support job readiness by evaluating employment potential, reviewing job listings, assisting with applications and resumes, and referring to training or other income opportunities.
• Assist clients with completing forms, applications, and paperwork for housing, benefits, and services.
• Provide walk-up assistance for urgent or immediate client needs.
• Transport clients to appointments when other options are not available.
• Serve as an advocate by championing client needs and ensuring their voice is central in-service planning.

3. Recordkeeping and Reporting:

1. Enter client information into HMIS promptly after intake.
2. Maintain complete and accurate notes in client record prior to the end of each shift.
3. Review updated case notes daily to ensure continuity of services.
4. Ensure that HMIS files are closed promptly after client’s exit.
5. Provide “success stories” and other positive client progress information to leadership.

Other Duties:

1. Maintain respectful and collaborative relationships with partner agencies.

2. Work closely with team members to ensure a coordinated and holistic approach to client support.

3. Participate in team meetings, training sessions, and community outreach events as required.

4. Escalate all urgent client and facility issues to leadership in a timely manner.

5. Perform other duties as assigned.

Requirements

Needed Competencies and Proficiencies:

1. Advanced written, verbal, and interpersonal communication skills, including negotiation and advocacy.

2. Proven ability to assess complex situations and make sound, client-centered decisions under pressure.

3. Strong organizational and case management skills with attention to documentation and follow-through.

4. Ability to maintain professionalism and composure while managing crisis situations.

5. Commitment to a solution-focused, outcomes-driven approach and a clear intention to support client success.

Requirements

Required:

1. Associate’s degree in social or behavioral science or related field and minimum of one-year of social services experience, or equivalent relevant work experience.

2. Working knowledge of community resources.

3. Intermediate to advanced proficiency in Word, Excel and Outlook; highly accurate data entry skills.

4. CPR-First Aid certification within 90 days of employment.

5. Naloxone (Narcan) training within 90 days of employment.

6. Non-violent crisis de-escalation certification within 90 days of employment.

Preferred:

1. Experience with the Homeless Management Information System (HMIS).