About JFS of Silicon Valley
JFS SV envisions a world where each person achieves self-sufficiency, stability, well-being, and purpose. JFS SV is an inclusive nonprofit social services organization providing comprehensive support services to individuals and families facing life challenges. We engage community partners and collectively we make a positive impact on the lives of those we serve.
As an inclusive organization, our biggest strengths are the unwavering support we provide to all employees and the celebration of diversity amongst all communities.
Job Summary:
We are seeking an experienced Care Manager II who will provide community-based services to live quality independent lives in the community. The Care Manager II will work with a dynamic team of professionals who provide innovative wrap-around services including, care management, occupational therapy for fall prevention, mental health counseling, caregiver support, volunteer friendly visitors and home-based enrichment programs. Care management services are provided to individuals of all income, religious, cultural, and socio-economic backgrounds.
Key Responsibilities:
Case Management: Developing a comprehensive, individualized, person-centered care plan based on the identified clinical and non-clinical needs that address the client’s health and gaps in care and set person-centered goals.
Assessment: Conducting comprehensive assessments and re-assessments of the client's biopsychosocial needs based on program requirements.
Care Plan: Together with clients, create client-centered care plans that integrate bio-psychosocial assessment.
Care Coordination: Supporting the client to navigate, connect to, and communicate with physical & behavioral health and social systems according to their care plan.
In-Person Visits to Clients: Engaging primarily the client in-person or client’s modalities preference to assess their needs, provide support, and ensure the effective delivery of care services.
Health Promotion: Coaching the client on how to better monitor and manage their health and identify/access helpful resources.
Transitional Care: Developing a comprehensive transitional care plan to help the client transition between the emergency department, hospital, and residential/treatment facilities and developing strategies to reduce avoidable hospital admissions and readmissions.
Support System: Ensuring the client, their family, and their personal support system are informed, empowered, and connected to resources that support their health goals.
Resources Management: Identifying strategically and optimizing resources to meet the clients and their families' unique needs by referring to community and social support services.
Client Advocacy: Advocate for our clients, safeguarding their rights, preferences, and best interests as they work toward stability and self-sufficiency.
Communications: Act as the central hub of communication, ensuring a smooth exchange of information among families, healthcare providers, and all involved parties.
Documentation: Maintain detailed and up-to-date records of assessments, care plans, progress notes, and other vital documentation, adhering to legal, organizational, and NASW standards of practice. Contractual reporting requirements.
Living JFS Values: Incorporates the core JFS values into the work with clients, colleagues, volunteers and community of Welcoming the Stranger, Repairing the World, and Treating Everyone with Respect and Dignity.
Other Duties: Embrace additional responsibilities assigned by management, contributing to our collective success.
Qualifications & Skills:
Education:
• Masters degree in the following fields: Social Work, Psychology, Gerontology, or Health Science.
Experience:
• At least 3 years of relevant experience related to job description.
• Familiarity with Medi-Cal, CalAIM, and community support services (preferred).
• Experience working with individuals with mental and/or behavioral h