Bilingual Spanish HSSP FSP – ICM Case Manager in LOS ANGELES, California at VIP Community Mental Health Ce

For over 30 years, the Violence Intervention Program (VIP) has been the leader in building transformative programs that raise the standard of care for all victims of child abuse, neglect, and sexual assault in Los Angeles County. Today, VIP functions as a public-private partnership between the publicly funded VIP Children’s Medical Village at the LAC+USC Medical Center and our non-profit, the VIP Community Mental Health Center, Inc. (VIP-CMHC). Our history of quality mental health care is due in large part to the dedicated and talented employees whose efforts have helped improve the lives of children, transitional age youth, and their families.

POSITION SUMMARY

The Case Manager is a core member of an FSP-ICM (Full-Service Partnership – Intensive Case Management) team providing intensive, community-based, whole-person behavioral health services to adults with serious mental illness (SMI) and/or co-occurring substance use disorders (SUD). This position is assigned to the Housing Supportive Services Program (HSSP), a specialty FSP-ICM model that provides field-based mental health case management to formerly unhoused individuals living in tenant-based or project-based Permanent Supportive Housing (PSH). HSSP operates as part of an integrated services partnership among the Department of Mental Health (DMH), Department of Homeless Services and Housing (Intensive Case Management Services, ICMS), and substance use disorder providers, working together to support housing retention, mental health recovery, and reduced reliance on crisis, hospital, and justice-system services.

ESSENTIAL DUTIES & RESPONSIBILITIES

Care Coordination & Case Management

• Serve as a Primary Care Coordinator for an assigned caseload, acting as the main point of coordination among the multidisciplinary FSP-ICM/HSSP team for each client.
• Participate with all other team members in outreach, engagement, and enrollment activities for individuals referred through the Service Request Tracking System (SRTS), including referrals from HD-HSI, ICMS, SUD providers, and property management.
• Collaborate in needs assessments, treatment planning, resource coordination, crisis intervention, and skill development to help clients with complex needs access and navigate medical, social, employment, educational, and other support services.
• Support clients not on the primary caseload as needed, consistent with the team-based service model.
• Deliver a minimum of four face-to-face contacts per month per client (more frequently as clinically indicated), with at least 25% of all direct services delivered in field-based settings (75% for unhoused, recently housed, or reentry populations, unless the client declines field-based services).
• Document all referrals, outreach contacts, and engagement efforts in SRTS and other required systems (e.g., HSSP Tracker, IBHIS/HMIS) in a complete, accurate, and timely manner.

Housing Support & Retention (HSSP – Specific)

• Support delivery of housing services, including housing retention and other recovery-oriented services, for clients residing in PSH.
• Assess mental health symptoms and behavioral manifestations that contribute to housing instability, and coordinate with the team and service partners on a care plan to address them.
• Provide home visits at the frequency required to support housing retention and meet housing subsidy requirements.
• Respond promptly to lease violations or landlord/property manager concerns to help clients avoid eviction; assist with legal services, subsidy renewals, and representative payee arrangements as needed.
• Work with landlords, property managers, developers, and facility managers to advocate for and support client housing retention.
• Assist clients with relocation when necessary.
• Contribute toward program goals of 90% housing retention at 12 months and 80% at two years for clients served.

Clinical & Recovery Support

• Assist with needs assessments related to housing, employment, daily living activities, and substance use.
• Support delivery of integrated behavioral health care for clients with co-occurring SMI and SUD, in coordination with the team's SUD Specialist and clinical staff.
• Help clients pursue employment, volunteer, and educational goals, including connection to Individual Placement and Support (IPS) services where appropriate.
• Support clients through crisis situations in coordination with the Clinical Supervisor, prescriber, and Mobile Crisis Team/DMH ACCESS resources as needed.
• Support justice-involved clients as needed, including coordination with probation/parole and court-related processes, in collaboration with the team.

Team Collaboration & Meetings

• Participate in team meetings, weekly (or more frequent) clinical case conferencing with partnering ICMS and SUD providers, and periodic partnership meetings with property management staff.
• Attend HSSP Provider Meetings, DMH site reviews, and relevant regional homeless-system meetings (e.g., Coordinated Entry System) as required.
• Communicate proactively with all members of the integrated services team, in and outside of formal meetings, to ensure client needs are met.
• Maintain a client-to-staff ratio consistent with FSP-ICM staffing standards

TRAINING REQUIREMENTS

Consistent with FSP-ICM and HSSP standards, the Case Manager must complete:

• A minimum average of 5 hours per month (60 hours per year) of ongoing training.
• Required evidence-based practice training in Motivational Interviewing, Housing First, Harm Reduction, and Trauma-Informed Care, with periodic refreshers as required by the program.
• Program-specific training on SRTS, the HSSP Tracker, and other required systems and documentation standards.

WORKING CONDITIONS

• Field-based work in PSH buildings, clients' homes, community settings, and occasionally shelters or encampments; some indoor office/clinic-based work for documentation and team meetings.
• Standard business hours (Monday–Friday, 8 a.m.–5 p.m.), with availability for evening/weekend response to client crises as needed.
• May involve exposure to emotionally difficult situations, including client crises, homelessness, and behavioral health emergencies.
• This is not an on-call or 24/7 position. During business hours, the Case Manager participates in team-based crisis response and coordination with the Mobile Crisis Team/DMH ACCESS. After business hours, clients requiring crisis support are directed to the DMH ACCESS line or the 988 Suicide & Crisis Lifeline. Occasional evening/weekend availability may be needed for specific scheduled client needs (e.g., home visits) or to support an active crisis, at the discretion of the Clinical Supervisor.

BENEFITS & PERKS

• Medical, Dental, Vision and Flexible Spending Accounts
• 401(k) plan & Basic Life Insurance
• 14 paid holidays per year
• Generous paid time off accrual
• Travel reimbursements at IRS rate
• Cell phones provided for business use

FLSA STATUS

Full-time; Non-exempt

BASIC QUALIFICATIONS

• Bachelor's degree in social work, psychology, human services, or a related field (or equivalent combination of education and experience in behavioral health/homeless services case management).
• Experience working with adults with serious mental illness, co-occurring substance use disorders, and/or individuals who are homeless or formerly homeless strongly preferred.
• Knowledge of, or willingness to be trained in, Motivational Interviewing, Housing First, Harm Reduction, and Trauma-Informed Care.
• Familiarity with (or ability to be trained on) SRTS, the HSSP Tracker, HMIS, and other DMH data systems.
• Valid driver's license, reliable transportation, and ability to travel to field-based sites (PSH buildings, clients' residences, and community locations) as this is a field-capable position.
• Bilingual/bicultural candidates encouraged to apply, consistent with the program's requirement to provide culturally sensitive and linguistically appropriate services.
• Ability to pass required background clearances, including clearance (or initiation of clearance) to enter County jail facilities if assigned to justice-involved caseloads.