Case Manager - Norwalk

The Case Manager provides person-centered, recovery- and resiliency-oriented case
management, rehabilitation, outreach, care coordination, and resource linkage to clients and families
across Agency programs. Services may be delivered in clinic, home, school, community, telehealth, and
other approved settings based on client need, preference, level of care, and program requirements.

Essential Duties and Responsibilities:

1. CASE MANAGEMENT AND CARE COORDINATION: Maintains an assigned caseload and provides
individualized case management based on client strengths, needs, acuity, goals, and level of care.
Coordinates behavioral health, medical, substance use, housing, benefits, education, employment, legal,
and community support. May serve as Primary Care Coordinator when required by the assigned program.
2. OUTREACH AND ENGAGEMENT: Participates in persistent, culturally and linguistically responsive
outreach, engagement, re-engagement, and warm handoffs. Follows applicable LACDMH timelines and
requirements for referral, enrollment, transfer, and disenrollment.
3.NEEDS IDENTIFICATION AND SERVICE PLANNING: Collaborates with clients, families/caregivers
when applicable, and the treatment team to identify behavioral health, functional, housing, substance use,
physical health, safety, benefits, educational, employment, and natural-support needs. Contributes to
person-centered care planning and supports CANS, LOCUS, Child and Family Team (CFT), and other
required level-of-care processes as applicable.
4. REHABILITATION AND SKILL DEVELOPMENT: Provides rehabilitation and skill-building interventions
within scope to strengthen coping, daily living, communication, self-advocacy, community functioning,
recovery, and resiliency. When assigned to High Fidelity Wraparound (HFW), participates in services
consistent with the individualized plan of care, CFT process, and applicable fidelity standards.

5. HOUSING, BENEFITS, AND COMMUNITY RESOURCES: Assists clients with housing, benefits, basic
needs, transportation, identification documents, and community-resource linkage. Supports housing
assessment, planning, retention, landlord communication, Coordinated Entry, and Managed Care
Plan/community support when required. The position does not guarantee housing or financial assistance.
6. CO-OCCURRING, HEALTH, AND MEDICATION SUPPORT: Uses recovery-oriented, trauma-informed,
and harm-reduction approaches to support clients with co-occurring mental health and substance use
needs. Provides screening support, education, and linkage within scope, including connection to SUD
treatment or medication-assisted treatment when indicated. Coordinates access to psychiatric, primary
care, and medication services without performing duties outside scope.
7. CRISIS RESPONSE AND SAFETY: Provides crisis prevention, de-escalation, stabilization,
coordination, and follow-up within training and scope. Promptly communicates changes in risk, obtains
higher-level clinical or emergency support when needed, and follows mandated reporting requirements,
incident reporting procedures, and Agency safety protocols.
8. FIELD-BASED AND FLEXIBLE SERVICE DELIVERY: Provides field-capable services in approved
settings based on client preference, clinical determination, and program requirements. Meets applicable
service-frequency, face-to-face, field-based, caseload, and scheduling expectations, including increased
field service for intensive levels of care when required.
9. COLLABORATION AND TEAM PARTICIPATION: Participates in treatment planning, supervision, case
consultation, staff meetings, CFT meetings when applicable, and care transitions. Coordinates with
multidisciplinary team members, schools, child welfare, justice partners, hospitals, Managed Care Plans,
housing providers, county partners, and other authorized providers.
10. DOCUMENTATION, QUALITY, AND COMPLIANCE: Completes accurate and timely documentation
of services, outreach, care coordination, referrals, progress, and incidents. Meets applicable productivity,
outcome, data-reporting, quality assurance, audit, and program-monitoring requirements. When providing
an evidence-based practice, follows required training, certification, fidelity, and data-collection standards.
11. CONFIDENTIALITY, PROFESSIONAL CONDUCT, AND TRAINING: Maintains confidentiality,
professional boundaries, and compliance with HIPAA, Medi-Cal/SMHS, LACDMH, ethical, and Agency
requirements. Completes required orientation, supervision, continuing education, and assignment-specific
training or certification, including HFW or FSP-ICM requirements when applicable.
12. WORKPLACE SAFETY AND OTHER DUTIES: Maintains a safe workplace, follows Agency and OSHA
safety requirements, promptly reports hazards, injuries, or incidents, and performs other duties consistent
with the scope and responsibilities of the position as assigned.
15. OTHER DUTIES: Performs other duties consistent with the scope and responsibilities of the position
as assigned.

Program Assignment Requirements:
The Case Manager may be assigned to Adult Outpatient Care Services, Child and Youth Wellbeing
Services, Full-Service Partnership, or other Agency programs based on operational and client needs. The employee must meet the requirements of the assigned program, including applicable caseload, service- frequency, field-based service, outreach and engagement, documentation, training, certification, level-of-care, fidelity, and after-hours expectations.

Adult FSP-ICM: When assigned to Adult Full-Service Partnership - Intensive Case Management (FSP-
ICM), the Case Manager participates in intensive outreach and engagement, needs assessment, treatment planning, resource coordination, crisis intervention, skill development, housing and recovery services, and coordination of medical, social, employment, educational, and other supports. The Case Manager may serve as the Primary Care Coordinator and perform duties in accordance with the Adult FSP-ICM Program
Service Exhibit, FSP Guidelines, and applicable LACDMH requirements.
Child and Youth Wellbeing: When assigned to Child and Youth Wellbeing Services, the Case Manager
provides developmentally appropriate, field-capable services consistent with the client's level of care, care
plan, CANS or LOCUS requirements as applicable, and Child and Family Team process when applicable.
Services may be provided in clinic, field, or telehealth settings based on client preference, clinical
determination, and program requirements.
FSP-HFW: When assigned to Children and Youth Full-Service Partnership - High Fidelity Wraparound
(FSP-HFW), the Case Manager functions as a member of the FSP-HFW Clinical Team and participates in
outreach and engagement, needs assessment, treatment planning, resource coordination, crisis
intervention, skill development, housing and recovery-oriented services, and Child and Family Team
activities as assigned. Services must be provided in accordance with California High Fidelity Wraparound
standards, the Agency's approved HFW certification and alignment plan, applicable fidelity requirements,
and LACDMH FSP-HFW requirements.

Position Requirements:
● Bachelor's degree in psychology, Social Work, Child Development, Human Services, Sociology,
Counseling, or a related field preferred. Equivalent relevant education and experience may be
considered when permitted by contract and program requirements.
● Valid California Driver's License, proof of automobile insurance, good driving record. Driving is an
essential function of the position.

Work Environment:
The work environment is primarily an office, clinical, and remote or hybrid setting and may include
community-based locations when required by operational needs. The position may involve contact with
individuals experiencing significant behavioral health symptoms, psychiatric crises, or acute emotional
distress. Work schedules and in-office attendance are based on agency policy, department requirements,
and operational needs.