Department:Community Outreach & Services (COS)

Status:Full-time, non-exempt

Hours:MondayFriday | 8:30 AM 5:00 PM

Compensation:$32.80 per hour

Reports To:Community Services Supervisor

About Us

St. Marys Center is a community of hope, healing, and justice dedicated to serving older adults, preschool families, and individuals experiencing homelessness in Oakland and the surrounding Alameda County community. St. Marys Centeroperatestransitional housing, a senior center, and preschool and is developing permanent supportive housing as part of a comprehensive, collaborative community development strategy along the San Pablo Avenue corridor. We are proud of an excellent multidisciplinary team delivering high-quality services through which St. Marys supports vulnerable populations in aging safely, independently, and with dignity.

Community Services Program Overview

The Community Outreach & Services (COS) Department helps seniors remain safely housed and socially connected while reducing isolation, improving wellness, and promoting access to community-basedsupports. COS programming includes congregate meals, wellness activities, fall prevention, computer education, health navigation, case management support, behavioral health education, and Friendly Visiting services.

Position Summary

The Community Services Case Manager provides comprehensive AAA-aligned case management services to older adults and adults with disabilitiesparticipatingin St. Marys Center programs. This position supports individuals inmaintainingindependence, improving health and social outcomes, andremainingsafely housed within the community through coordinated care planning, advocacy, benefitsassistance, and connection to supportive services.

The Case Managermaintainsan active caseload of approximately 30 participants and delivers individualized, trauma-informed, culturally responsive services through assessments, home visits, office visits, phone outreach, care coordination, group support, and collaboration with community providers and multidisciplinary teams.

This position also supports Medi-Cal Administrative Activities (MAA/CMAA) through eligible outreach, referral coordination, benefits navigation, health-related case management activities, and documentation that improves access to medical, behavioral health, and supportive services.

Essential Duties & Responsibilities

Case Management & Care Coordination

• Maintain an active caseload of30seniors and adults with disabilities enrolled in AAA and Community Services programs.

• Conduct comprehensive biopsychosocial assessments toidentifyparticipant strengths, risks, barriers, and service needs.

• Develop, implement,monitor, and update individualized case plans.

• Coordinate transportation, meals, medical and behavioral health services, medication support, shoppingassistance, housing resources, IHSS,benefitsadvocacy, legal services, social activities, and other supports.

• Assistparticipants with Medi-Cal, SSI, CalFresh, IHSS, and related applications and renewals.

• Provide health-related care coordination and referrals.

• Conduct home visits, wellness checks, and follow-up contacts.

• Provide crisis intervention and de-escalation support withinscopeof practice.

• Identifyand report suspected elder abuse or neglect.

• Support transitions to higher levels of care whenappropriate.

• Facilitate participant engagement in Community Center programming.

Medi-Cal Administrative Activities (MAA/CMAA)

• Conduct Medi-Cal outreach and education activities.

• Assistparticipants in accessing medically necessary services.

• Coordinate communication between providers, social services, and caregivers.

• Maintainaccuratedocumentation and reporting aligned with county and state requirements for eligible MAA/CMAA activities.

• Participate in data collection and service tracking activities that support reimbursement and reporting efforts.

Collaboration & Community Partnerships

• Collaborate with Housing Services, Behavioral Health, Community Center staff, and leadership.

• Partner with Alameda County agencies, hospitals, clinics, managed care plans, and community-based organizations.

• Participate in interdisciplinary case conferencing and care coordination meetings.

• Engage caregivers and family members whenappropriate.

• Represent St. Marys Center at community meetings and trainings.

Documentation & Compliance

• Maintainaccurateandtimelydocumentation in agency and County systems.

• Complete assessments, progress notes, case plans, referrals, and discharge summaries.

• Maintain compliance with HIPAA,state, county, city, and agency standards.

• Track units of service, outcomes, and referrals.

• Complete 20 hours of Community Health Worker training and 6 hours of continuing education annually.

• Participate in required quality assurance activities andtrainings.

Program Operations & Community Engagement

• Promote COS programs through outreach events, presentations, and community engagement activities.

• Assistwith congregate meal services, workshops, and cultural programming.

• Participate in emergency preparedness and emergency response activities.

• Collect participant feedback and support program evaluation efforts.
  

Qualifications

• Strong communicationand interpersonal skills.

• Ability to work effectively with older adults and vulnerable populations.

• Knowledge of community resources, benefits systems, and supportive housing.

• Familiarity with Medi-Cal, SSI, IHSS, and CalFresh.

• Knowledge of trauma-informed care, motivational interviewing, and harm reduction.

• Understanding ofelder abuse prevention and mandated reporting.

• Strong organizational and documentation skills.

• Associate or bachelor'sdegree in human services, psychology,sociologyor relatedfieldor three years experience in a related field.

• Minimum of 2 years of experience working with older adults, vulnerable populations, or community-based programs preferred.

• CaliforniaDriver'sLicense

Work Environment

This positionoperatesin community-based settings including participant homes, senior housing sites, community centers, and partner organizations throughout Alameda County.

General Staff Expectations

• Promote a safe, respectful, and inclusive environment.

• Support the mission and values of St. Marys Center.

• Maintain professionalism and confidentiality.

• Follow agency policies and procedures.

Physical Requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. In general, while performing the duties of this job, the employee is expected to stand; walk; sit; reach with hands and arms; and talk or hear.

• Ability to sit, stand, walk, bend, and communicate effectively throughout the workday.

• Ability to travel to participant homes and community sites.

• Ability to occasionally lift and/or move up to 20 pounds.

• Ability to use computers, phones, tablets, and related technology for documentation and communication.

Equal Employment Opportunity

St. Marys Center is an equal opportunity employer and is committed to an active Equal Employment Opportunity. We celebrate diversity and are committed to an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, geneticinformationor veteran status.

In compliance with the California Fair Chance Act, St. Marys Center will consider qualified applicant with a criminal historypursuant tothe California Fair Chance Act.