Case Manager - Veterans Health Care Comprehensive Support Team

Since 1867, the YWCA has been dedicated to creating a more inclusive and just Rhode Island, advocating for the most structurally disenfranchised people in our society, including low-wage workers, the unemployed, women and girls, people of color, English language learners, immigrants, survivors of abuse, members of the LGBTQ community, as well as current military and veterans. Our mission is to eliminate racism, empower women, and promote peace, justice, freedom, and dignity for all.

Job Title: Case Manager, Veterans Health Care Comprehensive Support Team (VCST)

Reports To: Director of Veterans Affairs

General Description

The Case Manager is a frontline, public health professional who often has similar cultural knowledge, practices and beliefs, chronic health conditions, or life experiences as the community we serve, and is the lead member of the Veterans Comprehensive Health Care Support Team (VCST). Working as a part of a multi-disciplinary team, the Case Manager ensures the coordination and delivery of holistic, person centered health care to veterans participating in the YWCA-RI Gateway to Independencetransitional housing program. This position is responsible for leading all aspects of case management for veterans, ensuring that medical, psychological, social, and environmental needs are met through a coordinated approach. The Case Manager is also responsible for overseeing the overall success of each veteran’s care plan, collaborating with health case workers, supportive services specialists, veteran nutrition support specialists, and the Providence VA Medical Center Per Diem liaison to achieve comprehensive outcomes.

The Case Managerwill lead the team in ensuring veterans achieve their goals related to health, housing, employment, financial independence, and overall well-being. This position reports to the Director of Veterans Affairs, and aligns with the principles and objectives of the VCSTmodel to empower veterans to live independently and with dignity.

Responsibilities

• Leadership & Care Coordination: As the lead of the VCST, the Case Manager serves as the primary point of contact for veterans. The Case Manager ensures coordination across all domains of care—medical, psychological, housing, financial, vocational, and family needs—by collaborating with the multi-disciplinary team to implement a comprehensive care approach.
• Assessment & Case Plan Development: Conduct initial and ongoing comprehensive assessments to evaluate each veteran’s needs, strengths, and goals. Based on these assessments, develop personalized, dynamic care plans, and regularly reassess the veteran’s progress. The Case Manager ensures that care plans are responsive to changes in the veteran's health, living environment, and circumstances.
• Resource Navigation & Advocacy: The Case Manager leads the team in connecting veterans to essential resources such as healthcare, housing, employment, legal services, and VA benefits. The Case Manager advocates for veterans within the healthcare system, social services, and community organizations, ensuring they have access to all the services they need.
• Team Leadership & Collaboration: Lead the VCST by ensuring each team member—Case Workers, Supportive Services Specialists, Nutrition Support Specialists, and VA Per Diem Liaison—understands their role in the comprehensive care plan. Foster clear communication and coordination among team members, ensuring a seamless, veteran-centered service experience.
• Ongoing Case Management & Monitoring: Oversee the ongoing case management process for each veteran, tracking progress, and adjusting care plans as needed. Lead regular case reviews and meetings to assess the effectiveness of services and make necessary changes to the care plan. Ensure that all necessary documentation is completed and up to date, including client files, progress notes, and data tracking.
• Crisis Management & Immediate Support: In emergencies during case management hours, the Case Manager takes the lead in managing crises. When immediate action is needed, the Case Manager provides leadership in addressing urgent needs, coordinating with the team to ensure a swift and effective response. During off-hours, Case Workers may assume the lead in crisis situations, but the Case Manager provides oversight and support.
• Veteran Engagement & Empowerment: Promote veteran engagement and empowerment by ensuring veterans actively participate in the development of their care plans. The Case Manager leads efforts to ensure veterans are involved in goal setting, self-sufficiency training, and decision-making, fostering a sense of ownership over their path to independence.
• Program Leadership & Facilitation: Lead the facilitation of life skills and work readiness and sobriety support groups, helping veterans develop practical skills necessary for achieving independence. Ensure that each veteran receives appropriate support related to vocational training, job search, and employment readiness.
• Data Management & Reporting: Ensure that all necessary data related to veteran services, including case notes, progress, and outcomes, are accurately tracked and entered into HMIS and other relevant databases. Prepare reports as required by the Program Director and the Veterans Administration.

Key Objectives

• Veteran-Centered Care: Lead the provision of personalized, holistic care that addresses the full spectrum of each veteran’s needs—health, housing, emotional, financial, and environmental— to promote their independence and well-being.
• Comprehensive Support: Oversee the coordination of services that address all aspects of a veteran’s life, ensuring a seamless approach to care that improves their quality of life.
• Safety & Independence: Ensure that each veteran has a safe, supportive living environment that fosters independence and stability. Lead efforts to identify and resolve any environmental or safety issues that could hinder their progress.
• Employment & Financial Independence: Lead the team in providing veterans with the necessary resources and support to secure employment, increase financial literacy, and achieve long-term financial independence. Ensure veterans are connected to relevant job training programs and employment opportunities.

Essential Duties

• Comprehensive Intake & Assessment: Lead the intake process for veterans entering the program, ensuring that each veteran receives a thorough assessment of their needs and that care plans are developed and implemented in a timely manner.
• Case Plan Management & Follow-up: Develop, implement, and regularly review each veteran's ISP plan. Lead weekly or monthly case meetings with veterans to review progress, discuss barriers, and adjust strategies as needed.
• Cross-Agency Coordination: Act as the lead point of contact for coordinating services with the Providence VA Medical Center and other community providers. Ensure that veterans are linked to external services for health, legal, vocational, and housing needs.
• Veteran-Centered Goal Setting: Facilitate the identification of each veteran’s personal and professional goals and develop actionable steps to achieve those goals. Ensure that the care plan reflects these goals and that the veteran is empowered to take an active role in the process.
• Crisis & Emergency Support: Lead the response to urgent crises, providing immediate assistance and collaborating with the team to ensure veterans’ needs are met. Ensure that veterans have the support they need during emergencies and that they are connected to necessary resources.
• Data Tracking & Reporting: Ensure that all client data, including case notes and progress updates, are accurately documented and entered into relevant systems. Ensure compliance with reporting requirements for the Veterans Administration and other stakeholders.
• Program Development & Delivery: Lead the delivery of program activities, including life skills training, work readiness programs, and financial literacy workshops, ensuring that veterans receive the skills and support needed to reach their goals.

Qualifications and Education Requirements

• Education: Bachelor's degree in social work, psychology, human services, or a related field. Experience in a relevant field may substitute for education desired.

• Experience: At least two years of experience in case management or working with veterans, particularly in a housing, health, or social services capacity. Personal experience with active-duty military service is a plus.

• Skills & Certifications:

o Excellent communication and organizational skills (verbal, written, and electronic).
o Ability to maintain confidentiality and handle sensitive information responsibly.
o Familiarity with veteran-specific issues and the VA system (preferred).
o CPR, AED, and First Aid certification (recommended).

YWCA Rhode Island Ideal Candidate
The ideal candidate is passionate about serving the veteran community, with a strong belief in empowering veterans to take charge of their own well-being. They are skilled in leading teams, promoting veteran engagement, and ensuring the successful implementation of individualized care plans. A flexible, “can-do” attitude, along with a strong collaborative mindset, is essential. The ideal candidate will be driven by the mission of the YWCA and committed to providing veterans with the resources and support needed to thrive.

Schedule:
Monday, 7:15am- 3:15pm
Tuesday, 7:15am-2:15pm
Wednesday, 7:15am-2:15pm
Thursday, 7:15am-2:15pm
Friday, 7:15am-3:15pm

Location: 133 Delaine Street, Providence, RI

How to apply:
Send resume to michael@ywcari.org

Job Type: Full-time

Pay: $23.00 per hour

Benefits:

• Paid time off

Work Location: In person

Salary : $23