Job Description

Job Summary:  Serve as both field-work navigator and Case Manager to identify and work directly with chronically homeless individuals with acute medical and behavioral health service needs to reduce the use of emergency services and hospitalizations; deescalate such clients in crisis situations in a shelter environment; build and sustain productive relationships with community healthcare partners and providers. Provide support and referrals to service providers to expedite clients’ opportunities to obtain and retain stable housing.  This is an active and fast-paced role.


Essential Functions:

Engage chronically homeless individuals who have an acute need for services related to their mental health, substance abuse and/or trauma:

  1. Review with the client utilizing social determinants of health to identify chronic behavioral and health issues;
  2. Develop an individualized plan to move these individuals from an emergency/acute care model to a preventative primary care model;
  3. Review to review task completion and proper documentation; provide resource information, referrals, and direction; apply critical thinking and creativity to overcome service barriers.

 Connect client to appropriate housing providers:

    1. Identify clients’ specific housing needs, their strengths, resources and potential challenges to obtaining stable housing; complete housing applications and collect all required documents to support the application;
    2. Collaborate with housing providers to expedite housing opportunities for clients;
    3. Develop resources and foster healthy and production relations with them; resources include medical providers, housing providers and social service agencies;
    4. Connect with clients frequently; be readily available to answer questions, follow-up and discuss challenges and progress; seek out clients so they continue to progress.

     Conduct weekly and ad-hoc follow-up sessions with clients to facilitate success and document progress in achieving their goals:

    1. Review progress, document client interaction in HMIS, monitor notes in HMIS from other agencies and departments in accordance with HIPPA compliance;
    2. Close out files timely.

     Other Duties:

    1. Perform other duties as required.


    Needed Competencies and Proficiencies:

    1. Ability to maintain boundaries and to communicate clearly and professionally;
    2. Commitment to a solution-focused work environment and the clear intention to meet client expectations;
    3. Written and verbal communication skills; competent in inter-personal conflict resolution;
    4. Ability to write complete and concise case notes;
    5. Must demonstrate personal responsibility and integrity, show initiative and an ability to work independently;
    6. Must be sensitive to cultural diversity and lifestyle issues;
    7. Desire and capacity to work in fast-paced, high-energy hands-on work environment;
    8. Able to remain clear-headed when conflicts, crisis and emergency situations arise.


    Work Environment:  This job primarily operates in a professional office environment however, occasional off-site venues and outside event areas in various weather conditions are expected. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.


    Physical Demands:  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. While performing the duties of this job, the employee is regularly required to talk or hear. The employee is frequently required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. The employee must frequently lift and/or move objects up to 10 pounds and occasionally lift and/or move objects up to 10 pounds unassisted. The employee must be able to self-transfer and move throughout the facilities, between buildings, and around campus at multiple sites. Close visual acuity to prepare and analyze reports and data. Visual acuity and physical ability to operate a motor vehicle.


    Position Type and Expected Hours of Work:  This is a full-time position. Days and hours of work are with time allotted for breaks/lunch.


    Skills / Requirements



    1. Bachelor’s degree in social or behavioral science or related field and two-years of experience in homeless or behavioral health services; or an equivalent combination of education and experience;
    2. Healthy knowledge of healthcare systems and local healthcare resources;
    3. Valid AZ Driver License and a driving record that meets agency standards. Must have reliable transportation. Proof of insurance is required;
    4. State of Arizona Level One Fingerprint Clearance Card or the ability to obtain one;
    5. Intermediate to advanced proficiency in Word, Excel and Outlook; highly accurate data entry skills;
    6. CPR-First Aid certification within 90 days of employment;
    7. Naloxone (Narcan) training within 90 days of employment.



    1. Behavioral Health license;
    2. Bilingual in English and Spanish.

    Important Notes

    CASS isn't just an equal opportunity employer.  We are actively seeking to build a diverse and inclusive team with a wide range of backgrounds, perspectives, and skills that will support our agency's mission and vision. CASS does not discriminate against qualified applicants on the basis of race, color, religion, creed, sex, age, disability or medical condition (including genetics), national origin, veteran status, gender identify, sexual orientation, or any other categories protected by federal, state, and local anti-discrimination laws.

    CASS offers a comprehensive benefits package including medical, dental, vision, life insurance, short-term and long-term disability insurance, a retirement plan, paid holidays, paid sick time, and a generous PTO plan.