Hours: Monday– Friday , 8 :30 AM - 1 : 30 PM . Occasional nights, weekends or additional hours
Compensation : $33.95 per hour
Reports To: Community Services Supervisor
About Us
St. Mary’s 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. Mary’s Center operates transitional 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. Mary’s 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-based supports . 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 disabilities participating in St. Mary’s Center programs. This position supports individuals in maintaining independence, improving health and social outcomes, and remaining safely housed within the community through coordinated care planning, advocacy, benefits assistance , and connection to supportive services.
The Case Manager maintains an active caseload of approximately 20 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 of 20 seniors and adults with disabilities enrolled in AAA and Community Services programs
Conduct comprehensive biopsychosocial assessments to identify participant strengths, risks, barriers, and service needs
Develop, implement, monitor , and update individualized case plans
Coordinate transportation, meals, medical and behavioral health services, medication support, shopping assistance , housing resources, IHSS, benefits advocacy, legal services, social activities, and other supports
Assist participants 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 within scope of practice
Identify and report suspected elder abuse or neglect
Support transitions to higher levels of care when appropriate
Facilitate participant engagement in Community Center programming
Medi-Cal Administrative Activities (MAA/CMAA)
Conduct Medi-Cal outreach and education activities
Assist participants in accessing medically necessary services
Coordinate communication between providers, social services, and caregivers
Maintain accurate documentation 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 when appropriate
Represent St. Mary’s Center at community meetings and trainings , including community or culturally focused convenings
Documentation & Compliance
Maintain accurate and timely documentation in agency and County systems
Complete assessments, progress notes, case plans, referrals, and discharge summaries
Maintain compliance with HIPAA, state, city, county , 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 and trainings
Program Operations & Community Engagement
Promote COS programs through outreach events, presentations, and community engagement activities
Assist with congregate meal services, workshops, and cultural programming
Collect participant feedback and support program evaluation efforts
Support translation of internal documents and occasional interpretation at events
Qualifications
Strong communication and 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
Understanding of elder abuse prevention and mandated reporting
Knowledge of trauma-informed care, motivational interviewing, and harm reduction
Strong organizational and documentation skills
Associate or bachelor's degree in human services, psychology, sociology or related field or three years’ experience in a related field
Minimum of 2 years of experience working with older adults, vulnerable populations, or community-based programs preferred
Multilingual abilities required : spoken Cantonese or Mandarin. Written simplified Chinese
California Driver’s license
Work Environment
This position operates in 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. Mary’s 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. Mary’s 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, genetic information or veteran status.
In compliance with the California Fair Chance Act, St. Mary’s Center will consider qualified applicant with a criminal history pursuant to the California Fair Chance Act.