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Felton Institute

Lead Clinical Case Manager

San Francisco, CA, United States

$115,000 to $125,000 USD / year · Full-time

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Job details

Pay: $115,000 to $125,000 USD / year
Job type: Full-time
Education: Master’s degree
Experience: Minimum of 2 years’ experience in case management and mental health services with severely mentally ill, dually diagnosed, formerly unhoused adults.
Posting language: English
Posted: Nov 5, 2026

Original job description

Lead Clinical Case Manager Essex Support Services Senior Division

Agency Overview Felton Institute responds to the needs of our community by providing innovative, evidence-informed social services that transform lives. Our organization offers 60+ programs that address mental health, the unhoused, early care and education, those impacted by the justice system, transitional age youth, as well as aging adults. Our programs combine the latest scientific research with cultural sensitivity and a deep commitment to supporting and reflecting on the communities we serve. Felton offers a dynamic, challenging, and supportive work environment where we encourage the use of professional development, that staff can utilize throughout their careers.

Program Description Felton’s Senior Division specializes in a full continuum of mental health services for older adults in outpatient clinics, the community, and supportive housing sites, as well as programs in employment training, economic security, case management, advocacy, and social connection and inclusion. Felton’s The Essex Supportive Services Program provides on-site clinical case management, wellness support, and behavioral health services. Services aim to support tenants in maintaining stable housing and improving access to resources. Tenants are formerly unhoused adults with co-occurring mental health, substance abuse, medical problems, and limited experience living independently. Support services include clinical case management and behavioral health counseling, referral to and coordination with primary medical care, substance abuse and psychiatric treatment referrals, benefits counseling and client advocacy, meal programs, health education, community building, tenant organizing, and all other case management functions. Felton is committed to implementing evidence-based practices and behavioral health research within its community-based mental health services. All clinicians registered with the CA Board of Behavioral Health Sciences (BBS) will receive weekly clinical supervision for licensure.

Job Description

The Lead Clinical Case Manager is a licensed or BBS registered clinician with direct service experience and works with individuals experiencing homelessness, substance use, mental health needs, and medical complexity. Under the Program Director, this is a supervisory and leadership position that will lead the team in the day-to-day operations. This position holds a full caseload, leads staff meetings, assists with various compliance processes, attends relevant HSH meetings, and takes on specialized improvement projects. The Lead Clinical Case Manager participates in a multidisciplinary team, including communications with external and internal agency team members consisting of mental health clinicians, primary care providers, nurses, peer specialists, interns, and psychiatric medication providers. The program serves 84 tenants at the Essex Hotel. The Lead Clinical Case Manager will also coordinate closely with property management partners and collaboratively conduct wellness and emergency safety checks. The Lead Clinical Case Manager will coordinate the monthly group schedule and community meetings. This supervisory position provides structure and program development. The Lead Clinical Case Manager provides specialized mental health services, including therapy, rehabilitative skills training, crisis intervention, and case management. Services may include crisis intervention, connection to community resources, client advocacy, and engagement strategies. The Lead Clinical Case Manager ensures that the entire team maintains accurate, detailed records of client contacts and incident reports as required by Felton, HSH, ONE system, and county and state regulations.

Specific Responsibilities

Supervises the interdisciplinary team onsite to provide onsite support to tenants.
Creates a welcoming community milieu within the building and acts as a point person in collaborating with property management and HSH to support tenants in maintaining stable independent housing.
Attend appropriate meetings with building partners, funders, and external partners, as directed. Oversee the documentation of the community specialists and case managers, building capacity and expertise within the team.
Leads the team meetings and case conferences through presentation of cases, discussion of clinical issues, and exchange of resources and ideas, including hosting trainings from various experts
Manages data collection in the ONE system in collaboration with HSH and CIRCE database systems.
Participating in Felton’s training opportunities, including the development of specializations in evidence-informed treatments and practices, is an ongoing training approach.
Leads the team on all operations and collaborates proactively with property management.
Communicate effectively, orally and in writing, with all internal and external team members and with partnering agencies.
Perform intakes and service plan development for adults with a history of being unhoused and other psychiatric or medical conditions or disabilities.
Maintain records of each client contact or service in accordance with mandated standards of HSH and Felton. Meet requirements of timely access for client care and documentation.
Provide crisis intervention to prevent hospitalization and collaborate with clinicians or other providers as needed. Respond to emergency situations as they arise.
Commit to ongoing training, including developing specializations in evidence-based practices.
Deliver exceptional customer service to tenants, community partners, and team.
Provide individual and group therapy, individual and group rehabilitative skills training, case management, and crisis intervention services to our tenants.
Link tenants to basic needs, including income, housing, job training, insurance, and/or nutrition, among other resources.
Address specific housing needs via training, coaching, or community resource referrals to support tenants in maintaining stable housing.
Other duties and responsibilities as assigned.

Minimum Qualifications

Master’s degree in Social Work, Psychology or related fields of study required.
Licensed with the BBS or within three months of licensure.
Minimum of 2 years’ experience in case management and mental health services with severely mentally ill, dually diagnosed, formerly unhoused adults.
Comprehensive knowledge of mental health and substance abuse counseling, assessment, and crisis intervention skills.
Willingness to work from a strength-based, harm reduction, client-centered model with an emphasis on evidence-based practices.
Ability to work cooperatively on a multi-disciplinary team, and to work with people of various ethnic and cultural backgrounds.
Strong organizational, communication, documentation, time management, and interpersonal skills.
Problem solving skills: able to discern when to consult, when to make independent decisions, and able to offer suggestions for solutions.
Experience managing crisis situations, skilled at crisis response, crisis de-escalation, and risk mitigation.
Passionate about working with adults who may be isolated, have mental health issues, have cognitive impairments, substance abuse issues, or other needs that are not being met.
Strong recovery model approach to care and ability to form strong therapeutic relationships with tenants from diverse backgrounds and who often are underserved by traditional care models.
Demonstrated computer skills (Microsoft Office, Mac and PC OS) and ability to learn electronic documentation systems.

Additional Information:

Reports to: Program Director Job Type: Full-time Work Schedule: Onsite (Mon-Fri, 9am-5pm) FLSA Status: Exempt Salary Range: $115,000 - $125,000 Annually (DOE) Benefits (subject to election and eligibility): Fully-Paid Medical and Dental Plans; Health Reimbursement Card, Paid Time Off (personal, vacation, and sick time), 403B with company match.

This position is union-represented by SEIU Local 1021 and is subject to the applicable collective bargaining agreement.

Applying Instruction:

Candidates should apply for the position at our career page “careers.felton.org” OR directly email resumes to “jobs@felton.org”.

IMPORTANT NOTE: Job responsibilities are subject to change according to program requirements.

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More about this job

Skills

Case management
Regulatory compliance
Mental health
Primary care
Crisis intervention
Documentation
Collaboration
Database management systems
Customer service
Coaching
Counselling
Harm reduction
Communication skills
Time management
Interpersonal skills
Problem solving
Computer skills
Microsoft Office

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