• Enhance Older Adults’, who are at risk for homelessness, experiencing homelessness, newly housed or in transitional housing. • Conduct care management assessments to determine needs, plan of care, and provide short term care coordination/case management services /housing navigation. • Generate referrals and/or receive referrals via intake staff. • Conduct in-person assessments and meeting clients where they are to determine needs, plans of care and provide short-term care coordination/case management services. • Develop individualized care plan utilizing evidence-based guidelines and clinical knowledge for client by evaluating and conducting field visits. • Provide short term care coordination/care management for clients and their caregivers which includes coaching, education, healthcare and housing navigation. • Complete timely and accurate documentation in multiple computer systems to record assessments and corresponding documentation including care plans, progress notes and applications for homeless resources.