POSITION OVERVIEW

Provide case coordination to unhoused individuals and individuals experiencing a behavioral health disorder including substance use disorder (SUD) in both the community and office settings and coordinate care between the Agency, community and home settings.

REPORTING STRUCTURE

There are no staff persons reporting to this position.

SPECIFIC RESPONSIBILITIES

• Screen clients upon admission to the Community Outreach Services program; complete intake packet for clients in need of services.
• Meet clients to evaluate the situation, identify needs, and create a case plan.
• Coordinate client coordination and collaborate with other social and community agencies, advocating for clients; referring clients to other treatment facilities/community resources as required.
• Regularly monitor client progress, update care/treatment plan, as needed, and ensure client goals are met.
• Keep up-to-date, quality, confidential services documentation following PEP, HMIS, Goldie Health and other approved policies and procedures.
• Educate clients and families on available recourses and how to access them.
• Provide advocacy and appropriate resources for clients, including crisis intervention when necessary.
• Participate in community mobile treatment related meetings, client care conferences, clinical programs, etc.
• Conduct visits to agencies, shelters, and hospitals to assess identified clients’ needs and eligibility for housing services.

PRINCIPAL ACCOUNTABILITIES

• Screening and recruitment for the PEP community outreach programs
• Client assessment, coordination and education
• Creating and monitoring client treatment plan

EDUCATION, WORK EXPERIENCE AND JOB REQUIREMENTS

Education: High School Diploma and/or equivalent work experience, bachelor’s or associate degree in social services related field preferred

Skill Requirement: One to six months OJT required for efficient job performance. Experience with case management databases, HMIS preferred. Excellent communication, problem solving, and organizational skills.

Job Requirements: 5+ years of experience providing case management to vulnerable populations. Valid Driver’s License Use of personal Vehicle

COMMENTS: Must exhibit knowledge of mental health treatment, homeless services and substance use disorder