Service Coordinator II
REPORTS TO: Program Manager
The DMH programs provide intensive mental health services to Adults (18-59 years of age) in community, field, and clinic-based settings. We serve individuals who have been diagnosed with a mental illness, substance abuse and who are experiencing homelessness or are in danger of losing their home. The DMH programs aim to provide linkage to resources including mental health services, housing, benefits, and are geared toward promoting wellness, mental health management and community integration. The program provides 24/7 on call coverage to members to provide the highest quality of life in the least restrictive community setting possible. Our work at Step Up is guided by the principles of Housing First, Mental Health Recovery and Trauma Informed Care.
Leadership, Administration, Oversight:
Support the targeted outreach efforts of the Adult FSP/TAY FSP/AOT/OCS, HSSP team to initiate contact, develop rapport, and in coordination with Multidisciplinary team members: SCI, SCII, LVN and APM, will assess homeless adults for mental illness, co-occurring substance use and other health care needs in the community until linkage and services are accepted.
Attend all staff and community meetings as requested by Program Manager.
Engage in all scheduled supervision with management to consult about caseload and discuss any pertinent issued related to consumer care and/or documentation.
Direct Service and Support Outreach:
Engage potential members in community settings like (but not limited to) jails, hospitals, board & cares, street settings to evaluate and determine if referral is appropriate fit for SUOS services.
Provides clinical therapeutic and case management services for adults with psychiatric disabilities to assist them in improving their current level of functioning in the community.
Make home visits as needed to support independent living skills and subsidized housing certificates.
Assist consumer with relevant skill building and self-care to support independence and housing retention.
Monitor for compliance, stability, and report any warning signs of decompensation and crisis.
Completes comprehensive initial and ongoing assessments for diagnosis and evaluation of level of functioning, support network, adequacy of living arrangements, financial status, physical health, level of self-care.
Assist clients in identifying needs, setting goals, establishing concrete objectives and developing a
Coordinated Care Plan with a set timeframe from enrollment and annually.
Actively outreach clients on caseload who have not been in contact and ensure engagement in services in their home, transitional housing placement or on the streets.
Provide needed therapeutic interventions: individual, group and crisis, to address symptoms as defined in the assessment and to improve level of functioning or develop insight to reduce defined distress or stressors.
Documentation and Data Collection:
Complete all program-required paperwork.
Maintain consumer’s chart on EHR system.
Meet weekly, monthly and quarterly billing quota.
Perform all other duties as assigned.