POSITION SUMMARY:
The Behavioral Health Care Coordinator will be embedded at the Old York Road Shelter in partnership with SELF, Inc. to provide on-site care coordination, behavioral health engagement, and linkage to services for individuals experiencing homelessness. This role supports individuals with moderate to severe behavioral health needs, including those who may be undiagnosed or not currently engaged in care. The BH-Care Coordinator works closely with shelter case managers and community providers to assess needs, coordinate services, and connect residents to WES programs and other community-based supports. This position requires a flexible, engagement-focused approach to meet individuals where they are and support stabilization, service connection, and continuity of care.
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GENERAL OVERVIEW OF KEY ROLES & RESPONSIBILITIES:
• Conduct initial and ongoing needs assessments in a shelter-based environment, including behavioral health, medical, and social needs.
• Engage individuals using trauma-informed, person-centered approaches, including those hesitant or not currently connected to care.
• Identify signs and symptoms of moderate to severe mental health and/or substance use needs, including undiagnosed individuals.
• Collaborate with SELF, Inc. shelter case managers to identify needs, coordinate care and align service planning.
• Participate in shelter-based meetings to support coordinated care efforts.
ESSENTIAL & CORE FUNCTIONS:
• Provide follow-up to ensure engagement in services and address barriers to care.
• Facilitate referrals and linkages to WES services including outpatient, medication management, and Psychiatric Rehabilitation Services.
• Coordinate with medical providers, including supporting individuals with co-occurring health needs.
• Support individuals in crisis through de-escalation and connection to crisis services.
• Maintain accurate and timely documentation in accordance with WES and Self, Inc. standards.
• Support appointment coordination, reminders, and accompaniment as appropriate.
• Establish and maintain appropriate professional files that provide all required documentation regarding care coordination, including incident reporting as required.
• Establish and maintain complete professional records for care coordination-including required incident reports-and ensure all notes are accurate, comprehensive, and entered into the Credible-EMR system within 48 hours of service.
• Adhere to a flexible schedule including evenings or weekends as needed.
• Other duties as assigned to support care coordination and program goals.
PREREQUISITES & QUALIFICATIONS FOR THE POSITION:
Behavioral Health Care Coordinator staff shall meet the following criteria:
• Bachelors degree in Human Services or a related field; one year experience providing services in direct contact with behavioral health/ homeless population in the areas of behavioral health and resource coordination in a community-based/trauma-informed setting is preferred.
• Associates Degree in Human Services or a related field; two years experience providing services in direct contact with behavioral health/homeless population in the areas of behavioral health and resource coordination in a community based/ trauma-informed setting is preferred.
• Valid state driver's license is required.
• Valid FBI clearance, criminal history check, and child abuse history clearance required.
COMPETENCIES & PERSONAL CHARACTERISTICS:
WES is committed to Support, Inclusion, Trust, Choice, and Accountability. All staff are expected to demonstrate these values in their work with members, colleagues, and community partners.
To perform the job successfully, an individual should demonstrate the following competencies to perform the essential functions of this position:
• Strong engagement skills with individuals experiencing homelessness and complex behavioral health needs.
• Strong verbal and written communication skills.
• Flexibility and adaptability in managing changing priorities.
• Strong written communication skills with ability to communicate with professionalism and maintain effective working relationships with families, associates, and community-based providers.
• Proficient with Microsoft office programs- Outlook, Excel, Word and ability to navigate an electronic medical records system.
• Knowledge of trauma-informed care, harm reduction, and recovery-oriented practices.
• Ability to work independently and collaboratively in fast-paced, dynamic environments.
• Ability to build effective partnerships with community providers and stakeholders.
• Ability to handle conflicts with diplomacy and tact; treat families with respect and dignity.
ORGANIZATIONAL ACCOUNTABILITY & RELATIONSHIPS:
The individual is to be supervised by Senior Director under the guidance of a Team Leader.
PHYSICAL DEMANDS:
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 accommodation may be provided to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is occasionally required to drive, stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds.
Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
WORK ENVIRONMENT:
Work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be provided to enable individuals with disabilities to perform essential functions.
While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time. The noise level in the work environment is usually moderate.
Job Type: Full-time, subject to weekends; WES is an Equal Opportunity Employer EOE MJFN ID.
Hours: 9 am- 4:30 pm. Some community Travel (appointments) and Saturdays are required/scheduled.
GENERAL SIGN OFF:
The employee is expected to adhere to all agency policies and to act as a role model in adherence
to agency policies.
I have read and understand this explanation and job description.
Signature:______________________ Date:________________
Print Name:________________________
Human Resources/Management Signature:___________________________
Benefits