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Service Coordinator, Continuum of Care

Location: Niles, IL
Company: Thresholds
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The Service Coordinator, Continuum of Care reports to the Manager, Service Integration and is responsible for coordinating referrals and linkages to clinically indicated services supporting housing retention and eviction prevention within the Quality department for the Continuum of Care (COC) Program. The Service Coordinator's role supports providers through an integrated approach to case management and community outreach while implementing program improvements that strengthen care management, member access, and health outcomes. This role additionally ensures quality of data reporting and project performance outcomes, including increasing income and non-cash benefit measures.ESSENTIAL DUTIES & RESPONSIBILITIES:Supports the mental and physical health care of members on an assigned caseload.Closely coordinates care with member's mental health, physical health, and/or substance use providers.Works closely with community resources and organizations to coordinate member services.Provides support and attempts to remove common obstacles and barriers to outpatient care.Identifies risk factors related to relapse, and develops relapse prevention plans and strategies in conjunction with clinical consultation.Advocates for members who may be vulnerable or need additional support.Provides member education on common mental health, physical health, and substance use disorders.Provides brief interventions using evidence based psychosocial treatments, (CBT, MI) as clinically indicated.Participates in regularly scheduled caseload consultation. These consultations will primarily focus on members who are new to treatment, difficult to engage, or who are not improving as expected.Facilitates member outreach, engagement, linkage, referrals, coordination, and follow up for mental health, physical health, and substance use services and supports.Identifies gaps in care for members and arranges appropriate and timely resolution with internal and external agencies.Ensures grant compliance with program targets by identifying and linking participants who are in need of income, employment, or are eligible for benefits and assists in connection to employment services and coordinates mainstream benefits applications.Ensures compliance with service delivery, data quality, and program outcomes for permanent supportive housing programs.Collaborates closely with Thresholds Housing Administration, HMIS data administrator and Grants Accounting Team through the submission of partner service reports.Completes eligibility and needs assessment of referrals from the Coordinated Entry System (CES).Monitors service delivery of project service partners to program participants, including reviewing personnel activity reports.Conducts annual audits and files reviews for partner agency service providers.Provides accurate and timely information to their supervisor(s) on all topics and issues related to the project operations and wellbeing.Other duties as assigned.MARGINAL DUTIES & RESPONSIBILITIES:May be required to assist in evaluation of clinical performance outcomes through reporting data to systems integration specialist and team.May be responsible for assuring that all appropriate safeguards are in place with regard to the confidential files maintained within the Housing Administration. All records are to be maintained in such a fashion as to prevent unauthorized access as well as to reasonably protect them from fire, water damage or other hazards. Electronic records will be backed-up in accordance with agency guidelines.May be required to work flexible schedules and be available to work on weekends or evenings as required. May be required to be on call.EDUCATION:Must, at a minimum, meet Office of Mental Health Rule 132 credential requirements for a Rehabilitative Services Associate.Mental Health Professional including a Bachelor's degree in social work, counseling, psychology or closely related field preferred.EXPERIENCE:Two (2) years of relevant work experience is preferred.Case management knowledge and experience in a healthcare setting, including utilization management is preferred.Demonstrated knowledge of community service providers.Experience with Motivational Interviewing.SKILLS/CERTIFICATIONS:Current and valid driver's license.Experience at working both independently and in a team-oriented, collaborative environment.Demonstrated proficiency in the use of e-mail, data reporting, recordkeeping, and MS Office applications.Familiarity with policies, procedures and priorities of community Continua of Care.Familiarity with policies and procedures of funding agencies such as but not limited to HUD, DFSS, Illinois Division of Mental Health and other project funding sources.Regular access to a personal vehicle is strongly preferred. Must obtain and maintain $100,000/$300,000/$100,000 bodily injury and liability insurance. Subject to validation every six months.May be required to provide transportation for members of the program using a Thresholds provided vehicle or personal vehicle. Must be 23 years of age and must meet all insurance carrier's requirements. Subject to annual Department of Motor Vehicles license verification.COVID19 Note:In the spirit of caring for one another and our community, please note that upon accepting an offer of employment from Thresholds, you will be required to share proof of a Covid-19 vaccination. The requirement is subject to accommodation in compliance with applicable laws and regulations. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
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