Care Coordinator - Street Team

Boston Health Care for the Homeless Program • Boston, MA

11d • $22 - $35

About The Position

Since 1985, BHCHP’s mission has been to ensure unconditionally equitable and dignified access to the highest quality health care for all individuals and families experiencing homelessness in greater Boston. Over 10,000 homeless individuals are cared for by Boston Health Care for the Homeless Program each year. We are committed to ensuring that every one of these individuals has access to comprehensive health care, from preventative dental care to cancer treatment. Our clinicians, case managers, and behavioral health professionals work in more than 30 locations to serve some of our community’s most vulnerable—and most resilient—citizens. From our earliest days as a program, we have always sought to do work that is transformational: recognizing our shared humanity; centering dignity, compassion, mutual respect and supporting the right of every individual to access the highest levels of health care and every staff member to reach their fullest potential. We continue to be committed to building bridges and breaking down barriers, including systemic racism which harms us all. We provide community-based health care services that are compassionate, dignified, and culturally appropriate, incorporating social determinants of health, with the goal of breaking down the physical and systemic barriers that our patients face. Job Summary: Hours: Full time, Monday – Friday, 8am – 5:00pm Union: Yes Union Name: 1199 SEIU Patient Facing: Yes Our dedicated clinical and non-clinical staff work hard to bring BHCHP’s mission to life. The fundamental expression of that mission is the care of those individuals who avoid shelters and sleep on the streets. This population suffers very high mortality rates and presents a complex burden of co-occurring medical, mental health and addiction problems, placing them at great risk. As the Street Team Care Coordinator, you will be part of a multi-disciplinary primary care team and will provide complex case management for a panel of adults with a history of chronic unsheltered homelessness. Some examples of complex case management that you will provide include appointment coordination, access to transportation and benefits, connection to housing and legal resources, and mitigating other barriers to health care. Within your panel of patients, a subset will be eligible to be part of a MassHealth initiative that provides qualified MassHealth enrollees with a service benefit called Behavioral Health Community Partners. To succeed in this role, you must be a flexible, compassionate, and self-motivated individual who embraces the mission. You must be committed to delivering low-threshold, high-quality care coordination in various non-traditional locations, to a vulnerable population of individuals with a history of chronic street homelessness. Because you’ll be practicing on the streets, you must be able to walk multiple miles a day in varying weather conditions.

Requirements

• Experience working with vulnerable populations, including persons with a history of trauma, those experiencing socioeconomic stress, homelessness, mental illness, and substance use disorders.
• Strong interpersonal skills and case management problem-solving.
• Efficient, organized, detail-oriented, and able to complete tasks in a time-sensitive manner.
• Self-directed with the ability to work both independently and collaboratively with clinical staff on shared patient goals.
• Associate or bachelor’s degree in a related field and/ or equivalent two years relevant human services experience.

Responsibilities

• Provide outreach-based case management, and non-judgmental support, in collaboration with other Street Team members, and as part of the Behavioral Health Community Partners Program.
• Engage patients with substance use disorder and mental illness, with a strong commitment to trauma-informed care and harm reduction practices.
• Complete health/needs assessments and develop integrated care plans with the patient and primary care team.
• Assess social determinants of health and address these needs according to the patients’ goals.
• Track appointments, referrals, and primary care activities and follow up with the patients to ensure that they keep their appointments or reschedule if the appointment is missed.
• Participate in team case conferences and advocate for patients’ needs.
• Perform street outreach and home visits with Street Team as necessary.

Benefits

• BHCHP full-time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more.
• Benefits are prorated for part-time employees.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree
• Number of Employees: 251-500 employees