Client Care Coordinator

Community Bridges, INC•Phoenix, AZ

15h•Onsite

About The Position

Community Bridges, Inc. (CBI) is an integrated behavioral healthcare agency offering a variety of different programs throughout Arizona, including residential, outpatient, inpatient, patient-centered medical homes, medication-assisted treatment, and crisis services to individuals experiencing crisis, opioid use disorder, homelessness, and mental illness. CBI is a premiere non-profit fully integrated healthcare provider using cutting-edge, nationally recognized, evidence-based models. The Client Care Coordinator is a seasonal, shelter or temporary lodging site-based position, active during peak heat periods from May to October, with potential for continued employment. The primary role is managing a housing caseload, coordinating care for individuals and families experiencing homelessness, and providing support services to help them end their current episode of homelessness. This role involves assisting individuals with complex substance use, mental health, housing, and medical care needs, ensuring coordination with existing or new PCMH/PCP services. The Client Care Coordinator serves as a bridge, coordinating and monitoring RBHA and Non-RBHA community-based services, facilitating their delivery, and working with individuals and families with the highest acuities and greatest vulnerabilities. The role also involves coordinating care through the CBI Continuum of Care (or other community agency) on social determinants of health, including crisis, urgent care, residential treatment, medical care, medication assisted treatment, or outpatient behavioral health services. Once matched to housing, the coordinator uses housing search software to identify units. This position requires data entry into established systems, assisting higher-level personnel with reports, and completing end-of-shift reports. The Client Care Coordinator works as part of a multi-disciplinary team and coordinates care with community providers and stakeholders, documenting interactions according to various regulatory and policy guidelines. In this role, the coordinator delivers lifesaving support to vulnerable populations affected by extreme heat, collaborating with community members, local service providers, and internal teams to distribute resources, share information, and connect people with appropriate services. It requires a strong commitment to community engagement, empathy, and responsiveness to urgent needs.

Requirements

Highschool diploma or GED is required.
Minimum of six months of recovery from substance use and/or mental health disorders required.
Minimum of six (6) months of paid related work experience where his or her prior experience would provide adequate exposure to both behavioral and medical crisis situations is required.
Valid identification required.
Will complete CBI Peer Certification within 90 days of being hired.
Arizona Fingerprint Clearance Card (Program Specific).

Nice To Haves

Associate degree (or higher) in a field related to Behavioral Health is preferred.
1-3 years of full-time Health Care related work experience where his or her prior experience would provide adequate exposure to both behavioral and medical crisis situations is preferred.

Responsibilities

Managing a housing caseload responsible for coordinating care for individuals and families who are experiencing homelessness.
Providing coordination of care and support services to assist the individual or family with ending their current episode of homelessness.
Ensuring coordination of care with existing PCMH, PCP or ensuring connection to new PCMH, PCP services occurs for individuals with complex substance use, mental health, housing, medical care needs.
Coordinating and monitoring RBHA and Non-RBHA community based services and facilitating delivery of these services for individuals residing in shelter or temporary lodging.
Working with individuals and families with the highest acuities and greatest vulnerabilities.
Coordinating care through the CBI Continuum of Care (or other community agency as identified by client choice) on identified social determinants of health that can be addressed through housing and community integration programs.
Utilizing housing search software systems to help individuals identify units once matched to housing.
Completing data entry into established data system which assists with program outputs and outcomes.
Assisting higher level personnel and leadership with ongoing reports.
Completing an end of shift report documenting the coordination of care completed for each individual.
Documenting and tracking required interactions according to the Arizona Administrative Code (AAC), Arizona Department of Health Services/Department of Behavioral Health Services (ADHS/DBHS) Provider Manual, Commission on Accreditation of Rehabilitation Facilities (CARF), Community Bridges Policies and Procedures, and specific for the program as specified by the program contract.
Collaborating with community members, local service providers, and internal teams to distribute resources, share information, and connect people in need with the appropriate services.