Health Related Social Needs Coordinator - AD277

Native American Rehabilitation Assoc. of the NW•Portland, OR

10h•$24 - $29•Onsite

About The Position

The Health-Related Social Needs (HRSN) Coordinator addresses a range of social determinants of health, with a primary focus on housing instability and homelessness as critical drivers of health outcomes. This role supports individuals in accessing HRSN benefits through screening, coordination, and ongoing support. The Coordinator is responsible for managing closed-loop referrals, as well as completing invoicing and maintaining accurate documentation related to ongoing HRSN benefits and services. The role works collaboratively with the social services team, housing providers, and community-based organizations to promote housing stability, improve health outcomes, and reduce health disparities.

Requirements

Bachelor’s degree in social work, human services, public health, housing studies, or a related field; or equivalent relevant experience.
Experience or knowledge in housing services, homelessness response systems, care coordination, or social services.
Must pass a pre-employment or for cause drug tests.
Must pass criminal background and DMV checks.

Nice To Haves

Experience working within the Native American/Alaska Native community
Experience providing trauma-informed, culturally responsive communication.

Responsibilities

Identify individuals eligible for HRSN benefits and services.
Develop individualized housing support plans in collaboration with participants, care teams, and housing partners.
Coordinate referrals to housing providers, supportive programs, and community-based organizations using Unite Us and other closed loop referral software.
Provide housing navigation and tenancy support services, including assistance with housing applications, move-in readiness, and tenancy stabilization.
Conduct ongoing follow-up to support housing stability and continuity of care.
Track housing-related referrals, services, and outcomes in Unite Us, electronic health records, and other required data systems.
Complete invoicing and documentation for housing-related HRSN services in accordance with program, payer, and grant requirements.
Serve as a liaison between care coordination teams, housing agencies, and community partners.
Educate participants on housing resources, program expectations, and participant responsibilities.
Maintain accurate, timely, and compliant documentation.
Participate in interdisciplinary team meetings, case reviews, and housing-focused case conferences.
Stay current on available HRSN benefits, housing resources, and best practices related to housing stability.
Maintain high level knowledge of all internal NARA NW programs, qualifications, and intake processes.
Works collaboratively, and maintains professional boundaries with clients, other NARA staff, team members, and treats everyone with respect and dignity at all times.
Maintain working knowledge of and provide referrals to community services and resources, including Aging and Disability Services, Housing Assistance, Transportation, Food/Shelter Services, and Public Health resources.
Provide culturally informed support to staff working directly with clients to ensure culturally responsive service delivery.
Performs other duties as assigned.

Benefits

14 Paid Holidays: New Years, Martin Luther King Day, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, 4th of July, Labor Day, United Indigenous Day, Indigenous People's Day, Veterans Day, Thanksgiving, Day after Thanksgiving, and December 25th!
Benefits: Employees working 20 hours, or more are eligible for benefits. Benefits are effective from the 1st of the month following the date of hire.
Affordable Medical, Dental, and Vision Insurance through Kaiser Permanente
14 Paid Holidays (Listed Above)
13 Paid Days of Sick Time
13 Paid Days of PTO (Vacation accruals increase with years of service to a maximum of 26 days)
$50,000 Life Insurance & AD&D
Short Term and Long-Term Disability
Flexible Spending Account
Health Spending Account
401(k) with 4% Match
Employee Assistance Program
Inclement Weather Days (Snow Days)
Public Student Loan Forgiveness -NARA NW is a local 501(c)3 nonprofit, FQHC