Lead Care Coordinator - FHARPS

Columbia River Mental Health Services • Vancouver, WA

6h • $28 - $31

About The Position

Serve as a Care Coordinator Lead for the Health Homes Department at Columbia River Mental Health Services. Care Coordination services are provided to individuals referred by their Health Home or Managed Care provider due to one or more chronic health conditions. Services include Intensive Home Health Care Coordination, Low Level Care Coordination, Outreach and Screening, and completion of a Health Action Plan to help individuals receive coordinated care, improve health plan compliance and health outcomes, and reduce hospitalization.

The Lead works closely with contracted Health Homes and Health Plans to provide community-based services for people with chronic health conditions. The role combines direct client services with team coaching, program monitoring, data management, and community outreach. The Care Coordinator Lead spends at least 75% of working time in direct client service and helps build relationships with community agencies that refer clients or provide ancillary services. Outreach includes attending meetings and presenting information about available services to community groups, contracted and governmental organizations, nonprofit organizations, and health care clinics.

Columbia River Mental Health Services is a not-for-profit provider of behavioral health and recovery services in southwest Washington. The organization reports 200 employees and a history dating to 1942. It describes its workplace as equitable and inclusive.

Requirements

• Approximately 1–2 years of experience in the social service field with mental illness or chemical dependency is preferred.
• Strong verbal and written communication skills, including the ability to engage individuals experiencing serious mental illness, substance use disorders, homelessness, and criminal legal system involvement.
• Strong customer service orientation and commitment to person-centered, recovery-focused care.
• Ability to establish and maintain collaborative relationships with clients, families, healthcare providers, housing providers, criminal justice partners, and community organizations.
• Assessment, critical thinking, de-escalation, and problem-solving skills.
• Ability to work independently in community settings while communicating effectively with the treatment team.
• Strong organizational skills, time management, and attention to detail.
• Ability to manage multiple priorities in a community-based behavioral health environment.
• Flexible, adaptive, and responsive approach to changing client and program needs.
• Ability to stand, walk, bend, and remain active for extended periods during outreach and client visits.
• Ability to drive and travel frequently throughout the service area.
• Ability to lift and carry up to 25 pounds occasionally.
• Manual dexterity to operate medical equipment, collect specimens, administer injections, and use computer systems.
• Ability to safely navigate community settings, including housing sites, shelters, hospitals, and correctional facilities.

Nice To Haves

• Bachelor’s degree in Social Work or a related field is preferred.
• Approximately 1–2 years of experience in the social service field with mental illness or chemical dependency is preferred.

Responsibilities

• Provide training and coaching to the care coordination team.
• Provide the Assistant Manager and Program Director with regular updates about coaching provided by the team lead.
• Spend at least 75% of working time providing direct client services.
• Conduct monthly monitoring of project goals and outcomes.
• Collect and manage data for reporting and billing.
• Attend internal and external Lead meetings as required.
• Perform MOC duties as assigned.
• Conduct initial contact and screening, including assessments, using appropriate tools and motivational interviewing techniques.
• Help participants navigate the healthcare system and learn self-management health tools.
• Coach participants and families so they understand the Health Action Plan.
• Help participants and families access community support groups and wellness education programs.
• Coordinate and mobilize treating and authorizing entities.
• Actively manage service referrals, including facilitating same-day services, scheduling appointments on participants’ behalf, and arranging transportation when appropriate.
• Maintain ongoing relationships with community agencies that refer clients or provide ancillary services.
• Conduct organized and targeted outreach, marketing, and care coordination with community partners.
• Create materials and presentations about available services for individuals and groups.
• Attend individual and team meetings and present to community groups and organizations.

Benefits

• Medical, dental, and vision benefits.
• 11 paid holidays per year, including 2 paid floating holidays available upon hire.
• 24 days of PTO in the first year, increasing in subsequent years.
• $325 annual allowance for career development and education.
• 40 hours of paid time off for career development or education.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed