Outreach Service Coordinator I

Step Up•San Bernardino, CA

1d•$25 - $26•Onsite

About The Position

Community Supports-ILOS is funded through California Advancing and Innovating Medi-Cal (CalAIM) and is a program that coordinates care by utilizing a person-centered approach to maximizing individuals’ health and life trajectory. Community Supports-ILOS services are medically appropriate and cost-effective alternatives to services covered under the state plan. All Community Supports members must be enrolled in a Managed Care program such as Inland Empire Health Plan (IEHP) or Molina Healthcare. Step Up is a contracted provider of In Lieu of Services (ILOS) – Community Supports, and Managed Care Plans refer qualified members directly to Step Up’s CS-ILOS Programs. Step Up provides services intended to improve members’ housing stability, health outcomes, and social determinants of health. CS-ILOS services consist of a care team providing in-person care management and care coordination aimed at identifying and managing comprehensive needs through improved housing stability, health outcomes, and community integration. The UTC Outreach Specialist (Service Coordinator I) is responsible for conducting outreach and engagement with members who have been referred to Community Supports but are currently identified as UTC (Unable to Contact). The UTC Outreach Specialist works to locate, engage, and re-engage members in services and support enrollment into Community Supports services. This position provides primarily field-based outreach services throughout San Bernardino and Riverside Counties and works closely with the Community Supports care team to ensure members are successfully connected to services.

Requirements

AA degree or equivalent.
A valid California driver’s license and clean driving record.
A reliable vehicle and valid automobile insurance is mandatory, as automobile travel is required in the Inland Empire either by personal or company vehicle.
A clean report Department of Justice background check.
Knowledge of, or experience with case management, mainstream benefits and services competencies such as Critical Time Intervention, Motivational Interviewing, Trauma Informed Care, Housing First, Harm Reduction, etc.
Ability to work collaboratively with others and in a team.
Initiative and solution focused practice.
Uses good time management skills and resources to balance case load direct service and paperwork.
Works within skills and scope of practice asking for support and training to improve abilities when needed.
Ability to work as a team member on the streets, in homeless facilities or with other homeless community providers such as police, churches and hospital ER’s.
Ability to engage individuals on the streets in a meaningful manner which imbues trust enough to accept services offered.
Understanding of, and a commitment to, high preforming team practices.

Nice To Haves

Bilingual (English Spanish preferred).

Responsibilities

Conduct outreach to members identified as UTC (Unable to Contact) through field visits, phone outreach, and coordination with community partners.
Locate members in the community using referral information and outreach strategies to initiate contact and engagement.
Develop rapport with members and introduce Community Supports services using person-centered and trauma-informed approaches.
Assess immediate needs including housing instability, medical concerns, behavioral health needs, and other social determinants of health.
Provide crisis intervention or connection to urgent resources when immediate needs are identified.
Educate members about Community Supports services and support enrollment and engagement into the program.
Coordinate with Service Coordinators, Care Coordinators, and program leadership to transition engaged members into appropriate Community Supports services such as housing navigation or housing tenancy and sustaining services.
Provide advocacy on behalf of members in the community and assist with connection to healthcare providers, social services, and community-based resources.
Collaborate with hospitals, shelters, outreach teams, local agencies, and other community providers to locate and engage referred members.
Participate in collaborative outreach efforts and community engagement activities when appropriate.
Provide transportation or accompaniment when necessary to support member engagement and connection to services.
Build and maintain positive working relationships with members through consistent engagement and community presence.
Participate in staff meetings, trainings, individual supervision, and program activities as required.
Model the highest ethical behavior in relationship with co-workers, supervisors, members, providers, and community partners.
Promote a collaborative and effective working environment through effective communication and teamwork.
Perform other duties as required to support the success of the Community Supports program.
Complete and maintain accurate documentation within the Electronic Health Record system to ensure compliance with regulatory requirements and program standards.
Complete intake documentation required for member enrollment into Community Supports services once contact has been successfully established, ensuring all required forms, consents, and enrollment documentation are completed according to program requirements.
Document all outreach attempts and member contacts within program timelines.
Maintain documentation for each outreach activity within 48 hours of service delivery.
Maintain an accurate and up-to-date calendar reflecting daily outreach activities and member contacts.
Enter member demographic information and outreach activities into program systems as required.
Ensure the privacy and security of Protected Health Information (PHI) in accordance with HIPAA and Step Up policies.
Participate in required compliance and documentation trainings.