Service Coordinator II/III ODR ICMS

Step UpLos Angeles, CA

About The Position

The DHS-ODR-ICMS Service Coordinator II/III will participate in Intensive Case Management Services (ICMS) funded by the Department of Health Services’ (DHS) Office of Diversion and Re-entry (ODR) toward the goal of assisting participants experiencing homelessness with achieving and maintaining optimal physical health, mental health, and housing stability. The participants are pre-trial defendants, who have alleged criminal felony cases. Through a partnership with the Superior Court, this position will provide program coordination and clinical support for the ODR participants as determined by that program’s requirements and needs. The ODR pretrial program attempts to resolve alleged criminal felony cases early and divert defendants into ODR Housing & Services with a grant of probation. Step Up on Second fully implements the Housing First and Harm Reduction models of service delivery.

Requirements

  • Licensed Clinical Social Worker or LMFT a minimum of 3 years' experience working with adults recovering with chronic mental illness preferred.
  • Social Work/Mental health-related Master's degree AND minimum of 4 years' experience working with people who experienced homelessness and have mental health challenges accepted.
  • Knowledge of Trauma-informed Care, Recovery-oriented services, Housing First model.
  • The ability to work as a part of a team is crucial.
  • Knowledge of issues facing program members, (e.g., health, substance abuse, mental health, physical health, domestic abuse, child welfare, resources for undocumented person), excellent written and verbal communication skills, must be able to perform extensive charting, electronic data entry, and documentation.
  • Microsoft 365 Office is essential.
  • must have own transportation and current California driver's license and insurance with good driving record at all times during employment.
  • MSW, MFT licensed or licensed eligible.
  • A minimum of 4 year's experience working with the mentally ill population in a community or housed setting necessary.

Responsibilities

  • Liaison and coordinate with the County’s DHS-ODR clinical team to review participants' clinical progress. Work cooperatively with other Service Coordinators.
  • Assist with weekly staff meetings; attend DHS-ODR provider and other meetings, supervision, training as requested.
  • Provide clinical support to ICMS SCI and team members; including sharing responsibility for 24 hour on-call coverage. Provide on-call supervision.
  • Provide ODR ICMS service coordinators with consultation and resources regarding participants or other matters related to the delivery of services, which will allow ODR team members to perform their specific tasks effectively.
  • Attend team meetings for programs in which supervision is provided and participate in case consultation, as needed. Provide case conferences forms when interacting with DHS-ODR case conference meetings. Available on an on-call basis to provide guidance during any emergency situations encountered by DHS-ODR-ICMS staff.
  • Work with a diverse and marginalized group of participants, experiencing many barriers including homelessness, complex trauma, medical, mental health needs and substance use. Meet face-to-face with each tenant a minimum of once per week. More frequently if needed.
  • Outreach to, and assess new clients in institutional or community settings; make recommendations to the treatment team for appropriate treatment.
  • Coordinate with team members to assure client has access to local resources, including psychiatric and medical care/appointments, housing, benefits establishment, community rehabilitation and socialization activities, drug/alcohol services, providing transportation and accompanying the client using personal or public transportation when necessary.
  • Manage a small client case load if needed and assume all job duties as specified under the DHS-ODR-ICMS position. Assist client, identify needs, set goals, establish concrete objectives and develop a treatment plan.
  • Assess mental health service needs of participants in the program and provide therapeutic services and link participants to appropriate DMH services.
  • Utilize CHAMP for entering all tenant updates/encounters, and documenting all services provided. All participant documentation of services and progress notes shall be recorded at least 4 times a month within 3 business days of service Delivery, using the G.I.R.P. format (Goal, Intervention, Response, Plan)
  • Provide annual income verification, healthcare insurance information and track changes.
  • Complete initial Bio-Psycho-Social-Assessment (BPS) once and 5x5 and Acuity Index when completing re-assessment every 3, 6, 9, and 12 months.
  • Ensure that appropriate quarterly care plans are developed, based on the needs assessment findings, and update the client record with action steps created and fulfilled. Care Plans are to be developed using the S.M.A.R.T model.
  • Other duties as assigned.
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