Service Coordinator

Thresholds•Chicago, IL

About The Position

The Service Coordinator, Continuum of Care reports to the Team Leader, Service Integration and works within the Quality department for the Continuum of Care (COC) Program. The role coordinates referrals and linkages to clinically indicated services that support housing retention and eviction prevention. It supports providers through integrated case management and community outreach, and helps implement program improvements to strengthen care management, member access, and health outcomes. The position also supports the quality of data reporting and project performance outcomes, including measures related to income and non-cash benefits. The Service Coordinator works with members, service providers, community organizations, and internal teams to coordinate mental health, physical health, and substance use services. The role also supports permanent supportive housing program compliance, referral eligibility and needs assessment, partner service monitoring, audits, and reporting. The position requires a bachelor's degree in a relevant field, at least two years of relevant mental health work experience, a valid driver's license, daily access to a personal vehicle, and willingness to transport clients in that vehicle. Thresholds offers a salary range of $51,200–$56,200 annually, based on education, experience, and licensure. The organization describes itself as a mission-driven agency committed to an inclusive and respectful workplace.

Requirements

  • Bachelor’s degree in social work, psychology, or a closely related field.
  • At least two years of relevant work experience in mental health.
  • Must be at least 21 years old.
  • Current and valid driver’s license, subject to annual Department of Motor Vehicles license verification.
  • Daily access to a personal car.
  • Must maintain bodily injury and liability insurance of $100,000/$300,000/$100,000, subject to validation every six months.
  • Willingness to transport clients in a personal car.
  • Experience working independently and in a team-oriented, collaborative environment.
  • Proficiency with email, data reporting, recordkeeping, and MS Office applications.
  • Experience with Motivational Interviewing.
  • Demonstrated knowledge of community service providers.
  • Familiarity with the policies, procedures, and priorities of community Continuums of Care.
  • Familiarity with policies and procedures of funding agencies, including HUD, DFSS, the Illinois Division of Mental Health, and other project funding sources.

Nice To Haves

  • Master’s degree in social work, counseling, or a closely related field.
  • Case management knowledge and experience in a healthcare setting, including utilization management.

Responsibilities

  • Support the mental and physical health care of members on an assigned caseload.
  • Coordinate care with members’ mental health, physical health, and/or substance use providers.
  • Work with community resources and organizations to coordinate member services.
  • Support members and attempt to remove common obstacles and barriers to outpatient care.
  • Conduct outreach, engagement, linkage, referrals, coordination, and follow-up for mental health, physical health, and substance use services and supports.
  • Identify gaps in members’ care and arrange appropriate, timely resolution with internal and external agencies.
  • Identify relapse risk factors and develop relapse prevention plans and strategies in conjunction with clinical consultation.
  • Advocate for members who are vulnerable or need additional support.
  • Educate members about common mental health, physical health, and substance use disorders.
  • Provide brief evidence-based psychosocial interventions, including CBT and MI, as clinically indicated.
  • Participate in regularly scheduled caseload consultations, particularly concerning members new to treatment, difficult to engage, or not improving as expected.
  • Identify participants who need income or employment support or are eligible for benefits; connect them to employment services and coordinate mainstream benefits applications to support grant compliance and program targets.
  • Ensure compliance with service delivery, data quality, and program outcomes for permanent supportive housing programs.
  • Collaborate with Thresholds Housing Administration, the HMIS data administrator, and Grants Accounting Team through submission of partner service reports.
  • Complete eligibility and needs assessments for referrals from the Coordinated Entry System (CES).
  • Monitor project service partners’ delivery of services to participants, including reviewing personnel activity reports.
  • Conduct annual audits and file reviews for partner agency service providers.
  • Provide supervisors with accurate and timely information about project operations and wellbeing.
  • As needed, assist with evaluating clinical performance outcomes by reporting data to the systems integration specialist and team.
  • As needed, help ensure safeguards for confidential files maintained within Housing Administration, including protections against unauthorized access and physical hazards and electronic backups in accordance with agency guidelines.
  • Perform other duties as assigned.

Benefits

  • Generous paid time off: 9 federal holidays, 8 days of sick leave, 3 personal days, and 15 days of vacation.
  • Dental insurance.
  • Vision insurance.
  • Four medical insurance plans.
  • 403(b) retirement plan with 3% employer match.
  • Employee assistance program (EAP).
  • Cell phone reimbursement of up to $50 per month.
  • Mileage reimbursement.
  • Public service loan forgiveness.
  • Clinical licensure supervision at no cost for LSW, LCSW, LPC, and LCPC.
  • Reimbursement for licensure fees.
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