Service Coordinator

Thresholds•Chicago, IL
•$51,200 - $56,200

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 contributes to program improvements that strengthen care management, member access, and health outcomes. The position also ensures quality data reporting and project performance outcomes, including measures related to income and non-cash benefits.

Requirements

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

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 substance use providers.
  • Work with community resources and organizations to coordinate member services.
  • Support members and attempt to remove common 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 care and arrange timely resolutions with internal and external agencies.
  • Identify relapse risk factors and develop relapse prevention plans and strategies 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 scheduled caseload consultations, especially for members new to treatment, difficult to engage, or not improving as expected.
  • Support grant compliance with program targets by identifying participants who need income or employment support or may be eligible for benefits, connecting them to employment services, and coordinating mainstream benefits applications.
  • 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 the Grants Accounting Team on partner service report submissions.
  • 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 on project operations and wellbeing.
  • May assist with evaluating clinical performance outcomes by reporting data to the systems integration specialist and team.
  • May ensure safeguards are in place for confidential Housing Administration files, including protection against unauthorized access and physical hazards, and that electronic records are backed up according to agency guidelines.
  • Perform other duties as assigned.

Benefits

  • Competitive annual salary of $51,200–$56,200, based on education, experience, and licensure.
  • Paid time off, including 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 a 3% employer match.
  • Employee assistance program (EAP).
  • Cell phone reimbursement up to $50 per month.
  • Mileage reimbursement.
  • Public service loan forgiveness.
  • Supervision for clinical licensure at no cost (LSW, LCSW, LPC, LCPC).
  • Reimbursement for licensure fees.
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