Bachelor's Level System of Care Specialist

Mental Health Resource Center•Jacksonville, FL

26d

About The Position

The System of Care (SOC) Specialist serves as the central coordinator for MHRC programs and community resources, streamlining internal and external referrals to ensure efficient access to integrated, person-centered care. This role strengthens care transitions by linking individuals to appropriate services, monitoring referral outcomes, and addressing service gaps to support timely follow-up and engagement. By collaborating with both MHRC staff and external partners, the SOC Specialist helps prevent unnecessary Baker Act admissions and hospitalizations through proactive intervention and timely connections to essential services. As the central point of accountability for agency referrals, the SOC Specialist ensures prompt service linkage, stabilizing individuals in community settings and preventing crises. The specialist also educates stakeholders on available resources, streamlines care coordination, and enhances continuity of care, leading to reduced re-hospitalization rates and better community-based outcomes.

Requirements

In order to be considered, a candidate must have a Bachelor's Degree in Social Work or a related Human Services field from an accredited university or college (a related Human Services field is defined as one in which 30 hours of course work includes the study of human behavior and development) required.
One year of experience working in human services or a mental health related field required.
Proficiency in the RBHS/MHRC Electronic Health Records (EHR) and Patient Information System demonstrated within three months of employment.
Must complete competencies assigned to position as outlined in the Orientation Competency Form.
Proficiency in Microsoft Office, Outlook and use of the Internet required.
Strong communication skills are essential and this individual must be able to interact appropriately with internal and external customers, including patients, families, caregivers, community service providers, supervisory staff and other department professionals.

Nice To Haves

Experience working with adult individuals with mental illness preferred.

Responsibilities

Acts as the centralized coordinator for all referrals, ensuring individuals are connected to appropriate MHRC services or external supports in a timely and efficient manner. Tracks and follows up on referral outcomes to ensure no gaps in service delivery.
Facilitates collaboration across behavioral health, medical, and social services to holistically address the individual’s needs.
Builds trust and rapport with individuals and their natural supports through proactive communication and follow-up. Encourages the involvement of chosen supports to foster recovery and community stabilization.
Utilizes structured tools and criteria to ensure referrals align with evidence-based care pathways.
Ensures seamless transitions between service providers by facilitating warm handoffs and maintaining continuity of care.
Identifies and addresses Social Determinants of Health (SDOH) barriers such as transportation, access to identification, and housing.
Serves as an advocate for individuals by ensuring access to appropriate services and resources, addressing barriers to care, and supporting timely resolution of coordination challenges.
Monitors referral outcomes, analyzes data trends, and identifies areas for improvement to meet quality and performance standards.
Identifies high-risk individuals and connects them to preventive services and supports to reduce unnecessary hospitalizations.
Works with multidisciplinary teams to standardize care coordination practices, address service gaps, and support MHRC’s mission of community stabilization.
Serves as a liaison to community partners, providing education on MHRC services, referral pathways, and available resources.
Engages in outreach activities to strengthen partnerships and build awareness of MHRC’s comprehensive services.
Participates in quality improvement initiatives to enhance referral processes, reduce delays, and align with best practices.
Ensures all documentation is completed accurately and timely, meeting organizational and regulatory compliance standards.