• Case Manager/Care Coordinator

    Job Locations US-WA-Seattle
    Posted Date 3 weeks ago(7/2/2018 12:49 PM)
    Job ID
    # of Openings
    USD $21.03/Hr.
  • Overview

    Program Description:

    Catholic Community Services’ Counseling, Recovery & Wellness (CReW) Program is a licensed community mental health and substance use disorder treatment program and provider of the King County Behavioral Health Organization (BHO). Our program focuses on serving adults with mental illness or co-occurring disorders to help improve individuals’ quality of life. Services are provided in a variety of settings, including client’s homes, permanent supportive housing, transitional housing, homeless shelters and the streets. Our services promote: a collaborative partnership with the person served, the development of opportunities for personal growth, a commitment to community integration, goal-oriented and individualized supports, and satisfaction and success in community living.

    CREW also provides Care Coordination as part of the Washington state Health Homes Program. The goals of the Health Home program is to provide services to adults in assessing need for and accessing necessary medical, behavioral health and supportive services.  This position performs the duties for individuals who are high-cost, high need individuals with co-occurring serious and chronic medical conditions and behavioral health conditions.  Ensures completion of necessary medical and mental health assessments; assists patients in the identification of individual medical goals; teams with other professionals and supports to establish a coordinated plan of care; and works to ensure the success of that plan.


    Position Description:

    The Clinical Case Manager works independently and as part of a team to provide outreach, engagement and ongoing case management services to adults with mental health conditions, including those that are homeless and have co-occurring substance use disorders. Work occurs in a variety of settings, including housing sites, shelters, the streets and other community locations.


    The Clinical Case Manager is responsible for upholding a culture of privace and security in a highly confidential work environment and complies with all CCSWW policies and procedures that involve access to and safeguarding of client Protected Health Information.


    This is a full-time, 37.5 hours per week, benefitted position and includes generous paid time off.  Pay range is $21.03-$23.40/hour DOQ.


    Case Management:

    • Provide on-going intensive case management services to individuals participating in mental health and substance use treatment, including: referral, screening, and coordination of care.
    • Assume primary responsibility for coordinating all aspects of individuals’ care for a primary caseload of 10-15 individuals.
    • Identify the needs, barriers, and strengths of residents to develop treatment plans that outline the interventions that will be provided. Coordinate and monitor the implementation of these plans.
    • Provide and/or facilitate the provision of a range of therapeutic responses and interventions that support the overall stability and recovery for clients, including access to: basic needs (food, clothing and shelter); permanent housing stability, acute and ongoing medical care, psychiatric treatment, substance use services, and financial assistance.
    • Provide advocacy-based information and referral, including life skills, independent living, social skills, budgeting, jobs/education, crisis intervention and permanent housing search.
    • Maintain a focus on strengths, needs and creative solutions and inspire others to follow this format in problem solving.
    • Document therapeutic interactions in progress notes that reflect aspects of the treatment plan, tying together a golden thread of services in a clinical file.
    • Participate in psychiatric consultation and staffing.
      • Attend psychiatric prescriber appointments with clients as needed to provide collaborative care and advocate for client requests.
      • As part of the treatment team, assist with medication monitoring, noting changes in symptoms, and reactions to medications or side effects.
      • Assist in problem solving issues around medication refills with the client and the team: check in with client routinely to ensure that adequate supplies of medications are available, advocate for client follow-up appointments with prescriber, advocate for refills from the pharmacy or alternative packaging as needed (bubble packs, i.e.)
    • In addition to primary caseload, act as point of contact among the team to support individuals who need assistance with applying for and obtaining housing.
    • Facilitate resource sharing and/or social support groups/activities to benefit the population served by the program.
    • Maintain a reference guide of resources available in the community for people experiencing poverty and needing low-income and low-barrier medication, education, housing and employment services.
    • Provide outreach and engagement services to encourage long-term involvement in behavioral health treatment for adults with severe and persistent mental illness.
    • Provide and/or arrange necessary crisis response and stabilization services. Respond to crises in a prompt, effective and collaborative manner.
    • Seek clinical consultation as needed to insure quality of care for residents; participate in clinical review and case conferences for residents on caseload.
    • Provide crisis de-escalation and risk assessments for residents as needed. Advocate with Seattle Police Department, County Designated Mental Health Professionals and Involuntary Treatment Services when more intensive services are needed.
    • Develop and maintain cooperative relationships with current internal and external programs providing services for people who are homeless or who have mental health or substance use disorders.
    • Collaborate closely with staff in other agencies or programs such as housing, clinical, medical care to help coordinate care and ensure housing, medical, financial or emotional stability.
    • Represent the CReW program in a variety of settings to build awareness and develop community partners in order to contribute to the growth of a newer program.
    • Comply with the agency’s clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance review when assigned.


    Health Homes:

    • Convene and facilitate multidisciplinary teams as indicated to address the full breadth of medical, clinical and social service needs.  Team members may include physicians, occupational and physical therapists, RN’s and ARNP’s, mental health and chemical dependency providers, family members, housing supports and other professional and natural supports.
    • Assess individuals for medical, mental health and chemical dependency risk factors, health status, self-management skills and confidence level, knowledge of health care needs and knowledge of prescribed medications.  Includes administration of a brief health screening, including physical, mental and chemical dependency questionnaires.
    • Assist individual in developing a Health Action Plan (HAP).  Incorporate individual support system and cultural norms into the plan.  Update the plan as needed or required.
    • Assist individual in implementing their plan.  Includes identification of and strategies to overcome barriers, and assisting with access to services.
    • Actively facilitate transition back to the community for patient admitted to a hospital or residential treatment facility.  Includes development of a transition/discharge plan that includes individual education that supports discharge care needs, medication management, follow-up appointments, and self-management of chronic or acute conditions.
    • Document all interactions with the individual and others involved in their care.
    • Navigate and manage multiple, confidential health care information system to include; Insignia, Pre-Manage, Prism and Care Manager. This requires an experienced level of data entry and navigation of various medical based sites used to gather and assess risk and needs.
    • Organize a large volume of referrals and enrolled families utilizing the tools in the Electronic Health Record.
    • Other duties as assigned.


    This position requires the employee to work in an environment where there may be exposure to blood, bodily fluids, and other potentially infectious material. Other exposures could include cleaning supplies, chemicals involved in pest control, paint and other materials used in building maintenance. Working conditions may include interruptions, interactions with angry persons, and exposure to computer CRTs.



    The requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    • Able to hear telephone rings, phone conversation, doorbells, emergency alarms and face-to-face conversation.
    • Able to speak clearly in person and on the telephone.
    • Able to hand write legibly.
    • Vision that enables person to read normal size print and handwritten notes; and distance and peripheral vision than enables person to monitor large space and identify concerns that require staff response.
    • Mobility/dexterity of hands/arms to enable keying into locked areas as well as using a computer and other office equipment.
    • Able to sit for sustained periods of time.
    • Able to walk the entire building and ascend and descend stairs quickly to move from one floor to another in order to respond to emergency situations.
    • Able to lift, move and/or carry up to 40 pounds.
    • Regularly able to perform duties as assigned.
    • Able to make independent decisions and apply sound judgment in performing job duties.



    1. A Bachelor’s Degree in social work, psychology, or relevant social science.
    2. Knowledge of the social service providers and community resources that are available for consumers.
    3. Registered Washington State Counselor (HIV/AIDS training required).
    4. Proof of negative TB test within past 12 months and ability or test within first six months of employment.
    5. 1-3 years working with individuals who have mental health needs.
    6. Demonstrable case management experience including problem-solving/issue assessment skills, intervention planning/implementation skills, and/or crisis intervention skills.
    7. Experience working with individuals who are hard to engage and challenging to serve.
    8. Demonstrated sensitivity to sexual minority and cultural diversity issues.
    9. Experience working with homeless populations.
    10. Demonstrable understanding of drug and alcohol issues and harm reduction model.
    11. Demonstrable oral and written communication skills, team-building skills.
    12. Ability to prioritize and complete assigned tasks, accept responsibilities and provide resident treatment/case management, with little supervision.
    13. Ability to commit to developing and safekeeping a workplace that values and supports a culturally diverse work environment that fosters respect, teamwork and excellence.
    14. Ability to assertively outreach and engage individuals who are precontemplative about services, in order to create motivation for change.
    15. Ability to uphold and model the mission, values, and insights of Catholic Housing Services into all aspects of work life and to uphold the mission and values of Noel House Programs.
    16. Demonstrates the necessary attitudes, knowledge and skills to deliver culturally competent services and work effectively in multi-cultural situations.
    17. Excellent oral and written communication skills.
    18. Basic computer skills with ability to maintain up to date and meticulous records.
    19. Criminal history background checks are required prior to employment.



    1. Chemical Dependency Professional or Trainee Certification


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