Care Coordinator, Enhancement Care Management Team (ECMT)

Care Coordinator, Enhancement Care Management Team (ECMT)
Job Description

The ECMT Care Coordinator is part of a dedicated team supporting individuals experiencing homelessness and those transitioning from incarceration back into the community. Care Coordinators provide direct, client-centered case management services, empowering clients to access housing, healthcare, resources, and opportunities that promote long-term stability, wellness, and successful reintegration.

Responsibilities:

Client Assessment and Planning

• Conduct comprehensive assessments of clients’ needs, strengths, risks, and personal goals.
• Collaborate with clients to develop individualized care plans addressing housing, employment, healthcare, behavioral health, transportation, and social support needs.
• Support clients in identifying achievable short- and long-term goals that promote self-sufficiency and stability.

Resource Coordination

• Connect clients with housing resources, mental health services, substance use treatment, medical care, vocational training, job placement programs, public benefits, and other essential community resources.
• Provide guidance and assistance navigating complex healthcare, social service, and criminal justice systems.
• Assist clients with applications, referrals, appointments, and service linkage activities.

Advocacy and Support

• Advocate on behalf of clients to reduce barriers to housing, healthcare access, employment, and community reintegration.
• Offer emotional support, coaching, and crisis intervention as needed.
• Empower clients to make informed decisions regarding their care, recovery, and personal goals.

Goal Monitoring and Follow-Up

• Regularly review and update individualized care plans to ensure services remain relevant and effective.
• Monitor and document client progress toward established goals and outcomes.
• Conduct follow-up meetings, field visits, and ongoing communication with clients and service providers.

Collaboration and Networking

• Collaborate with community partners, healthcare providers, government agencies, correctional systems, and other stakeholders to coordinate care and access resources for clients.
• Participate in multidisciplinary case conferences, team meetings, trainings, and community outreach events.

Data Management and Reporting

• Maintain accurate, timely, and confidential client records, case notes, and documentation in compliance with organizational and regulatory standards.
• Prepare and submit required reports regarding client progress, service utilization, and outcomes.
• Ensure compliance with all applicable documentation, billing, and reporting requirements.

Crisis Management

• Respond appropriately to client crises and emergencies involving housing instability, health concerns, mental health episodes, or safety risks.
• Implement crisis intervention protocols and coordinate emergency or supportive services as needed.

Transportation and Field-Based Services

• This position may require regular travel within the community to meet clients at shelters, housing sites, healthcare facilities, correctional reentry locations, and other service settings.
• Care Coordinators may be required to use their personal vehicle for work-related travel. Employees must maintain a valid driver’s license, reliable transportation, and current automobile insurance in accordance with organizational requirements. Mileage reimbursement may be provided in accordance with company policy.

Job Type: Full-time

Pay: $30.00 per hour

Benefits:

• 401(k)
• AD&D insurance
• Dental insurance
• Health insurance
• Paid sick time
• Paid time off
• Vision insurance

People with a criminal record are encouraged to apply

Work Location: In person