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Outreach Behavioral Health Patient Navigator/ Recovery Support Services Clinical Case Manager (Denver, CO)

 

JOB TITLE:

Outreach Behavioral Health Patient Navigator/ Recovery Support Services Clinical Case Manager

PROGRAM/DEPARTMENT:

Department of Outreach and Engagement Services

REPORTS TO:

Clinical Program Manager

SUPERVISES:

N/A

PRIMARY WORK LOCATION:

2100 Broadway Denver, CO 80205

EMPLOYMENT CLASSIFICATION:

Full-time exempt

TYPICAL WORK SCHEDULE:

Mon-Fri, five 8-hour shifts

Coalition Mission

The mission of The Colorado Coalition for the Homeless is to work collaboratively toward the prevention of homelessness and the creation of lasting solutions for homeless and at-risk families, children and individuals throughout Colorado. The Coalition advocates for and provides a continuum of housing and a variety of services to improve the health, well being and stability of those it serves.

Our Philosophy of Service

We believe all people have the right to adequate housing and healthcare. We work to remove the barriers that restrict access to these rights. Society benefits when adequate housing and healthcare are available to everyone.

We create lasting solutions to homelessness by:

  1. Honoring the inherent dignity of those we serve, affirming their capabilities and fostering their hope that a better life is possible;
  2. Building strong, caring communities through the integration of housing, healthcare and supportive services;
  3. Advocating for social equity and challenging the status quo on behalf of the individuals and families we serve;
  4. Achieving excellence through continuous quality assurance, innovation and professional development; and
  5. Using resources judiciously and effectively.

Job Summary

The Outreach Behavioral Health Patient Navigator (ORBHPN)/ Recovery Support Services Clinical Case Manager (RSS CCM) works directly with the Denver Street Outreach Collaborative and the Recovery Support Services Team to identify and engage individuals living on the streets and other places not meant for human habitation who are in need of behavioral health care, but for a variety of reasons are unable to access care on their own.  The ORBHPN/RSS CCM works directly with other care providers to provide assessments and related diagnoses, consultation, education, brief therapeutic interventions, and referral/linkage for individuals with behavioral health issues. The ORBHPN/RSS CCM assists clients in navigating community-based behavioral health and health care systems for optimal care. 

Essential Job Functions

Employee must be able to perform essential job duties with or without reasonable accommodation and without posing a direct threat to safety or health of self or others. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The essential job duties listed below are representative of the knowledge, skill, and/or ability required to perform this job and do not represent an exhaustive list of job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties. 

  1. Works in close collaboration with the RSS team and with the Denver Street Outreach Collaborative including CCH, SFC, and UP, to identify and outreach adults and youth experiencing homelessness who need behavioral health care.
  2. Performs intensive outreach and engagement services to invite adults and youth to engage with recovery supports through referrals to behavioral healthcare, primary care, case management, peer support and related services.
  3. Assists in connecting adults and youth experiencing homelessness with the resources necessary to obtain and maintain housing, healthcare, community connection and meaningful daily activity.
  4. Provides proactive collaborative services to clients/patients with face-to-face and telephone contacts, or as otherwise appropriate.
  5. Completes intakes and relevant paperwork to connect clients/patients with integrative health services at Stout Street Health Center.
  6. Collaborates with the consulting psychiatric prescribers and primary care physicians in making diagnoses, formulating treatment plans, monitoring patient progress, and accessing direct psychiatric and medical care.
  7. Develops and maintains a partnering relationship with SSHC patients engaged through outreach in order to assist in the implementation of the treatment plan.
  8. Provides targeted brief interventions and therapy, which is often crisis and recovery-focused and episodic in nature.
  9. Provides individual and group therapy for adults and youth who are interested in ongoing behavioral health care, using treatment models including motivational interviewing, solution-focused therapy, and cognitive-behavioral therapy.
  10. Provides transportation in CCH vehicle or arranges for other transportation assistance to help clients in accessing care and meeting treatment goals.
  11. Serves as liaison with collaborating agencies to establish and maintain effective working relationships with organizations and groups providing services to shared clients (care coordination).
  12. Advocates for the needs and rights of individual clients and, when indicated, for systemic change both within and outside CCH for the benefit of RSS and Outreach clients.
  13. Performs the initial intake in electronic health record (EHR) for clients/patients who want to connect with psychiatric care at Stout Street Health Center and completes additional paperwork as required.
  14. Enrolls program participants in HMIS as they enter the program and documents all services provided for grant reporting purposes.
  15. Maintains compliance with all CCH and grant-specific reporting requirements.
  16. Demonstrates respect, cultural competence and knowledge of trauma informed care in interactions with patients, Coalition staff, and other community providers.
  17. Maintains a work environment that is marked by respect for others; that values inclusiveness and builds workforce diversity; and that fosters cooperation and teamwork
  18. Maintains on-going competency in the use of the EHR and HMIS which includes:
    1. Recording all patient visits in a timely and complete fashion.
    2. Completing all documentation within 24 hours of clinical contact.
    3. Maintaining up to date records in ELF on all current and active clinical clients.
    4. Recording telephone and other clinical communications as needed in the EHR.
    5. Managing tasks, PAQ and scanning as needed to have a complete and current chart.
    6. Maintaining accurate information regarding the client’s insurance status and complete Medicaid authorizations, CCARs, DACODES, and other clinical authorization documentation as needed to sustain funding and provide services to individuals.
    7. Utilizing the EHR an any future upgrades as directed
    8. Maintaining a passing score in all compliance audits
  1. Documents at least 40 encounters per month in EHR and HMIS when working full-time with documentation requirements, adjusted for time away from work.
  2. Participates in peer review and peer clinical audits as requested.
  3. Attends meetings on time and participates in clinical and administrative meetings as deemed appropriate and necessary for the job.
  4. Participates in regular clinical and nonclinical supervision.
  5. Remains available by cell phone during all assigned shifts.
  6. Returns all voicemails and e-mails in a timely manner.
  7. Performs additional duties deemed necessary and appropriate.

Education and Work Experience

  1. Master of Social Work, Counseling or Psychology degree required.
  2. Licensure such as a LCSW /LPC/MFT required.
  3. Experience interacting with patients in integrated health care, mental health care, or substance use treatment settings preferred.
  4. Bi-lingual English-Spanish preferred.

Knowledge, Skills, and Abilities

  1. Sound critical thinking and decision-making skills.
  2. Consistently superb customer service skills; excellent interpersonal/assertive communications skills demonstrating a high degree of emotional intelligence.
  3. Knowledge of homeless issues and demonstrated sensitivity to and a desire to work with underserved populations.
  4. Bilingual (English/Spanish) preferred.
  5. Able to pass automobile insurance carrier’s motor vehicle record investigation.
  6. Demonstrated skill in working with adolescents and single adults.
  7. Knowledge of evidence-based and promising practices as related to behavioral health counseling, to include brief, targeted interventions, short-term treatment, and outcomes measurement.
  8. Knowledge of mental health and substance use issues (e.g., diagnosis, treatment, symptoms, and special needs).
  9. Knowledge of motivational interviewing and related counseling skills.
  10. Able to listen effectively, synthesize and analyze information, and respond creatively to challenging issues.
  11. Demonstrated skill in operating office equipment, such as computers, software (e.g., Microsoft Word, Excel, and PowerPoint; e-mail; electronic health record), and telephones.
  12. Demonstrated skill in oral and written communication.
  13. Able to organize and prioritize multiple responsibilities simultaneously and exercise critical thinking and reasoned professional judgment.
  14. Able to ensure accuracy of data management and reporting.
  15. Able to make sound decisions, using available information while maintaining appropriate confidentiality.

Physical Requirements

Percentage of work time spent on activity →

0% – 24%

25% to 49%

50% to 74%

75% to 100%

SEEING: Must be able to read computer screens and printed documents.

 

 

 

x

HEARING: Must be able to hear well enough to communicate with employees and others.

 

 

 

x

STANDING/WALKING

 

 

x

 

CLIMBING/STOOPING/KNEELING

 

x

 

 

LIFTING/PULLING/PUSHING

x

 

 

 

FINGERING/GRASPING/FEELING: Must be able to write, type and use telephones.

 

 

 

x

Working Conditions

Works both inside and outside of the office at the Denver Probation Offices, in the Denver Jail facilities, in homeless camps, and in a vehicle.

This job description is intended to describe the general nature of work performed. It is not intended to be a complete list of all responsibilities, duties, and skills required for employees performing this job. This job description does not represent or establish a contract of employment. The Coalition may change job descriptions at any time, with or without notice, as service needs require.

The Colorado Coalition for the Homeless is committed to delivering services, making employment-related decisions, selecting volunteers, and selecting vendors without regard to age over 40, race, sex, color, religion, creed, national origin, ancestry, disability, genetic information, marital status, sexual orientation, gender identity, gender expression, pregnancy, health condition related to pregnancy, military status, or any other applicable status protected by law.

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