Job Summary:  The Housing and Health Care Stabilization Coordinator will lead and develop the processes of the Hospital to Home program to connect people with serious and persistent substance use from the hospital to home. The coordinator will create a system to provide holistic care for unsheltered people with physical and behavioral health needs. This position will provide direct administrative, social services, and programmatic services support for the Residential Teams and Hospital staff who are part of the Estadt Lubert Collaborative. The coordinator will be a liaison between Project HOME, health systems, and the housing resources for referred participants by connecting them to resources and programming. This will involve meeting with the referred participants to evaluate the appropriate resources and programming available.

Administrative skilled services include, but are not limited to, compliance with all policies and procedures, as well as reporting matrixes for compliance with funders (which directly impacts funding); operational directives to maintain a safe and healthy environment; ensures intakes and assessments and data entry into the HMIS system within 24 hours; maintains of accuracy all required documentation; and other duties as assigned. 

Programmatic and Social Services support include, but are not limited to, seamless coordination and integration of residential and medical services; and utilizes such information to inform Collaborative to refine and enhance programming.  Leads the Housing and Clinical Care Committee of the Collaborative.  Develops training for key staff and partners and executes informational sharing among residential sites and healthcare partners. Actively engage in a team-based model of service delivery, whereby the Housing and Health Care Stabilization Coordinator will be proactive in seeking additional external and internal resources to meet the needs of the individual served through the respective residential and health care teams.

BENEFITS: Project HOME offers a competitive compensation package which includes health, prescription, dental, and vision coverage at minimum cost to our employees, company-funded life and disability insurances, paid parental leave, spending accounts, and a 401K plan with 100% matching contributions up to 5% of compensation. Additionally, we offer generous PTO accruals, which include paid sabbatical leave

Essential Duties and Responsibilities

•  Developing and monitoring effective workflows of hospitals and residential sites to ensure continuity of care.
• Coordination of incoming participants from the health systems to the appropriate housing resources and programming.
• Conduct meetings and/or visits with participants once placed.
• Manages the integration of health care services in collaboration with the residential sites to address the needs of the residents participating in the Hospital to Home program.
• Active management and partnership with the health systems and housing resources to connect participants to appropriate resources and programming.
• Assesses and communicates to hospitals and residential sites any challenges or workflow improvements.
• Manages intake and provides daily census to hospitals of their beds.
• Ensure Policies and Procedures are operationalized and adhered to.
• Create Key Performance Indicators that align with the vision and outcomes of the Estadt Lubert Collaborative.
• Ensure up-to-date information on all affordable and appropriate housing resources for the Estadt Lubert Collaborative.
• Understands and appreciates the demands of the population served and works to support a trauma-informed environment.
• Responsible for overseeing the HMIS reporting at all residential sites.
• Collaborate with colleagues and develop recommendations to present to the Director to add (or decrease) services based upon individual's served needs.
• Special projects and other duties, as assigned.
• Be a champion of Project HOME's commitment to diversity, equity, and inclusion.
• Represent Project HOME in meetings related to the Estadt Lubert Collaborative.

The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job. Management may, at its sole discretion, assign or reassign duties and responsibilities to this job at any time.  

Education and Experience Requirements:

• Registered Nurse with a Bachelor of Science in Nursing (BSN) (preferred).
• Registered Nurse with an Associate of Science in Nursing (ASN).
• Licensed Social Worker (LSW) with experience in a healthcare setting with people using substances and/or are dually diagnosed.
• Master's degree in behavioral health or related field of study.
• At least 3 years of work experience with people using substances and/or are dually diagnosed.

Knowledge Skills:

• Harm Reduction
• Mental Health First Aid (preferred)
• Trauma-Informed care
• Substance Use
• Health care related to physical effects of using substances

Core Competencies:

• Exceptional organizational skills, able to manage multiple projects at once while meeting deadlines effectively.
• Able to prioritize tasks well.
• Excellent written and verbal communication skills.
• Excellent problem-solving and critical-thinking skills to analyze situations and identify solutions.
• Excellent interpersonal skills:  tactful, mature, professional demeanor; advocates team concept. Sets an example for team in interactions with all levels of staff and across all departments.
• Ability to work in a fast-paced environment with rapid turnaround times.
• Ability to work in a fluid structural environment requiring a high degree of collaboration.
• Strong analytical and numerical skills.
• Knowledge of advanced Word, Excel, Access, PowerPoint, and other highly complex computer skills.

Work Schedule:  9:30 AM to 5:30 PM Monday thru Friday, Evenings/weekends may be necessary periodically.

Physical Requirements: Sedentary, some walking 

Project HOME provides equal employment opportunities to all employees and applicants for employment, without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, genetic information, or any other characteristic protected by federal, state, or local laws. Project HOME prohibits discrimination and harassment of any type.

Project HOME reserves the right to revise or change job duties and responsibilities as needed. This job description is not meant to be an all-inclusive statement of the duties and responsibilities of the job, nor does it constitute a written or implied contract.