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StepUp | Adult Intensive Services Programs (aot/fsp/rrr/trp) Service Coordinator Ii
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  • January 29, 2018

Adult Intensive Services Programs (AOT/FSP/RRR/TRP) SERVICE COORDINATOR II

SUMMARY:      Adult Intensive Services Programs provide services on several levels; AOT and FSP (Intensive), Adult RRR (High to Moderate) field based services and TRP (Low level clinic and field based) models of care. The Service Coordinator II provides both agency and field based therapy, rehabilitation, linkage, and case management services for Adults experiencing psychiatric disabilities and possibly homelessness and co-occurring substance disorders, to assist them in improving or maintaining their current level of functioning in the community. AOT/FSP/RRR/TRP staff work as a team to provide services to all members on the census with “whatever it takes and is appropriate” including adequate outreach and engagement services prior to enrollment to ensure services will be successful. Step Up is a Department of Mental Health with MHSA funded programs and follows those guidelines for enrollment and service provision. Step Up embraces Wellness, Rehabilitation and Recovery, Housing First and Motivational Interviewing.


Primary duties include, but are not limited to the following:

  • Provides clinical therapeutic and case management services for adults with psychiatric disabilities to assist them in improving their current level of functioning in the community.
  • Outreach and engage to potential members to evaluate for appropriateness and desire for services in jails, hospitals or street settings.
  • Completes comprehensive initial and ongoing assessments for diagnosis and evaluation of level of functioning, support network, adequacy of living arrangements, financial status, physical health, level of self-care.
  • Assist clients in identifying needs, setting goals, establishing concrete objectives and developing a Coordinated Care Plan with a set timeframe from enrollment and annually.
  • Ensure member has applied for benefits and health insurance such as GR, SSI, SSDI, MediCAL or Medicare. Complete or assist in that process.
  • Ensure access to local resources, including psychiatric and medical care, housing, rehabilitation programs, drug/alcohol services, socialization activities, providing transportation and accompanying the client when necessary. Communicate regularly with other treatment providers.
  • Actively outreach clients on caseload who have not been in contact and ensure engagement in services in their home, transitional housing placement or on the streets.
  • Provide needed therapeutic interventions: individual, group and crisis, to address symptoms as defined in the assessment and to improve level of functioning or develop insight to reduce defined distress or stressors.
  • May refer to or conduct support groups and teach classes on topics such as money management, vocational or job coaching, and life skills training.
  • Complete all DMH chart paperwork and maintain documentation according to MediCAL standards of practice in Electronic Health Record – Welligent within proscribed timeframes as outlined in SUOS documentation policy.
  • Meet weekly, monthly and quarterly billing quota as presented by Director of Westside Programs
  • As time allows or as requested, assist in the daily operations of the program or Member Services center.
  • Attend daily staff meetings, supervision and trainings as requested.
  • Work cooperatively with other Service Coordinators including sharing responsibility for 24 hour on-call coverage.
  • Other duties as assigned.


SKILLS:  Knowledge of or experience with DSM IV diagnoses, assessment of level of functioning, DMH documentation, EBP’s such as Motivational interviewing, DBT, Cognitive Behavioral Therapies, Trauma Informed Care, Housing First, etc.  Ability to work independently and on a collaborative team.  Initiative and solution focused practice. Uses good time management skills and resources to balance case load direct service and paperwork.

QUALIFICATIONS: Masters in Counseling Psychology or Social Work.  MFT, MSW and must be license-eligible and registered with the CAL BBS.  Experience working with mentally ill adults in a community setting.  Case management experience is essential, also having the ability to chart patient progress to meet documentation requirements. Interview will involve a review of this ability.  Candidate must have own transportation and current California drivers license and insurance.  Position requires frequent driving and transporting.

PHYSICAL REQUIREMENTS:  While performing the duties of this job, the employee is regularly required to sit; use hands and fingers; handle or feel; reach with hands and arms; talk; and hear.  The employee is frequently required to walk, balance, stoop, kneel, and/or crouch.  (The employee must occasionally lift and/or move up to 15 pounds).  Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus.  Keyboard data entry required.


REPORTS TO:                          Director of Westside Programs

HOURS:                                   40 hours per week

CLASSIFICATION:                   Non-exempt

SALARY:                                  SC II

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