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StepUp | Full Service Partnership (fsp) And Housing First Program – San Bernardino County -service Coordinator I And Ii
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  • March 22, 2017

Full Service Partnership (FSP) and Housing First Program – San Bernardino County -Service Coordinator I and II

Step Up San Bernardino County

SUMMARY: The Service Coordinator I or II is a member of the FSP Housing First team in San Bernardino. The SC II is a registered mental health professional. The SC I is a BA or experienced equivalent staff. Both work within their designated scope of practice to assess, treat and house adults experiencing chronic homelessness and serious mental health issues. Services include comprehensive mental health services, targeted case management, medication management, and crisis intervention in a field based setting.


Outreach and Housing Placement

  • Provide intensive case management services to residents through Permanent Supportive Housing.
  • Comprehensive coordination of care including effective communication with residents’ co-service providers establishing goals and objectives for successful transition to and maintenance of independent living.
  • Meet with assigned residents individually through regular home visits, to review progress toward goals, reassess and revise service plans using recovery oriented service models including Housing First and Harm Reduction to ensure stable housing.
  • Monitor for warning signs of de-compensation and crisis, and respond accordingly.
  • Facilitate or link to life skills groups and community-based recreational opportunities.

Mental Health and Case Management Services

  • SC II will complete SBCty Adult Needs and Strengths Assessment (ANSA), make comprehensive evaluations and independent recommendations of functioning, support network, adequacy of living arrangements, financial status, physical health, level of self-care, and make a provisional diagnosis in concert with the psychiatrist or Licensed Staff on site.
  • SC II may 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 if identified as a goal and intervention on the treatment plan.
  • SC I and II manage client caseload with the SC II as the primary clinical lead on each case. Both collaborate with the client to identify needs, set goals, establish concrete objectives and develop a Personal Service Plan. Provide both ongoing support and crisis intervention.
  • SC I and II assure 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.
  • SC I and II work cooperatively with other Service Coordinators including sharing responsibility for 24 hour on-call coverage.

Data Collection and Record Keeping

  • SC I and II complete all chart paperwork and maintain documentation according to MediCal standards of practice in Electronic Health Record.
  • SC I and II meet weekly, monthly and quarterly billing productivity and process agency paperwork in a timely and accurate manner.

Skills/Abilities: Experience working with individuals experiencing homelessness and mental health challenges, crisis intervention, understanding and commitment to psychosocial philosophy, strong computer skills, ability to work effectively in an interdisciplinary team. Familiarity with and dedication to the Housing First, Harm Reduction, and Recovery Oriented service models.

Qualifications: Service Coordinator I – B.A in psychology/social work or 1 year of related work experience working with homeless populations and/or those diagnosed with a mental illness in a community setting necessary. Service Coordinator II – MSW, MFT, PCC licensed or licensed eligible with a minimum of 2 years’ experience working with homeless populations and/or those diagnosed with a mental illness in a community setting necessary. Ability to work as a part of a team is crucial. Knowledge and experience with clinical assessment, treatment planning and diagnosing is preferred for SC II level. Must have own transportation, and current California driver’s license and insurance with good driving record, no points.

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.

Work with the homeless population whether on the streets, in shelters or other places of habitation or services, may present inherent challenges and difficulties such as: exposure to bed bugs or other infestations, unpleasant smells or odors, unclean individuals or homes due to homelessness or mental health symptoms or poverty. While Step Up as an agency strives to protect all employees from adverse events, Step Up is not responsible for rectifying the outcome of such exposures and considers this the nature of the field based environment and workplace.


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