• Provide person-centered services to help persons served achieve expressed goals
• Provide regular visits with persons served in the community and elsewhere to per treatment plan and client schedule
• Write, implement, and monitor Individualized Treatment Plans with persons served within due dates outlined by agency guidelines
• Coordinate with HCH on individual’s SMART goals and other HCH services and actions
• Monitor the medical and psychiatric treatment of persons served to assure effective coordination and continuity of care
• Provide 50% of each work day to appropriate service visits with person’s served per treatment plan
• Complete and report service activities accurately, comprehensively, and within required standards outlined per agency standards of 5 business days
• Facilitate self-sufficiency of persons served and maximize independence in the community; link and refer to community resources as appropriate
• Complete assigned DLA-20 functional assessments quarterly and, when necessary, make appropriate contacts for change in level or type of service needed
• Maintain high quality and achievement of targeted results through active participation in performance management and the principles and practice of CQI
• Keep current on agency initiatives/procedures/policies through all forms of communication (email, intranet site, newsletters, etc.)
• Provide crisis intervention and resolution for persons served as necessary
• Maintain confidentially of persons served as outlined by agency policy
• Identify issues impacting abilities of persons served to function optimally; implement solutions or coordinate with other resources to resolve problems
• Positively contribute to the treatment team and attend team meetings as scheduled by team leaders
• When assigned, provide on-call coverage during the hours when the agency office is closed
• Provide support beyond the normal 40 hours depending on the needs of the team and caseload as appropriate and approved by supervisor
• Effectively manage time and adjust to changes within the regular schedule and throughout the day to assure positive client outcomes
• Assist persons served in meeting vocational goals; when necessary, work as a job coach, link clients with job training and placement programs, teach job finding and retention skills, and provide support for persons served on the job
• Complete required training hours as outlined by employee handbook, and maintain any licensure requirements and provide timely documentation to HR Office
• Fulfill on-call requirements as assigned
• Participate in professional development annual planning to increase opportunities for career advancement
• Perform other duties as assigned by the supervisor

• High school degree and four years of relevant experience providing services to individuals with mental illness, developmental disabilities, and/or substance abuse.
• Bachelor’s Degree in a social services field preferred.
• Combination of education and experience may be accepted.
• CPR, First Aid, and Medication Administration certifications required.
• Chauffeur’s License, personal vehicle, and valid auto insurance required.

The Integrated Health Coach Specialist provides disease management and skill promotion services directly to persons served and/or provides linkage or referral to appropriate community resources. Provide support and education to persons served on mental health, substance abuse, physical health, and/or infectious disease management. Assist person served with addressing social determinants of health (e.g. – housing, transportation, community integration, etc.) Provide advocacy and crisis intervention as needed.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, age, disability status, Genetic Information & Testing, protected veteran status, or any other characteristic protected by law.