Care Coordinator - Street Team

• Provide outreach-based care coordination and non-judgmental support in collaboration with other Street Team members
• Engage individuals experiencing substance use disorders and mental health conditions using low threshold principals and trauma-informed care practices.
• Conduct health and needs assessments and collaborate with patients and the primary care team to develop and implement integrated care plans
• Assess social determinants of health (e.g., housing, food access, benefits, transportation) and support patients in addressing these needs based on their goals and priorities
• Coordinate as needed with outreach and housing partners to address social determinants of health for shared patients.
• Track patient appointments, referrals, and primary care; follow up with patients to support appointment adherence or rescheduling when appointments are missed
• Conduct street outreach and home visits with Street Team as necessary
• Represent the Street Team at housing-related meetings with the City of Boston and other partner agencies regarding unsheltered patients empaneled to the Street Team
• Coordinate and facilitate monthly meetings with housing partners regarding patients currently housed and empaneled to the Street Team
• Successfully complete the MassHealth Certified Application Counselor exam (CAC) within 60 days of hire and maintain active certification status.

• Experience working with vulnerable populations, including people with a history of trauma, those experiencing socioeconomic stress, homelessness, mental health challenges, or substance use disorders
• Strong interpersonal skills and case management problem-solving
• Efficient, organized, detail-oriented, and able to complete tasks in a time-sensitive manner
• Self-directed with the ability to work both independently and collaboratively with clinical staff on shared patient goals
• Bachelor’s degree preferred but not required
• Demonstrated commitment to working with underserved and vulnerable populations
• Ability to work collaboratively as part of a multidisciplinary healthcare team using a coordinated, patient-centered approach
• Ability to manage a fast-paced workload, prioritize tasks, and maintain professionalism in stressful or unpredictable situations
• Self-motivated with the ability to work both independently and collaboratively with team members across multiple locations
• Ability to travel regularly between outreach locations and access community sites
• Ability to use standard office and field technology, including computers, tablets, and telephones, for documentation and communication
• Ability to lift and carry 5–10 pounds regularly and up to 15–20 pounds occasionally
• Ability to climb stairs, bend, stoop, and navigate uneven terrain commonly encountered during community and street outreach
• Ability to walk 5+ miles/day in all weather conditions—you will do street outreach outside in all seasons

• The compensation increases based on years of experience and ranges from $22.25 - $35.60 hourly
• BHCHP full time employees are eligible for our competitive time off program, health, dental and vision insurance, 403B retirement savings plan, pre-tax MBTA pass program with 40% discount, additional compensation for demonstrated bilingual proficiency and more. Benefits are prorated for part-time employees

Does this amazing opportunity interest you? Then we'd love to hear from you.

As an equal opportunity employer, Boston Health Care for the Homeless Program is committed to providing employment opportunities to all qualified individuals and does not discriminate on the basis of race, color, ethnicity, religion, sex, gender, gender identity and expression, sexual orientation, national origin, disability, age, marital status, veteran status, pregnancy, parental status, genetic information or characteristics, or any other basis prohibited by applicable law.

Covid-19 Vaccination: Proof of Covid-19 vaccination(s) is optional for employment. Candidates who are offered employment will be given details about how to demonstrate receipt of vaccination if they choose to.

Please Note: Employment at Boston Health Care for the Homeless is at-will. Boston Health Care for the Homeless does not sponsor work authorization visas.