Discharge & Housing Social Services Coordinator

National Health Foundation; Lancaster (CA); On-site; USD 30,000 - 43,000; Full time

Job summary

National Health Foundation is seeking a Social Services Coordinator in Los Angeles to provide post-hospital care support for guests experiencing homelessness transitioning from acute care. You will assess needs, coordinate referrals for housing and mental health, and document care plans in a CRM/HMIS system.

The role demands a Bachelor’s degree (Master’s preferred), strong communication, case management, and the ability to manage a 25+ guest caseload while maintaining compliance and professional

Qualifications

• Bachelor's Degree Required.
• Master's in social work preferred.
• Minimum of three (3) years relevant experience in healthcare delivery, hospital education, social services, or similar field.
• Ability to effectively present information and respond to questions from directors, case managers and discharge planners in hospitals.
• Excellent communication skills both oral and written.
• Time management and strong organizational skills.
• Computer proficiency in MS Word, Excel, Outlook, PowerPoint, and proficient typing skills.
• Reliable transportation.
• TB test required.
• Fingerprint live scan /background required.

Responsibilities

• Timely complete Needs Assessment and Care Plans. Complete referrals and coordinate services for mental health, housing, etc.
• Facilitate discharge process and locating housing for individuals. Complete discharge notes, communicating to our community partners. Conduct warm hand off for guest when appropriate.
• Maintain up-to-date CRM proprietary database daily and partner contacts. Complete CES Documents and all other documents required to maintain compliance. Complete HMIS. Utilize bed board application to determine census capital for operational planning (i.e.) meal planning.
• Provide emergency service referrals (e.g., domestic violence, human trafficking & sexual assault) and warm handoff referrals when appropriate.
• Attend care coordination meetings. Collaborate with nursing team to execute weekly case conferencing for guest.
• Practice harm reduction practices while conducting guests searches for contrabands or illegal substances when applicable. Support program team with appropriate guest interventions such as de-escalation, Crisis Prevention, motivational interviewing, etc.
• Engage and conduct daily check in with guest, building rapport and trust with our guests.
• Ability to adequately manage caseload of a minimum 25 guests with flexibility to manage more to meet the needs of the facility (i.e., vacancies, PTO etc.).
• Flexibility to complete home visits when necessary to track post-transition guest progress and or Rapid Rehousing Housing (RRH) when applicable.
• Must adhere to administrative hours to complete all required documentation.
• Project a positive professional image and adheres to organizational dress code.
• Ability to multi-task and collaborate with external case managers to provide adequate services and support to the guests.
• Ability to triage and intervene during areas of guest behavioral concerns.
• Adhere to all funders and company’s standards procedures of operations, regulations, and best practices to meet compliance.
• Flexibility to adapt to schedule changes when necessary to meet the needs of the facility.
• Complete additional tasks/duties as assigned to meet the needs of the facility, notwithstanding primary responsibilities.
• Always follow NHF policies and procedures.

Skills

Communication

Presentation skills

Time management

Organizational skills

MS Word/Excel/Outlook/PowerPoint

Transportation required

Typing proficiency

Education

Bachelor's degree

Master's in social work

Tools

MS Word

Excel

Outlook

PowerPoint

Job description

National Health Foundation is seeking a Social Services Coordinator in Los Angeles to provide post-hospital care support for guests experiencing homelessness transitioning from acute care. You will assess needs, coordinate referrals for housing and mental health, and document care plans in a CRM/HMIS system.

The role demands a Bachelor’s degree (Master’s preferred), strong communication, case management, and the ability to manage a 25+ guest caseload while maintaining compliance and professional