Behavioral Health Care Coordinator - Wheeler Mission

FLSA Status

Non-Exempt

Job Role Summary

What Is Wheeler Mission?

Essential Functions and Responsibilities

• Provide onsite behavioral health outreach, assessment, engagement, and care coordination services to residents at Wheeler Mission, reducing barriers to treatment and access to care.
• Meet with residents to assess behavioral health needs, explore treatment options, connect individuals with mental health services, and coordinate referrals to community resources.
• Serve as a liaison and advocate between residents, Wheeler Mission staff, Sandra Eskenazi Mental Health Center providers, and community partners to ensure coordinated, wraparound care.
• Conduct behavioral health assessments, participate in treatment planning, monitor client progress, and collaborate with the interdisciplinary treatment team to address barriers and support recovery goals.
• Provide individual skills training, case management, crisis intervention, and emergency response services as clinically indicated and guided by medical necessity.
• Collaborate with onsite medical providers and behavioral health staff to identify needs, develop support strategies, and ensure continuity of care across service providers.
• Participate in Professionally Blended Street Outreach, Coordination of Care, and Complex Needs Workgroups to support individuals experiencing homelessness and complex behavioral health challenges.
• Maintain timely and accurate documentation, billing, and reporting in accordance with agency standards, regulatory requirements, and person-centered treatment plans.
• Promote recovery-oriented services by utilizing motivational interviewing, AIDET principles, and evidence-based practices to engage clients and support long-term stability.
• Coordinate with families, support systems, and community resources to assist clients in achieving treatment goals and improving overall functioning.
• Report client progress, challenges, treatment needs, and level-of-care changes to the treatment team and collaborate to ensure services are delivered at the appropriate time, place, and frequency based on client needs.
• Maintain timely and accurate documentation, billing, and reporting in accordance with agency standards, regulatory requirements, and medical necessity guidelines.
• Complete required continuing education and provide transportation assistance when clinically appropriate and directed by the treatment team.
• Conduct behavioral health assessments, participate in interdisciplinary treatment planning, revise person-centered treatment plans as needed, and monitor client progress toward recovery goals.
• Provide case management services, including coordination with family members, support systems, medical providers, and community resources to address barriers and promote successful outcomes.
• Deliver crisis intervention, risk assessment, and emergency response services, including approved crisis intervention techniques, while maintaining a safe and therapeutic environment.

Job Requirements

• Bachelor’s degree required
  • If incumbent holds a bachelor’s of social work degree, incumbent must also possess a current, unencumbered Licensed Bachelor’s Social Worker license in the State of Indiana
• Valid Indiana driver’s license and driving record that meets Eskenazi Health’s driving policy requirements 
   

Knowledge, Skills & Abilities

• Knowledge
  
  • Basic knowledge of behavioral health 
  • Basic knowledge of substance use disorder and/or co-occurring disorders
  • Basic knowledge of medical terminology
  • Knowledge of client rights and responsibilities 
  • Must meet all population-specific competencies for role and service area
• Skills
  
  • Basic computer skills
  • Crisis intervention skills
  • Strong interpersonal skills 
• Abilities
  
  • Ability to teach a skill based upon person-centered learning needs and learning styles 
  • Ability to be both clear and concise in written and verbal communications
  • Ability to work cooperatively in a multidisciplinary team
  • Ability to think critically and problem-solve efficiently
  • Ability to provide hands-on client care
  • Ability to perform safety interventions including physical safety interventions required for service area
  • Ability to lift a minimum of 15 lbs