BHBH Care Coordinator

Job Description

Job Description

Salary :

Title : BHBH Care Coordinator

Department / Division : Social Services

Status : Full-Time / Monday Friday, 8 : 00 AM 4 : 30 PM (evenings and weekends as needed)

Salary : Hourly / DOE

Supervisor : BHBH Program Manager, Social Services Director

Subordinates : None

POSITION SUMMARY :

The BHBH Care Coordinator provides intensive case management and housing-focused care coordination for individuals and families currently experiencing or at high risk of homelessness. The coordinator plays a key role in connecting clients to stable housing, supportive services, and long-term wellness through a culturally responsive, trauma-informed approach.

The position is embedded within a tribal wraparound team and collaborates with Indian Health Services, Behavioral Health, Courts, Parole / Probation, Child Welfare, and other tribal and community-based agencies to promote housing stability, self-sufficiency, and access to essential services.

PRIMARY DUTIES AND RESPONSIBILITIES :

• Maintain a caseload of 1215 clients, ensuring at least 14 hours of monthly service contact per client, including weekly face-to-face visits.
• Conduct thorough intakes within two (2) weeks of referral, identify immediate needs, and begin developing an individualized care plan.
• Within 30 days, complete a Plan of Care (POC) and 24-hour Crisis Plan based on client strengths, cultural values, and housing needs.
• Collaborate with housing providers, landlords, and agencies to secure and maintain permanent housing placements.
• Assist clients in completing housing applications, gathering documentation, and navigating housing authority or tribal housing processes.
• Provide tenancy support services, including budgeting, life skills, communication with landlords, and eviction prevention strategies.
• Coordinate transportation for appointments and emergency services as needed.
• Facilitate access to supportive services, including mental health, substance use treatment, benefits enrollment, and vocational programs.
• Monitor service delivery and act as liaison between the client, family, and team to ensure quality and consistency.
• Maintain up-to-date, strength-based client records and complete all documentation in a timely manner.
• Attend and participate in tribal and county housing case conferencing, team meetings, and interagency collaborations.
• Conduct home visits and field-based outreach to support client engagement and housing retention.
• Identify and advocate for culturally responsive resources that reflect the needs of Native families and individuals.
• Assist with community education and outreach related to housing stability and homelessness prevention.
• Support the development and implementation of housing-related programs and policies within the Tribe.
• Participate in required training, staff development, and reflective supervision.
• Other duties as assigned.

SECONDARY DUTIES AND RESPONSIBILITIES :

KNOWLEDGE, SKILLS, CERTIFICATIONS AND ABILITIES :

MINIMUM QUALIFICATIONS :

OTHER REQUIREMENTS :

All employees are expected to follow the Tribal Employee Handbook of the Pala Band of Mission Indians and must adhere to any additional applicable addendums.

SUBMIT APPLICATION TO :

Jobs - Pala Tribe