Client Care Coordinator; Social Worker; Union Hall

Primary Function/Purpose

The Client Care Coordinator is responsible for the overall delivery and coordination of mental health and related services for homeless individuals. The Coordinator will enhance existing services by conducting a thorough assessment of clients’ long‑term goals at intake, collaborating with case management staff to set achievable goals, and establishing linkages within the community to support clients’ progress toward independent living. This position serves clients at the Union Hall location in Queens, NY.

• Must be a Licensed Master Social Worker (LMSW) in the state of New York upon hire, or obtain licensure within three (3) months of hire
• At least one year of experience in social services, counseling, crisis intervention, family services, preventive services, housing services, or homeless services is strongly preferred
• Knowledge and experience working with diverse cultures and ethnicities
• Expertise in strengths‑based and solution‑focused practice
• Experience facilitating groups for adults
• Proficiency in Spanish and/or French is a plus
• Excellent written and verbal communication skills
• Excellent interpersonal skills and computer literacy in Microsoft Office are required

• Complete a comprehensive bio‑psychosocial assessment with each client to understand strengths and service needs
• Provide clear written reports that capture assessment findings and recommendations
• Assist homeless clients as they navigate multiple systems and cope with the stressors and anxiety induced by homelessness
• Provide outreach services, crisis intervention, risk assessment, safety planning, and psycho‑education
• Prioritize and conduct unit visits to high‑risk individuals in‑shelter to coordinate safety planning efforts
• Prepare clients to accept services
• Collaborate with ACS and/or prevention services agencies, and participate in conferences to advocate on behalf of clients
• Make appropriate referrals and facilitate linkages between mental health providers, government agencies, and other related community‑based services
• Serve as agency/program liaison between government agencies, community‑based organizations, and/or groups
• Improve access to mental health services for individuals in‑shelter by facilitating in‑person or telehealth services
• Enhance delivery and coordination of mental health and related services
• Work effectively as part of a multi‑disciplinary team of service providers to enhance engagement and ensure quality service
• Confer and consult with professional and technical personnel in implementing a multidisciplinary approach to client care and well‑being
• Deliver enhanced mental health services: conduct biopsychosocial assessment, provide on‑site mental health services (short counseling and brief intervention services), coordinate clinical treatment referrals, and facilitate linkage to care (medication management or psychotherapy) and follow‑up
• Promote in‑person or telehealth usage by utilizing H+H Express Care and other telehealth service utilization services via other hospitals and mental health providers of the client’s choice
• Utilize DHS Referral Basics: match the need as assessed through the BPS, assist client in scheduling, provide reminders before the appointment, coordinate transportation, facilitate access to teletherapy, and provide a warm hand‑off when possible
• Follow up on referrals provided to the client: confirm attendance, review session outcomes, and address any concerns or questions; if a client did not attend, assist with rescheduling and barrier removal
• Utilize motivational interviewing when a client does not want to participate or be linked to treatment; attempt to understand the client’s perspective, remove barriers, and re‑engage
• Provide therapeutic groups (music, art, general support groups, etc.); facilitate group work to address family issues and enhance life skills
• Participate in meetings with case management and housing staff to discuss planning efforts and progress
• Assist clients with completing applications for supportive housing and accompany residents to supportive housing interviews when necessary
• Upon linkage to permanent housing, complete and…