Outreach Worker - Phoenix, AZ

Outreach Worker

Since 1971, A New Leaf has been dedicated to its mission of "Helping Families…Changing Lives," making a positive impact on the lives of over 24,000 people annually in the Phoenix Metropolitan area. A New Leaf is committed to empowering individuals and enriching communities through transformative services. Guided by our core values—Compassion, Passion for Results, Collaboration, Accountability, Integrity, and Conscientiousness—we strive to create meaningful, lasting impacts in the communities we serve.

Salary: $18- 20 hr

Schedule:

Mon - Fri 8-5 pm (Must be flexible to meet the clients needs)

Job Summary:

The Outreach Worker provides field-based outreach and engagement services to individuals experiencing homelessness or housing instability within the AHCCCS H2O program. This role is responsible for locating and engaging members in the community, assessing immediate needs, and connecting individuals to housing, healthcare, and supportive services. The Outreach Worker utilizes trauma-informed, strengths-based practices to promote stability, improve health outcomes, and support long-term housing retention while ensuring compliance with program, agency, and regulatory requirements.

Responsibilities:

• Locate, identify, and engage individuals in the community, including those experiencing homelessness, institutionalization, or other at-risk situations
• Conduct sustained outreach efforts to build trust and maintain engagement with program participants
• Identify individuals at risk of Medicaid termination and assist with maintaining or re-establishing eligibility
• Assess and prioritize immediate needs, including safety risks, behavioral health concerns, and urgent physical health conditions
• Provide access to basic needs, including water, hygiene supplies, clothing, and connection to emergency services when appropriate
• Assist participants with obtaining identification, legal documentation, and completing eligibility requirements for services
• Support enrollment or re-engagement with healthcare providers and supportive services
• Coordinate care with behavioral health providers, case managers, and other systems, including TRBHA, AIMH, IHS/Tribal 638 facilities, ALTCS, and designated representatives
• Facilitate completion of Releases of Information (ROI) to ensure appropriate coordination of care with providers and natural supports
• Apply for and coordinate access to mainstream HRSN and housing services
• Transport participants to appointments, meetings, and housing-related activities using a personal or agency vehicle
• Maintain accurate and timely documentation of referrals, case notes, assessments, and reports to meet billing and compliance requirements
• Utilize required systems and databases, including HMIS, Community Cares, Unite Us, and other program platforms
• Track assigned caseload and maintain accurate reporting for contractual and program requirements
• Prepare reports related to participant outcomes, successes, and challenges
• Follow community best practices for outreach as established by Continuums of Care (CoC)
• Promote a strengths-based, trauma-informed, and culturally responsive service environment
• Attend required meetings, trainings, and clinical oversight sessions
• Collaborate and network with community partners, agencies, and stakeholders
• Maintain compliance with all agency, AHCCCS, and program-specific training and regulatory requirements
• Perform additional duties as assigned

Qualifications:

Education:

• High School Diploma, GED or equivalent required.

Experience:

• Minimum of 1–2 years of direct experience working in human services, outreach, or a related field preferred
• Experience working with individuals experiencing homelessness, housing instability, or vulnerable populations strongly preferred
• Working Conditions/
  
  Physical Requirements:
• Primarily field-based work conducted in community settings, including streets, shelters, institutions, and other non-traditional environments
• Frequent travel throughout the community to locate and engage participants
• Required use of a personal or agency vehicle to transport participants and attend meetings or appointments
• Ability to walk, stand, and move for extended periods while conducting…