Health-Related Social ; HRSN Coordinator - AD

Job Details

Location:

River House - 211 SE Caruthers Portland, OR 97214
Position:
Full Time Health Related Social Needs (HRSN) Coordinator - AD284

Education:

4 Year Degree
Salary: $25.00 - $30.45 hourly

Shift: Mon-Fri 8:00am - 4:30pm
Relocation:
Non-Exempt

The Health-Related Social Needs (HRSN) Coordinator addresses a range of social determinants of health, with a primary focus on housing instability and homelessness as critical drivers of health outcomes. This role supports individuals in accessing HRSN benefits through screening, coordination, and ongoing support. The Coordinator is responsible for managing closed-loop referrals, completing invoicing and maintaining accurate documentation related to ongoing HRSN benefits and services.

The role works collaboratively with the social services team, housing providers, and community-based organizations to promote housing stability, improve health outcomes, and reduce health disparities.

• Identify individuals eligible for HRSN benefits and services.
• Develop individualized housing support plans.
• Coordinate referrals to housing providers, supportive programs, and community-based organizations using Unite Us and other closed-loop referral software.
• Provide housing navigation and tenancy support services.
• Conduct ongoing follow-up to support housing stability and continuity of care.
• Complete invoicing and documentation for housing-related HRSN services.
• Serve as a liaison between care coordination teams, housing agencies, and community partners.
• Educate participants on housing resources, program expectations, and participant responsibilities.
• Maintain working knowledge of and provide referrals to community services and resources, including Aging and Disability Services, Housing Assistance, Transportation, Food/Shelter Services, and Public Health resources.
• Provide culturally informed support to staff working directly with clients to ensure culturally responsive service delivery.
• Perform other duties as assigned.

• Bachelor’s degree in social work, human services, public health, housing studies, or a related field; or equivalent 1 year professional experience.
• High School Diploma / GED required.
• Professional experience or knowledge in housing services, homelessness response systems, care coordination, or social services.
• Valid driver's license, reliable transportation, and active auto insurance.
• Ability to travel between multiple sites and locations in a day, if requested.
• Ability to pass a pre-employment or for‑cause drug test (including marijuana).
• Ability to pass criminal background and DMV checks.

• Professional experience within the Native American/Alaska Native community.
• Education or knowledge in trauma‑informed, culturally responsive care.
• Ability to persuade clients to take courses of action beneficial to their health and well‑being.
• Ability to convey information clearly, effectively and in grammatically accurate way.
• Ability to problem‑solve, think creatively, and advocate for yourself and others.

• Affordable Medical, Dental, and Vision Insurance through Kaiser Permanente.
• 15 Paid Holidays:
  New Years Day, Martin Luther King Jr. Day, Presidents Day, Memorial Day, Juneteenth, Battle of Little Big Horn, Independence Day, Labor Day, Native American Day, Indigenous Peoples’ Day, Veterans Day, Thanksgiving, day after Thanksgiving, and December 25th, and your Birthday.
• 13 Paid Days of Sick Time.
• 13 Paid Days of PTO (Vacation accruals increase with years of service to a maximum of 26 days).
• $50,000 Life Insurance & AD&D.
• Short Term and Long-Term Disability.
• Flexible Spending Account.
• Health Spending Account.
• 401(k) with 4% Match.
• Employee Assistance Program.
• Inclement Weather Days (Snow Days).
• Public Student Loan Forgiveness.

Preference in hiring is given to qualified Native Americans in accordance with the Indian Preference Act (Title 25, U.S. Code, Sections 472 and 473). NARA Northwest is an Equal Opportunity Employer. Within the scope of Indian Preference, all candidates will receive equal consideration. Experience working with Native American/Alaska Native community is considered a plus.