Care Coordinator II

Agency Overview

At Neighborhood House (NH), our vision is a healthy, diverse, and welcoming community, free of poverty and racism, where all people thrive. We serve over 16,000 individuals in Seattle/South King County in the areas of early learning, youth development, citizenship, employment, health, housing, resource navigation, and aging adults. In addition to direct services, we use our experience and deep connection to our communities to advocate for equitable access to services, and policy changes that advance equity for all.

When one of us succeeds, we all succeed!

Neighborhood House is on a mission to becoming a multi‑cultural, anti‑racist agency. We are achieving this by sharing power, listening to and learning from each other and our communities, and working to repair past inequities. We are building a culture where equity is the foundation, inclusiveness is the default, and access for marginalized communities is the norm.

Our Agency Values include Community, Equity, Integrity, Relationships, and Sustainability. More information about our Agency Values can be found here.

for more details about our benefits program.

Job Summary

The Aging & Disability Services Care Coordinator II’s primary responsibility is to support older adults, individuals with disabilities, and their caregivers to achieve their goals for community and independent living. Care Coordinators will conduct initial assessments with potential clients to confirm program eligibility and identify the client’s goals. Care Coordinators will then work closely with clients and families to navigate the complex social and health services delivery systems, and collaborate with the client’s medical, mental health, social services and other providers to assist the client to maintain the highest level of stability and independence in the community.

Clients can qualify for comprehensive case management services through a number of different programs, and therefore Care Coordinators will be trained to work within the policies of these different eligibility groups.

This position will serve clients who are eligible for the Family Caregiver Support Program, Medicaid Alternative Care, Tailored Support for Older Adults, and other care coordination funding through the King County Area Agency on Aging. ADS Care Coordinator I’s will frequently collaborate with other ADS and NH staff, taking direct referrals and serving as a program expert.

• Maintain a caseload of at least 35 active clients served each month and 80-90 unique clients each year.
• Conduct initial and ongoing client‑centered assessments in accordance with program requirements and utilizing the appropriate program tools based on the client’s eligibility and resources.
• Visit clients at their home or at the location of his/her/their choosing.
• Generate, update, and document client‑centered care plans based on the client’s goals and in accordance the program policies for that client’s eligibility.
• Research, identify, and coordinate resources and intervention services focused on promoting the client’s goals.
• Provide information and education to the client and their caregiver(s) about the healthcare and social services systems and chronic disease management to help the client become more confident in managing his/her/their community living; empower the client to be an active participant in the care planning process.
• Follow up on referrals and services, providing advocacy for client needs; ensure that the client is connected to appropriate, effective services in a timely manner.
• Maintain strong partnerships with health and community service providers, government entities, and housing authorities.
• Participate in clinical case reviews, training, group supervision, and case consultations.
• Maintain timely, accurate, and complete records of all clients and client services in accordance with program requirements.
• Actively engage in ongoing continuous quality improvement to enhance program operations.
• Observe patterns in client needs and interests. Communicate these needs or service gaps to the team and participate in shared problem solving.
• Assist in organizing and facilitating team and community…