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Service Coordinator


Since 1832, Pressley Ridge has done whatever it takes to create success for children, adults and families. Pressley Ridge's innovative programming helps to rebuild communities and families who are facing difficult challenges and complex situations. From mental health and foster care services to residential treatment facilities and education for children with special needs, including autism and deafness, Pressley Ridge empowers nearly 8,000 kids and families each year with the ability and confidence to succeed.

As one of the 2019 Pittsburgh Post Gazette's Top Work Places, we invite you to join our team as a service coordinator. The Service Coordinator provides professional coordination of mental health services according to the individual's level of need. The incumbent works as a member of a treatment/service team, often taking the lead role, and using considerable discretion and independent judgment in order to promote individuals' mental health recovery. The Mental Health Service Coordinator serves as a key member of the treatment/service team, assuring often complex services produce positive outcomes.

Essential Roles and Responsibilities

1. Engagement/Developing Enduring Relationships

Develops relationships with the individual, his/her family and other important people in his/her life as identified and with consent of the individual served. This engagement will be persistent and will result in an enduring relationship. The persistence is evident in frequent outreach and genuine concern over a lengthy period of time.

2. Assessment

Assesses individual and family strengths and needs in a collaborative method through individual and/or collateral interviews and reviews of social and clinical information provided by other entities. The development of an assessment is based on an understanding and trusting relationship, that needs and strengths vary over time and are evaluated in every contact (face to face and phone). This ongoing assessment will be augmented by consultation with other members of the treatment team and any others with relevant knowledge. Ideally the Service Coordinator's information gleaned from the consumer will not be the only source of information for the assessment.

3. Service Planning

In close collaboration with the consumer, family members and other service providers, promotes service planning efforts which result in developing, documenting and implementing a comprehensive service plan driven by the individual utilizing all the agreed upon strengths and needs. The services provided then follow the conjointly developed service plan pursuing all of the objectives developed. As strengths and needs change, the service coordinator with the consumer, alter the service plan to meet the changing needs and utilize the new strengths. Plans will be formally reviewed every three months, according to accreditation and state regulations.

4. Evaluation

Evaluates all services received by individuals who are served by the Service Coordination program. Reviews cases, meets with individuals' families, members of the treatment team, agency directors, advocates, attorneys, school personnel and attends staffing in or out of the office. Advocacy or problem solving is provided when the individuals are not receiving the service described in the service plan unless they no longer want that service.

5. Resource Expert

Investigates new resources and communicates with directors of prospective resources as a liaison on behalf of the individual being served. Maintains an up-to-date catalog of available community resources, including location, eligibility requirements and program alternatives.

6. Convener/Facilitator

Convenes and facilitates interdisciplinary service planning meetings or other related team meetings to ensure appropriateness and responsiveness of services in relation to individual and/or family needs. Whenever possible, the individual, family and others requested by the individual will be present in service planning meetings.

7. Linkage To Natural Supports

Ensures individuals being served needs are met through the utilization of natural supports (family, friends), community and generic services and specialized services (MH/MR, Supported Employment, OVR, D&A). Assists individual and family to identify, link, access and coordinate such resources. The involvement of families is highly desirable and will be vary based on the consumer's wishes, the age of the consumer and other unique factors.

8. Cultural Competence

Provides culturally competent services with consideration for the individual's racial, religious, sex, sexual orientation, age and ethnic background and identification.

9. Advocate

Advocates for and with the individual being served to ensure responsiveness from natural, community generic and specialized services/supports. Advocacy includes providing information, removing barriers, creating options and resolving problems.

10. Training

Attends training programs as provided through the State, County and Agency to assure that the incumbent is up to date on new approaches, best practices and recovery oriented services.

11. Documentation

a. Maintains an accurate and timely record of Service Coordination activity. Records individuals being served and collateral contacts. Updates forms as needed. Reviews charts for compliance with regulations. Documentation will use the individual's language and describe his/her perspective. Adheres to regulations for each level of Service Coordination in this area.

b. Maintains the statistical requirements for each level of Service Coordination service. This will include agency, county, state and managed care requirements.

c. Completes Service Documentation forms, Service Coordination Outcomes and other program material within designated time frames.

12. Blended Level Of Service Coordination Level 1

Ensures face-to-face and/or phone contact to the individual being served based on the individuals needs but at the very minimum at least two (2) times per month to assist individuals to build on strengths and achieve goals.

13. Blended Level Of Service Coordination Level 2

Ensures contact with the individual being served (or the parents if the individual is a child or adolescent) based on the individuals needs but at the very least once a month. Face-to-face contact with an adult being served will be made every two months. Face-to-face contact with a child or adolescent being served will be made every month.

14. Caseload

Provide a full range of Service Coordination services to a designated caseload maximum of 25 for children.

15. SPA Expectations

Provide these affirmative Single Point of Accountability (SPA) responsibilities:

a. Be the "go-to" resource for the person served, his/her family and the system of care.

b. Assure that there are effective "safety net" resources for the persons served.

c. Clearly communicate to the person what they can expect from the system and what the system will expect of them.

d. Assure there is periodic assessment & cross-system planning to meet the needs while utilizing their strengths.

e. Prepare for, convene/facilitate service planning meetings and provide follow-up after meetings.

f. Assure there is cross system coordination of services and that services are being provided.

g. Develop relationships that endure with persistent outreach even when there is reluctance to receive services.

h. Assist the person served in developing and using natural supports.

i. Be a persistent advocate for those served and give feedback on systemic problems.

j. Provide a consistent positive outlook which encourages recovery and full inclusion in the community.

16. Productivity

Meets productivity requirements as set forth in current program guidelines.

Service Coordination

1. Knowledge of position responsibilities including state mandates and county expectations and the guidelines & regulations for all levels of Service coordination (Levels 1&2).

2. Knowledge of the principles used in providing service coordination services.

a. Single Point of Accountabilities

b. Recovery Principles

c. Community Support Principles

d. CASSP and High Fidelity Principles

e. Interviewing techniques

3. Ability to identify the strengths and needs of consumers and/or families and to gain their confidence and cooperation.

4. Ability to pass Child Assessment of Needs and Strengths Certification (CANS) and complete the CANS.

5. Ability to evaluate individuals, their service needs and current utilization of services

a. Individual, current circumstances

b. Mental Status Exam

c. Diagnosis - knows broad diagnostic categories

d. Dual diagnosis (mental illness/substance use or addiction)

e. Co-morbidity of medical conditions

f. Medication management

6. Knowledge on service planning

a. Service planning principles

b. Process of developing a collaborative service plan

c. Development of Crisis Plans

d. Development of WRAP Plans

7. Knowledge and skill in the development and implementation of intervention strategies. Proactive versus reactive interventions.

8. Ability to broker resources including but not limited to recovery focused informal supports and services, formal services/resources, benefits, and entitlement programs.

9. Ability to help individuals find meaningful activity and/or employment and maintain employment.

10. Ability to work with children and adolescents who are in placement, receive services of FSS (Financial Support Services), or who need coordination of care following an inpatient stay.

11. Ability to document services in recovery oriented means including: assessments, progress notes and discharge summaries

12. Ability to use problem resolution skills for advocacy, and education of client's rights.

13. Ability to convene and facilitate service planning meetings.

14. Knowledge of large systems in Allegheny County (CYF, Probation, MR, Forensics, Aging, Medical).

15. Knowledge of child abuse reporting.

16. Knowledge of systems theory, family systems, family therapy interventions and psycho-education.

17. Ability to identify and manage the symptoms of severe mental illness.

18. Knowledge of medications for managing symptoms of the symptoms of severe mental illness.

19. Knowledge of risk assessment and ability to conduct suicide and violence risk assessments.

20. Ability to manage crises and knowledge of commitment procedures.

21. Knowledge about identifying and managing substance use problems.

a. Knowledge of 12-Step programs, groups, area resources, recovery/prevention/rehabilitation, child and adolescents with disorders, planning and documentation.

b. Ability to identify symptoms, support systems and community resources.

c. Knowledge of treatment needs of MISA population, and resources.

22. Knowledge about identifying and managing co-morbid health problems and promoting wellness.

EducationBachelors of Human Services (preferred)
Experience1 - 2 years: Human service experience and working knowledge of human services (required)

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)
Salary Range
$29,000.00 - $46,000.00
per Year
Salary range estimated by
salary estimation provided by zippia
Pittsburgh, PA, 15212, US