Tribal Wrap Around Care Coordinator

SUMMARY:

The Tribal WrapAround Care Coordinator is responsible for providing intensive care coordination for individuals, families, and youth who have been identified as being high risk for homelessness or is currently homeless. The care coordination will identify system partners such as Indian Health Services, Behavioral Health, Probation / Parole, Courts, Elder & Disability Services, Veteran Services, and Child Welfare to bring them together as tribal wraparound team to help empower the client toward self-sufficiency and independence. The position assists and aids individuals and families requiring assistance from the Tribe. The position fills a central role in linking homeless individuals and families to an appropriate housing plan of care and supporting them in tenancy sustaining services. The goal is to facilitate rapid and resourced exits from homelessness into permanent supportive housing and provides participant advocacy, case management, benefit establishment, linkage to Mental Health and/or Substance Use Services, linkage to stable housing and all other supportive services as needed.

This position is funded in full or in-part through Homeless Housing, Assistance and Prevention (HHAP), Housing and Disability Advocacy Program (HDAP), Bringing Families Home (BFH), Behavioral Health Bridge Housing (BHBH), HomeSafe, Native American Housing Assistance and Self Determination Act (NAHSDA). The worker will be assigned a focus population but cross-trained in all areas and expected to assist with other focus populations based on company and community need.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required.

Bachelors Degree in Social Work, Sociology, Criminal Justice, Human Services or related field is required. Masters degree is preferred and salary increases with higher degree, experience, and licensing.

At least one year of relevant experience and a demonstrated track record in a similar related area.

Honesty, accountability, and transparency with a commitment to social justice.

Exemplary interpersonal skills: ability to collaborate effectively with culturally diverse staff with demonstrated poise, tact, integrity, and professionalism.

Excellent crisis de-escalation and communication skills are required.

Demonstrated intellectual independence and initiative and willingness to learn new skills.

Must be able to maintain a high degree of confidentiality concerning all matters about the Tribe.

Extensive knowledge and experience working with Native American communities, culture, customs and cultural law.

TRIBAL AND INDIAN PREFERENCE

Under the Indian Self-Determination and Education Assistance Act (25 U.S.C. § 450e (b)), the Dry Creek Rancheria applies the policy of "Tribal and Indian Preference" when filling vacancies. Tribal and Indian Preference shall be given to qualified applicants who are enrolled members of a federally recognized Indian tribe or band. The Dry Creek Rancheria reserves the right to require applicants claiming to be American Indian or Alaskan Native a copy of their Certificate of Tribal Enrollment or Certificate of Degree of Indian or Alaska Native Blood (CDIB) card.

EDUCATION:

Bachelors Degree in Social Work, Sociology, Criminal Justice, Human Services or related field is required or equivalent work experience may be considered in-lieu of formal education. Masters degree preferred.

LANGUAGE SKILLS:

Must be able to read, write, speak and understand English. Ability to speak Pomo is highly desired.

Excellent oral and written communication skills are essential to the successful conduct of this position.

Ability to write accurate, grammatically correct, polished reports and business correspondence.

Must be able to speak with the public professionally.

MATHEMATICAL SKILLS:

Must have basic math skills (ability to add, subtract, multiply, and divide).

REASONING ABILITY:

Ability to define problems, collect data, establish facts, and draw valid conclusions.

Ability to interpret an extensive variety of instructions furnished in written, oral, diagram, or schedule form.

Ability to process detailed work and requests for information or assistance in a timely manner.

Ability to apply regulatory and procedure doctrine, concepts, and policy to practical situations.

LICENSES, CERTIFICATES, REGISTRATIONS:

Must possess a valid California Driver's License with a clean driving record and be insurable under the Tribe's insurance policy.

PHYSICAL DEMANDS:

Must be able to sit or stand for extended periods.

Must be able to lift and carry up to twenty-five (25) pounds.

Must be able to respond to visual and aural cues.

WORK ENVIRONMENT:

The work environment characteristics described here represent those employee encounters while performing the essential functions of this job.

This is a fast-paced, highly diverse work environment, and the position requires the ability to remain flexible and get along with all personality types.

Must be able to manage several priorities simultaneously and meet deadlines.

Must be able to respond calmly to customer concerns and questions.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Maintains a caseload of 12-15 with a minimum of 14 hours of service contact per month per client to include weekly face-to-face contacts with the client while promoting tribal wraparound philosophy and practices.

Assemble a Tribal WrapAround Team within two (2) weeks of referral by interviewing the client, identifying family members/natural supports/agency representatives and other significant persons. Uncover the client's strengths and needs, provides assistance with any immediate needs, as well as completes the initial Crisis Plan.

Within the first 30 days, coordinates the meeting of the Team and develops the initial individualized Plan of Care (POC) based on the identified strengths and needs, including a comprehensive 24-hour Crisis Plan. The Plan should reflect the best possible fit with the culture, values and beliefs of the client.

Monitor the provision and quality of services provided to the client and family through the Team and is the liaison when new services/resources need to be sought or developed.

Provides or arranges for transportation for his/her clients to appointments, crisis/emergency services, etc., if needed.

Provides or secures support and crisis/emergency services for the client.

Completes all the necessary paperwork in a strength-based manner and maintains accurate information on-line, ensuring that demographic information is up-to-date, as well.

Collaborates with other system partners such as Indian Health Services, Behavioral Health, Probation / Parole, Courts, Elder & Disability Services, Veteran Services, and Child Welfare to bring them together as tribal wraparound team to help empower the client toward self-sufficiency and independence.

Shall dress in a respectful manner and maintain a respectful demeanor and presentation at all times.

Provide written and verbal information related to the client's behavioral and mental health based on assessment and contact.

Provide a comprehensive community-based safety plan with innovative strategies to assist the client in being maintained safely in the least restrictive setting.

Collaborates and partners with inter and intra agencies.

Submits reports on a timely basis.

Assists in the development and expansion of the Housing Department Programs as directed.

Meets with leadership, clinical, and consultation for discussions and clarification on various issues as necessary.

Attends all required meetings and training.

Performs other duties as assigned.

SUPERVISORY RESPONSIBILITIES:

There are no direct reports for supervisory responsibilities for this position, but the position does require oversight, guidance, and direction for direct service providers

$60,000-75,000 annually