Care Coordinator/Community Engagement

Job Title: Care Coordinator, Community Engagement

Position Summary
The Care Coordinator, Community Engagement is responsible for coordinating client care and
supporting positive outcomes through engagement, resource linkage, and collaboration with
community partners. This role serves as both a primary point of contact for assigned clients and a
relationship steward for key referral sources, including schools, healthcare providers, and
community organizations.
The Care Coordinator ensures continuity of care from referral through stabilization while
maintaining strong, trust-based partnerships that support access to services.
Key Responsibilities
Care Coordination (Primary Function)
 Coordinate and manage services for an assigned caseload of clients in outpatient
behavioral health
 Develop, implement, and monitor individualized care plans in collaboration with clinical
staff
 Connect clients and families to appropriate community resources (e.g., schools, social
services, healthcare providers)
 Monitor client progress, engagement, and barriers to care
 Facilitate communication between clients, families, and multidisciplinary providers
 Support transitions of care (e.g., hospital discharge to outpatient services)
 Maintain timely, accurate, and compliant documentation in accordance with
organizational and payer requirements
Community Engagement & Referral Relationships (Secondary Function)
 Serve as a primary point of contact for assigned referral partners (e.g., schools, hospitals,
PCPs, community organizations)
 Conduct weekly check-ins with key partners to support coordination of care and maintain
strong relationships
 Provide occasional program education to referral sources through presentations, emails,
and service updates
 Maintain consistent, responsive communication with partners regarding shared clients (as
appropriate)
 Track referral activity and maintain basic awareness of referral patterns and partner needs
 Strengthen relationships through follow-up, reliability, and quality of service delivery (no
sales quotas)
Qualifications

 Bachelor’s degree in social work, psychology, counseling, or related field required
(Master’s preferred)
 Minimum of 1–2 years of experience in behavioral health, case management, or care
coordination
 Knowledge of community resources and service systems, preferably in Texas
 Experience working with children, adolescents, and/or families preferred (especially in
school-based settings)
 Strong organizational, communication, and interpersonal skills
 Ability to work independently and collaboratively in community-based settings

Core Competencies
 Relationship-building and communication
 Care coordination and problem-solving
 Cultural competency and client-centered engagement
 Time management and organization
 Documentation and compliance awareness

Work Structure & Expectations
 Manage a moderate caseload with a focus on engagement and coordination
 Balance time between direct client services and community partner engagement
 Participate in team meetings, case reviews, and program development activities
 Travel locally to meet with clients and community partners as needed

Performance Metrics
 Client engagement and retention (e.g., appointment adherence, active participation)
 Timely and compliant documentation
 Consistency of weekly partner check-ins and communication
 Delivery of program education and updates to referral partners
 Effective coordination of services and continuity of care