Outreach Manager

Position Summary: The Manager of Homeless Service works with the Clinical Teams to provide recovery- oriented services in a flexible, compassionate, and responsible manner to individuals who experience homeless and face challenges related to serious mental health and/or substance use disorders. This position will serve to supplement the staff on the Non- Fidelity ACT teams and may provide services, as needed, to newly referred participants, and to participants who are in the discharge process on any of the Pathways’ Non-Fidelity ACT teams. This position serves as a point person between referral sources (DBHIDS) and the Clinical Teams.

Essential Duties and Responsibilities:

Provide assertive outreach to program participants and provide person centered services to participants in any environment including the streets, shelters, prisons, hospitals, office, etc.

  • Acknowledge new participant referrals from DBHIDS and initiate the participant admission process
  • Establish and maintain relationships with the city outreach teams in an effort to better support PTHPA newly referred and current participants
  • Assign newly referred participants to the Clinical Teams based on teams’ vacancies/census and inform the appropriate team of such a referral
  • Identify and assign the appropriate program (Mental Health, D&A) to each participant
  • Create a participant profile in Credible (upload participant photo, and any relevant information on to the profile)
  • In collaboration with the participant’s team, complete all the required documents of the Integrated Intake packet and submit the authorization request to the appropriate entity (TCM, CBH) through WebFocus
  • Engage newly referred participants within 5-7 days of referral
  • Provide individually tailored person-centered services to each participant—i.e. assertive engagement, facilitation of program admission, accessing medical care, and housing placement.
  • Participate in Vacancy Meetings in an effort to identify an appropriate apartment for newly authorized participants
  • Facilitate the bi-weekly Master List Meetings and provide all necessary and relevant updates
  • Complete and submit weekly BCM Census reports to TCM
  • Facilitate the processes for participants transitioning to alternative housing arrangements by submitting all relevant information through HMIS/CEABHRS/ClientTrack and/or TIP Unit.
  • Collaborate with agencies which will be accepting PTHPA participants as part of the “warm hand-off” discharge plan
  • Maintain relationships with other providers and resources able to provide alternative housing options for participants unable to remain housed with PTHPA
  • Compile reports as requested internally and externally
  • Track chronic homelessness status on monthly basis and respond to intent-to-move emails with updated chronic status to facilitate appropriate housing subsidy assignment
  • Maintain a monthly expected billable unit requirement of 300 units of service monthly.
  • Represent Pathways to Housing PA at system focused meetings where outreach efforts would be best coordinated.
  • Keep abreast of changing authorization processes with CBH and TCM
  • Train PTHPA clinical staff on changes with city agencies and other external stakeholders
  • Train new staff on outreach and intake procedures
  • Participate in some activities outside of “normal business hours.” This includes responding to early morning and evening calls at times; conducting outreach outside of normal business hours; visiting participants at times and locations of their choosing; completing authorization submissions in a timely manner whenever possible
  • Other duties and/or special projects as assigned.

Essential Education, Experience and Skills:

  • A bachelor’s degree with major course work in nursing, sociology, social work, psychology, gerontology, anthropology, political science, history, criminal justice, theology, counseling, education. PLUS a minimum of one (1) year experience (paid or unpaid) in a human service field. This experience must involve direct contact with the individual receiving services (i.e. coaching, teaching, case management, etc.)
  • Valid driver's license and clean driving record
  • Patience, creativity, flexibility, compassion, and sensitivity to persons with disabilities and other minority populations.
  • Comfort and experience going into settings where street homeless individuals are found.
  • Career experience in social services, supported housing, or with persons with disabilities.
  • Excellent verbal and written communication and computer skills.
  • Ability to work with diverse populations including participants and staff in critical and emergency situations, as well as engage with high level stakeholder at city and partner meetings
  • Sensitive to cultural, economic, gender, and sexual orientation difference


Supervisory Responsibilities:

Physical Demands and Work Environment:

Community environment. Some light lifting is required. Constant interaction with agency clientele.

The employee is expected to adhere to all agency policies and to act as a role model in the adherence to policies.