Permanent Housing Advanced Clinical Services (PHACS) Care and Capacity Coordinator

This position has been filled for the 2023-2024 Service Term.

Position Start: August 29th, 2023.

Position End: July 16, 2024.

Summary: The Permanent Housing Advanced Clinical Services (PHACS) Care and Capacity Coordinator will support health workers and medical and behavioral health clinicians to ensure that clients have and address their comprehensive care plans. They will also help clients with transportation resources including accompanying them to appointments, act as a liaison between client and other community service agencies and build relationships with on-site case managers at the buildings.

PHACS bring medical and behavioral health consultative, coaching, and training support to Permanent Supportive Housing (PSH) providers through a web-based referral system and by supporting training and development activities and provide on-site mobile-care solutions to bridge services in the short term for PSH tenants and to provide connection to longer-term service support. The team member's duties will be direct care coordination services supporting PSH residents. Further, the member will work with on-site case managers to increase capacity of the team.

About the Organization: SFDPH Whole-Person Integrated Care serves to provide care to people experiencing homeless by 1) connecting to transitional primary care 2) re-/connecting to social services 3) supporting client’s towards becoming “housing ready” for their transition from shelter health to their next destination, ideally their own permanent, supportive housing with established primary medical care.  

• Referring patients to other programs and community services.
• Providing social service navigation.
• Providing follow-up and case management to deliver assistance and information.
• Tracking patients to confirm program enrollment and engagement.
• Conducting program quality improvement and data analysis.
• Accompanying clients to appointments
• Providing logistical support for on-site case manager training needs.
• Conducting surveys and/or interviews to improve programs
• Attending staff meetings and other relevant meetings
• Documenting work in electronic health record

• Able to communicate effectively with individuals of diverse backgrounds and identities.
• Able to build strong relationships.
• Community engagement/outreach skills
• Flexible
• Organized
• Since PHACS is a new program, the program is continually improving services and workflows. Flexibility, patience, the ability to problem solve, and research and analytical skills are key to success.

• Skill with Microsoft Office or other software for a variety of data processing operations involving a range of problem solving, record keeping, correspondence, and service tracking options.

• The supervisor assigns service activities, advises on changes in procedures, and is available for assistance when required

• Personal vehicles are not required for this position. The clinics are accessible via public transportation.
• Significant travel (more than 25%): PHACS is a mobile program in which team members access clients in their homes. Currently PHACS partners with 69 Permanent Supportive Housing buildings.  Most team members walk and/or access public transportation.

• Additional Language Proficiency is not required, but may be helpful.