Care Coordinator #921

LifeWorks NW is a private, non-profit organization providing prevention, mental health, substance use treatment, and related social services to youths, adults, and older adults in over fifteen locations throughout Multnomah, Washington, and Clackamas counties. LifeWorks NW promotes a healthy community by providing quality and culturally responsive mental health and addiction services across the lifespan.

Our core values-Recovery and Relationships, Resilience, and Results-inform the work we do. The four pillars of the strategic vision include Compassionate, Impactful Care, Holistic Health, Passionate Team, and Thriving Organization. Diversity, Equity, and Inclusion are critical to successfully achieving the mission. We know that "life works" when people get the help they need and are dedicated to changing lives.

The Care Coordinator is responsible for providing a wide range of clinical and administrative services to improve client care within the medical and psychiatric setting; assisting in the coordination and linking of clients to medical and psychiatric services; and working to optimize service delivery by assisting with and facilitating improved access to clinical care across agency programs as part of a strengths-based, consumer-centered approach.

As a behavioral health organization, LifeWorks NW employees are required to have had their COVID 19 vaccination (or have an approved medical/religious exemption) per State of Oregon rules. Proof of COVID-19 vaccination is required upon hire. 

Location: This position is based out of LifeWorks NW's Hillsboro Walnut site. 

Pay/Benefits: $41,496 to $45,127 annual salary, plus full comprehensive benefits


  • Provide Wellness Assessments to all new and existing clients of Lifeworks NW to support clients in engaging with providers to meet holistic health and wellness goals. Also includes identifying primary care providers (PCP) and oral health providers.
  • Use population segmentation and four quadrant model to identify clients in varying risk categories and provide targeted strategies to reduce risk and improve overall health and wellbeing.
  • Participate in ED reduction strategies by tracking ED visits and providing outreach post discharge.
  • Coordinate referrals with other providers in a timely and professional manner. Collaborate with interdisciplinary team and community services to ensure that any diseases, as well as preventative and health promotion needs, are addressed as part of the holistic, whole-person, culturally sensitive approach.
  • Assist identified individuals with accessing needed physical and oral health care by bringing their situation to the attention of their treatment team and attending clinician.
  • Work with interdisciplinary team to promote coordination of service delivery and prevent duplication of services ? including direct care coordination, skills training, and case management services.
  • Administer outcome measurement tools and participate in data collection, including basic health screenings (blood pressure, weight, height readings, BMI calculations, etc.).
  • Assist staff working with identified individuals with overcoming any barriers impeding access to physical and oral health care and supporting clients in maintaining health.
  • Track referrals and their status on identified metrics to determine project effectiveness.
  • Develop relationships with appropriate staff at medical and dental providers to assist treatment teams and attending practitioners as they help individuals access needed services and coordinate care.
  • Identify care systems and services to assist in coordination of care with appropriate partners such as primary care providers, oral health providers, or other medical providers in consultation with team and supervisors.
  • May provide cross coverage for other care coordinators on the team as well as psychiatric care coordinators.
  • Maintain confidentiality of records relating to clients' treatment.
  • Meet professional agency standards for documentation and accuracy of work, client care/customer service, attendance/punctuality, and teamwork as defined in the Performance Evaluation.
  • Document all required client information into agency-specific Electronic Health Records system and maintain confidentiality with Personal Health Information; participate in site/program/team specific tracking systems such as reports and spreadsheets.
  • Continually increase level of cultural sensitivity, awareness, and competency.
  • Participate in regular individual and team meetings with supervisor. Provides written and verbal reports to supervisor regarding cases. Attends informational and clinical meetings, which may include all-agency meetings, team meetings, consultation meetings with psychiatrist, staffings, intra-agency trainings, etc.
  • Travels between sites or in the community when needed.
  • Participate in a culture of feedback at the agency by eliciting feedback to promote professional growth and assess work effectiveness.
  • Use Feedback-Informed Treatment service delivery approach to obtain and review feedback from clients regarding the fit and effectiveness of the services provided to them.

Required Qualifications

A bachelor's degree in a behavioral science field from an accredited college/university OR three (3) years of full-time professional experience working with adults experiencing mental illness (preferably with adults experiencing severe and persistent mental illness.)

Demonstrate the competencies outlined in OAR 309-016-0005 to become credentialed as a Qualified Mental Health Associate (QMHA) at the time of hire.

Demonstrates cultural competency and trauma informed care in addressing barriers which may lead to lack of access and engagement.

Good computer skills including a functional knowledge of Microsoft Outlook, Word, OneDrive, Excel and Teams. Ability to quickly learn proprietary software including Electronic Health Record system.

Ability to perform essential functions of job without creating a direct threat to the safety of self or others.

Preferred Qualifications

  • The CADC credential is desired given the high occurrence of substance use/abuse.
  • Clinical experience providing outpatient services or working in community health, with primary care is preferred.

Work Activities

Providing Direct Client Support - Providing case management, skills training, and care coordination.

Practicing a Non-Judgmental Approach - Using a trauma informed approach with clients experiencing a wide range of mental health symptoms including severe and persistent mental health diagnoses.

Establishing and Maintaining Interpersonal Relationships - Developing constructive and cooperative working relationships with others and maintaining them over time.

Participating in Team Based Care - Providing care coordinator coverage as needed and determined by care coordinator supervisor.

Getting Information - Observing, receiving, assessing, and otherwise obtaining information from all relevant sources.

Documenting/Recording Information - Entering, recording, storing, or maintaining information in written or electronic form.

Communicating with Supervisors, Peers, or Outside Agencies - Providing information to supervisors, co-workers, and outside agencies by telephone, in written form, e-mail, or in person.

Making Decisions and Solving Problems - Analyzing information and evaluating results to choose the best solution and solve problems.

Organizing, Planning, and Prioritizing Work - Developing specific goals and plans to prioritize, organize, and accomplish your work.

Evaluating Information to Determine Compliance with Standards - Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards.

Performing General Physical Activities - Performing physical activities such as standing, sitting, walking, bending, reaching, twisting, and occasionally lifting to 50 lbs.


English Language - Knowledge of the structure and content of the English language including the meaning and spelling of words, rules of composition, and grammar.

Customer Service - Knowledge of theories and methods for actively listening to clients, maintaining a professional demeanor in stressful situations, and involving the client, when possible, in all phases of service provision.

Treatment Practice - Working knowledge of accepted treatment practice with the capacity to implement and evaluate the effectiveness of treatment plans and recommend alternate or best practices into the day-to-day operations including trauma informed approach and motivational interviewing.

Evidence Based Practices - Thorough knowledge of evidence-based practices, and strength-based case management philosophies and strategies.


Active Learning - Understanding the implications of new information for both current and future problem-solving and decision-making.

Active Listening - Giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Coordination - Adjusting actions in relation to others' actions.

Critical Thinking - Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions, or approaches to problems.

Judgment and Decision Making - Considering the relative costs and benefits of potential actions to choose the most appropriate one.

Learning Strategies - Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

Monitoring - Monitoring/assessing one's own performance, that of other individuals, or organizations to make improvements or take corrective action.

Reading Comprehension - Understanding written sentences and paragraphs in work related documents.

Service Orientation - Actively looking for ways to help people.

Social Perceptiveness - Being aware of others' reactions and understanding why they react as they do.

Speaking - Talking to others to convey information effectively.

Time Management - Managing one's own time and the time of others.

Writing - Communicating effectively in writing as appropriate for the needs of the audience.


Deductive Reasoning - The ability to apply general rules to specific problems to produce answers that make sense.

Inductive Reasoning - The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).

Oral Comprehension - The ability to listen to and understand information and ideas presented through spoken words and sentences.

Oral Expression - The ability to communicate information and ideas in speaking so others will understand.

Problem Sensitivity - The ability to tell when something is wrong or is likely to go wrong. It does not involve solving the problem, only recognizing there is a problem.

Written Comprehension - The ability to read and understand information and ideas presented in writing.

Written Expression - The ability to communicate information and ideas in writing so others will understand.

Working Conditions

Position operates in a clinic setting and in-person services are required. Some telehealth/remote work flexibility with Care Coordinator supervisor approval.

Equal Opportunity Employer

Drug Free/Tobacco Free Site 01/09