Mental Health Case Manager - HOST

Company: Downtown Emergency Service Center
Location: Seattle
Posted on: February 15, 2026

Job Description:

Job Description Job Description Description: Days Off: Saturday, Sunday Shift: Day Insurance Benefits: Medical (no premiums/payroll deductions for employee coverage), Dental, Life, Long-term Disability Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW. About DESC: DESC (Downtown Emergency Service Center) is a nonprofit organization working to help people with the complex needs of homelessness, substance use disorders, and serious mental illness achieve their highest potential for health and well-being through comprehensive services, treatment, and housing. Our vision is a community where no person is abandoned, ignored, or experiencing homelessness. As the region's leading provider of services to multiply disabled adults who have experienced chronic homelessness, DESC serves almost 3,000 people each day. Our integrated service model is designed to help people secure and maintain appropriate, safe and affordable housing. DESC is recognized nationally and regionally as an innovator in developing solutions to homelessness. JOB DEFINITION: The Mental Health Case Manager for HOST is part of a multi-disciplinary team serving homeless adults experiencing severe and persistent mental illness and co-occurring disorders. The team prioritizes services to those who are highly vulnerable, lack service connections or other support, and are unwilling or unable to engage in traditional service models. The team works throughout the greater Seattle area to provide critical survival services and engagement with the ultimate goal of addressing acute mental and physical health needs, increasing stability, obtaining housing, and transitioning to long-term services. Referrals to this program will often include individuals with a history of involuntary detainments or observable behavioral health challenges, they often will not endorse a mental health or substance use issue, or have the insight into the impact of their well-being and access to care and resources. The Mental Health Case Manager provides outreach, engagement, and ongoing services to a small caseload of homeless adults with severe & persistent mental health disorders and/or co-occurring disorders. This position requires a high degree of coordination and collaboration with other DESC programs as well as outside agencies to ensure successful transition of consumers to ongoing care. MAJOR DUTIES AND RESPONSIBILITIES: Outreach & Engagement Provide outreach and engagement services as assigned, in office, on the streets, in shelters, encampments, DESC projects, and other community areas. On occasion services may be provided in outlying King County areas. Interact with general client population, intervene in crisis situations with individual clients and screen clients for HOST eligibility when appropriate. Develop and maintain cooperative relationships with current programs providing services for homeless and mentally ill persons. Participate in community education regarding the needs of homeless clients with mental illness/co-occurring disorders, techniques of engagement and service provision. Provide survival resources, hygiene products, and harm reduction supplies to meet basic needs and build rapport, as appropriate. Case Management Participate as a member of a multi-disciplinary team of clinical, outreach, medical, peer support, and substance use specialists to provide a variety of services focused on stabilization and transition to long-term behavioral health or other appropriate ongoing services. Conduct needs assessments, intake evaluations, and mental health assessments. With client participation, develop service plans; facilitate linkages to housing, psychiatric and physical health care, financial benefits, and other support services to meet the individual's needs. Assume primary responsibility for coordinating all aspects of clients' support and treatment plans. This includes coordinating survival services with a focus on access to food, shelter, and clothing; acquisition, retention, and stabilization of housing; acute and ongoing medical care, psychiatric treatment, benefit enrollment, criminal justice system coordination, and substance use treatment. Advocate for clients' access to community resources and services, ensuring that clients' needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care. Prioritize crisis intervention with clients as needed. This may include de-escalation, outreach to emergency departments, and/or making referrals to the county Designated Crisis Response system. Develop and maintain strong collaborative relationships with DESC staff and other service and resource organizations to ensure full continuity of care for clients. Fulfill role of protective payee for some consumers on behalf of the agency, creating monthly budgets with consumers, distributing funds, and assisting with purchases. OTHER DUTIES & RESPONSIBILITIES: Participate in psychiatric consultation, supervision, program meetings, and in-service trainings; participate in clinical reviews and case conferences for clients on caseload. Comply with the agency's clinical accountability policies and procedures; maintain timely and complete clinical records; participate in quality assurance reviews when assigned. Comply with applicable program research and evaluation procedures. Other duties as assigned. LIVING CONDITIONS: Support your clients with achieving and maintaining healthy living conditions. This can include but is not limited to attending care conferences related to living conditions, outreaching and supporting clients in their residential units with tools and skills to maintain their units, coordinating with housing staff, participating in cleaning out clients’ units, and documenting barriers to maintaining healthy living conditions. Requirements: MINIMUM QUALIFICATIONS: Relevant Bachelor’s degree in social work, psychology, or related behavioral science, OR A combination of 1 year of relevant paid work experience and demonstration of the ability to perform required job duties. Ability to meet Washington Department of Health requirements for registration as a Registered Agency Affiliated Counselor (AAC) or any other superseding credential. Interest in working with clients who are difficult to engage and maintain in traditional mental health/substance use disorder programs. Knowledge of Recovery-focused, strengths-based work in mental health. Knowledge of Harm Reduction strategies. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behaviors. Ability to communicate and work effectively with staff from various backgrounds. Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients. PREFERRED QUALIFICATIONS: Eligible for a Licensed AAC credential or any other superseding credential that meets RCW 71.05.020 requirements to act as a Mental Health Professional whose scope of practice includes independently conducting mental health assessments and making mental health diagnoses. Master's degree in social work, psychology or other relevant behavioral science or Bachelor of Nursing degree with specialty in mental health. Ability to drive an agency or personal vehicle to conduct agency related business, including a current Washington State driver's license and insurable driving record. Experience working with adults who are experiencing or who have experienced homelessness, have a mental illness and/or co-occurring substance use disorders. Knowledge of de-escalation skills, crisis intervention & stabilization. Bi-cultural background/experience. Bi-lingual English/Spanish. Strong knowledge of relevant community resources and methods for accessing them. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee will be required to sit, communicate with other employees, required to lift and carry items weighing up to 40 pounds and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. EQUAL OPPORTUNITY EMPLOYER: DESC is committed to diversity in the workplace and promotes equal employment opportunities for all staff members and applicants. The Agency will not discriminate against any employee or applicant for employment on the basis of race, creed, color, sex, gender, sexual orientation, age, national origin, caste, marital status, or the presence of any sensory, mental or physical disability in any employment practice, unless based on a bona fide occupational qualification. Minorities and veterans are encouraged to apply.

Keywords: Downtown Emergency Service Center, Everett , Mental Health Case Manager - HOST, Social Services , Seattle, Washington