Mental Health Professional – Targeted Re-Entry Services

About the role

Lifeline Connections is a community-based behavioral health organization that specializes in providing confidential and compassionate care to individuals who experience substance use and/or mental health conditions. Our Vision - As the premier provider of substance use and mental health services in the Pacific Northwest, we are respected and the most trusted resource for behavioral health treatment and whole-person care. We provide a comprehensive continuum of coordinated quality services, foster enduring relationships, and empower our communities to truly thrive. Our Mission - Through superior customer service, high quality programs, and well-trained and dedicated staff, we inspire hope and support lifesaving changes for people affected by substance use and mental health conditions.

Responsibilities

• Conduct comprehensive biopsychosocial, behavioral health, and Health-Related Social Needs (HRSN) assessments consistent with Medicaid Re-Entry Demonstration requirements, agency standards, and applicable Washington State regulations.
• Utilize clinical judgment to identify participant strengths, barriers, risks, and service needs to support successful community re-entry.
• Develop, implement, and monitor individualized Re-Entry Care Plans that are person-centered, trauma-informed, culturally responsive, recovery-oriented, and strength-based.
• Regularly evaluate participant progress and modify care plans as clinically indicated.
• Provide targeted case management and behavioral health support services under Washington State's Medicaid Re-Entry Demonstration (1115 Waiver) and applicable managed care requirements.
• Coordinate transitions of care between correctional facilities, behavioral health providers, medical providers, housing resources, employment services, and community-based organizations.
• Facilitate participant access to behavioral health treatment, substance use treatment, medical care, benefits, transportation, housing, and other social support services.
• Demonstrate effective crisis identification, intervention, de-escalation, and referral practices consistent with agency protocols and participant safety needs.
• Function as an active member of a multidisciplinary treatment team by contributing clinical observations, recommendations, and service updates.
• Collaborate effectively with correctional staff, healthcare providers, probation officers, courts, managed care organizations, community partners, and other stakeholders to support continuity of care.
• Participate in case consultations, staffing meetings, utilization reviews, and treatment planning discussions.
• Maintain timely, accurate, and complete clinical documentation in accordance with: WAC 246-341, RCW 71.05, RCW 71.24, Medicaid Re-Entry Demonstration requirements, HIPAA and 42 CFR Part 2 confidentiality requirements, agency policies and procedures.
• Demonstrate accountability for meeting productivity, documentation, billing, and reporting requirements.
• Apply knowledge of applicable federal, state, and local regulations to ensure compliance in all aspects of service delivery.
• Develop and maintain effective working relationships with community agencies, service providers, and referral partners to expand participant access to resources and support services.
• Identify gaps in community services and advocate for participants to obtain needed resources.
• Represent the organization professionally at community meetings, care coordination events, and collaborative initiatives as assigned.
• Demonstrate ethical decision-making, professional boundaries, and adherence to the National Association of Social Workers (NASW), American Counseling Association (ACA), or other applicable professional standards.
• Participate in supervision, training, performance improvement initiatives, and continuing education activities.
• Support agency quality improvement, CARF accreditation activities, and organizational performance outcomes.
• Promote a culture of recovery, inclusion, participant-centered care, and continuous quality improvement.

Required Competencies

• Clinical Assessment and Treatment Planning
• Care Coordination and Systems Navigation
• Trauma-Informed and Recovery-Oriented Practice
• Crisis Intervention and Risk Assessment
• Documentation and Regulatory Compliance
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