Job Details

Tribal Wraparound Care Coordinator

Job Category: DCR Team Members Requisition Number: TRIBA001041

Posted: June 30, 2025

Full-Time

On-site

Dry Creek Rancheria Santa Rosa, CA 95403, USA

Pay or shift range: $60,000 USD to $75,000 USD The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons.

Job Details

Description

Job Title: Tribal Wraparound Care Coordinator Status: Full-time, Permanent FLSA: Exempt Reports To: Program Manager / Director Supervises: N/A Working Hours: The Tribal WrapAround Care Coordinator is an exempt position that provides care coordination case management services to adults and/or youth who are in need of housing resources often due to unmet social, health, behavioral health needs and may have criminogenic needs. This position has regular business hours but often requires work in early mornings, evenings, and weekends. May be required to perform after-hours standby services as needed or some evening work, especially during the winter shelter season.

Summary: The Tribal WrapAround Care Coordinator is responsible for providing intensive care coordination for individuals, families, and youth who have been identified as being high risk for homelessness or is currently homeless. The care coordination will identify system partners such as Indian Health Services, Behavioral Health, Probation / Parole, Courts, Elder & Disability Services, Veteran Services, and Child Welfare to bring them together as tribal wraparound team to help empower the client toward self-sufficiency and independence. The position assists and aids individuals and families requiring assistance from the Tribe. The position fills a central role in linking homeless individuals and families to an appropriate housing plan of care and supporting them in tenancy sustaining services. The goal is to facilitate rapid and resourced exits from homelessness into permanent supportive housing and provides participant advocacy, case management, benefit establishment, linkage to Mental Health and/or Substance Use Services, linkage to stable housing and all other supportive services as needed. This position is funded in full or in-part through Homeless Housing, Assistance and Prevention (HHAP), Housing and Disability Advocacy Program (HDAP), Bringing Families Home (BFH), Behavioral Health Bridge Housing (BHBH), HomeSafe, Native American Housing Assistance and Self Determination Act (NAHSDA). The worker will be assigned a focus population but cross-trained in all areas and expected to assist with other focus populations based on company and community need.

Essential Duties and Responsibilities: 1. Maintains a caseload of 12-15 with a minimum of 14 hours of service contact per month per client to include weekly face-to-face contacts with the client while promoting tribal wraparound philosophy and practices. 2. Assemble a Tribal WrapAround Team within two (2) weeks of referral by interviewing the client, identifying family members/natural supports/agency representatives and other significant persons. Uncover the client's strengths and needs, provides assistance with any immediate needs, as well as completes the initial Crisis Plan. 3. Within the first 30 days, coordinates the meeting of the Team and develops the initial individualized Plan of Care (POC) based on the identified strengths and needs, including a comprehensive 24-hour Crisis Plan. The Plan should reflect the best possible fit with the culture, values and beliefs of the client. 4. Monitor the provision and quality of services provided to the client and family through the Team and is the liaison when new services/resources need to be sought or developed. 5. Provides or arranges for transportation for his/her clients to appointments, crisis/emergency services, etc., if needed. 6. Provides or secures support and crisis/emergency services for the client. 7. Completes all the necessary paperwork in a strength-based manner and maintains accurate information on-line, ensuring that demographic information is up-to-date, as well. 8. Collaborates with other system partners such as Indian Health Services, Behavioral Health, Probation / Parole, Courts, Elder & Disability Services, Veteran Services, and Child Welfare to bring them together as tribal wraparound team to help empower the client toward self-sufficiency and independence. 9. Shall dress in a respectful manner and maintain a respectful demeanor and presentation at all times. 10. Provide written and verbal information related to the client's behavioral and mental health based on assessment and contact. 11. Provide a comprehensive community-based safety plan with innovative strategies to assist the client in being maintained safely in the least restrictive setting. 12. Collaborates and partners with inter and intra agencies. 13. Submits reports on a timely basis. 14. Assists in the development and expansion of the Housing Department Programs as directed. 15. Meets with leadership, clinical, and consultation for discussions and clarification on various issues as necessary. 16. Attends all required meetings and training. 17. Performs other duties as assigned.

Supervisory Responsibilities: There are no direct reports for supervisory responsibilities for this position, but the position does require oversight, guidance, and direction for direct service providers.

Qualifications

Education

Bachelors Degree in Social Work, Sociology, Criminal Justice, Human Services or related field is required. Masters degree is preferred and salary increases with higher degree, experience, and licensing.

Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.