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Clinical Case Manager - Day

2/3/2026

The Clinical Case Manager will provide ongoing case management services to adults with severe and persistent mental illnesses, collaborating with various teams to develop care and housing retention plans. Responsibilities include conducting assessments, coordinating treatment, advocating for clients, and ensuring access to community resources.

Working Hours

40 hours/week

Company Size

501-1,000 employees

Language

English

Visa Sponsorship

No

About The Company
DESC works to end the homelessness of vulnerable people, particularly those living with serious mental illnesses or substance use disorders. Through partnerships and an integrated array of comprehensive services, treatment and housing, we give people the opportunity to reach their highest potential. DESC is the largest multi-service agency serving homeless adults in the Pacific Northwest, reaching over 9,000 people annually with an array of state-licensed mental health and substance abuse treatment programs—including street outreach and engagement, crisis diversion and respite, case management, short-term and ongoing care, psychiatric assessment and treatment, supported employment, individual and group substance abuse counseling, 468 emergency shelter beds, and over 1,100 units of permanent supportive housing. DESC adheres to the Housing First philosophy, the belief that housing is a basic human right, not a reward for clinical success and once the chaos of homelessness is eliminated from a person's life, clinical and social stabilization occur faster and are more enduring. DESC's innovative programs have earned recognition regionally and nationally. Every day at DESC we see what innovative clinical care and supportive housing can do: people who have been homeless for years regain their health, their dignity and their humanity. They reconnect with parents, children, brothers, sisters. They make friends, rediscover interests, and find work or other meaningful activity. And when they recover their lives, the quality of life is improved for all of us. Our community becomes a better place in which to live and work.
About the Role

Description

Days Off: Saturday, Sunday

Shift: Office 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.

Supervised By: SAGE Clinical Supervisor


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.


About SAGE:

Support, Advocacy, Growth and Employment (SAGE) is DESC's comprehensive outpatient mental health program. SAGE intake specialists, case managers, psychiatrists and nurses assist adults with severe and persistent mental illness in their journey towards recovery. Long-term case management services are provided including help with obtaining and maintaining housing, improving clinical and social stability, and enriching their level of independence and self-sufficiency.


SAGE services are licensed under the Washington State Division of Behavioral Health and Recovery and are provided under contract with King County Mental Health, Chemical Abuse & Dependency Services Division. Services are provided within a Recovery model.


MAJOR DUTIES AND RESPONSIBILITIES:

Case Management:

  • Participate as a member of a multi-disciplinary and multi-departmental team providing on-going case management services to adults with severe and persistent mental illnesses.
  • Collaborate with DESC’s Scattered Sites Supportive Housing team in the development of client care and housing retention plans.
  • Provide outreach and engagement services to assigned clients, to initially engage clients and maintain working relationships.
  • Conduct psychosocial assessments; develop goal planners with consumer participation; facilitate linkages to collaborative resources when appropriate.
  • Assume primary responsibility for coordinating all aspects of consumers' support and goal planners. This includes: providing and/or coordinating the delivery of psychiatric treatment; substance abuse treatment; 24-hour support services; and performing acute case management to facilitate consumer access to food, clothing, housing, medical care, financial assistance and vocational training or employment.
  • Advocate for consumers' access to community resources and services, ensuring that consumers' needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care.
  • Travel locally to outreach consumers; make home visits and assist with home inspections, annual recertifications, address and report any maintenance related concerns and housing retention barriers.
  • Provide crisis intervention and risk assessment; tolerate unusual or unpleasant behavior.
  • Provide counseling, as qualified.
  • Fulfill role of protective payee for some consumers on behalf of the agency, creating monthly budgets with consumers, distributing funds, and assisting with purchases.
  • Establish and maintain professional relationships with landlords and property managers, assisting in building rule enforcement and lease compliance as necessary.
  • Document services provided and adhere to strict administrative deadlines.

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.


Other duties & responsibilities:

  • Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for consumers on caseload.
  • Attend external and internal trainings related to landlord/tenant laws, housing vouchers and/or other relevant topics.
  • Comply with the agency's clinical accountability policies and procedures; maintain current and complete clinical and administrative records; participate in quality assurance reviews when assigned.
  • Comply with applicable program research and evaluation procedures.
  • Other duties as assigned.

Requirements

MINIMUM QUALIFICATIONS:

  • Ability to meet Washington Department of Health requirements for registration as a Registered Agency Affiliated Counselor (AAC) or any other superseding credential.
  • 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 drive an agency or personal vehicle to conduct agency related business. A current Washington State driver's license and insurable driving record are required.
  • 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 consumers.


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.
  • Bilingual in Spanish and English.
  • Bicultural background/experience and/or Qualified Minority Mental Health Specialist designation.


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 accommodations 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 sit for long periods of time, communicate with other persons by talking and hearing, required to lift and carry items weighing up to 25 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.

Key Skills
Case ManagementPsychosocial AssessmentsCrisis InterventionAdvocacyCommunity ResourcesMental HealthSubstance Abuse TreatmentHousing RetentionClient EngagementDocumentationCollaborationBudgetingCommunicationProblem SolvingTeamworkCultural Competence
Categories
HealthcareSocial ServicesHuman ResourcesGovernment & Public Sector
Benefits
MedicalDentalLifeLong-term DisabilityEmployee Assistance ProgramFlexible Spending AccountORCA Card SubsidyPaid Time OffRetirement Plan
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