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Job Position

Integrated Care Facilitator

Integrated Care Facilitator

Job ID: #538
Program: ROAR
Location: New Bedford, MA

The Integration Care Facilitator works as an integral part of the program team. The Integration Care Facilitator will perform, but is not limited to, the following duties: administration of program record-keeping, conducting interviews, intakes, developing, implementing and monitoring individualized service plans, case reviews, and advocacy. When necessary perform CPR and administer Narcan. This position may require a flexible schedule including 1st and 2nd shifts. The agency has the right to change your shifts based on the needs of the organization.    

  1. Conduct screening and intake interviews within 120 days of reintegration into the community to determine consumer eligibility for services.
  2. Provide consumer program orientation on services and program requirements.
  3. Conduct confidential, quality LSI-RNR and RNR assessments and Transition Accountability Plans assessments that are gender and culturally responsive and trauma informed.
  4. Develop, implement, and monitor an individualized service TAP plan with each assigned consumer using collaborative information from all sources to develop short and long term goals.
  5. Knowledgeable of treatment modalities such as motivational interviewing and trauma informed techniques in individual, group and family sessions.
  6. Meet, collaborate and coordinate services with probation/parole, employment and educational agencies, Department of Children and Families (DCF), human services providers, medical and primary care, clinical mental/behavioral health, and family support.
  7. Link consumers to services provided by community-based organizations such as peer support groups, legal services, nutritional counseling, and HIV rapid retesting and Hepatitis B and C testing.
  8. Provide consumer education in finances, housing stability, behavioral and primary health, life skills and all aspects of addiction and related life domains.
  9. Provide crisis intervention by assessing severity of the episode, de-escalating the consumer, referring to emergency response team as needed, and developing a safety plan to assist in resolving the crisis.
  10. Assist with resume writing, interview skills, employment search and enrollment into employment/educational programs.
  11. Develop and coordinate discharge planning with consumer, family, housing, and other community providers.
  12. Assists consumers with locating and obtaining housing while advocating with landlords.
  13. Maintains an ongoing awareness of consumer’s physical and emotional wellness planning additional services to maintain an appropriate level of service as needs change through office or home visits.
  14. Ability to climb three flights of stairs to conduct rounds on an hourly basis and deal with emergencies.
  15. Ability to respond to emergency situations by placing calls to Fire, Rescue, Police, and Medical, etc.

The Integration Care Facilitator must perform each essential function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions. The qualifications listed below are representative of the knowledge/skill and/or ability required.

  • Bachelor’s Degree in behavioral sciences from an accredited college or university or a combination of education and work experience.
  • Two years of related work experience providing services to those who are homeless, and/or affected by substance use disorders.
  • Requires CPR certification every two years and Narcan certification annually.
  • Business-related travel may be required which includes travel to TASC conferences and bi-annual grantee meetings.


Steppingstone Incorporated is a United Way Agency