DUTIES AND RESPONSIBILITIES:1.Conducts initial and ongoing assessments of assigned clients to document strengths, needs, goals and resources.2.Participates in the development/documentation /review and update of client centered comprehensive, integrated, interdisciplinary care plan in consultation with Program Supervisor and other team members to ensure focus on desired outcomes.3.Maintains effective communications with clients, primary care physicians, substance abuse and mental healthcare providers, family, collateral resources and other Agency staff on behalf of clients.4.Maintains documents, records, statistics, and other related reports in an organized, timely and accurate manner as per policy and procedure.5.Coordinates care planning with other providers of services/ resources to ensure goal directed, collaborative care, including care transitions. Experience should be in providing direct services to individuals with severe mental health disorders, co-occurring substance abuse disorders, developmental disorders, and/or physical disabilities, in linking clients to a broad range of services essential to independent community livening, and in advocacy for underserved or disenfranchised populations.