DESC jobs - 58 jobs

Pay Range: $39.00 per hour, $50 per hour Premium Pay for applicable shifts Benefits: Employee Assistance Program (EAP), Safe & Sick Time, Retirement Plan 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. JOB DEFINITION: We are looking for On Call Client Engagement Specialists (CES) who will work within the larger Client Engagement Team spanning two locations: Hobson Clinic and the Downtown Behavioral Health Center. Hobson Clinic is an integrated behavioral and physical health outpatient clinic jointly operated by DESC and Harborview Medical Center (HMC). The Clinic provides holistic health care services to thousands of community members annually with a focus on improving health care access for people who have experienced barriers to conventional health services. The Clinic specializes in serving people living on lower incomes, people living homeless, and people living with complex physical and mental health conditions and substance use disorders. The Downtown Behavioral Health Center is operated by DESC and support a variety of clinical staff and programs ranging from outpatient behavioral health, substance disorder treatment, supportive employment, medical, and drop-in services. The clinical programs located in Pioneer Square serve a myriad of clients daily to address complex needs related to their mental and physical health. The CES team monitors the safety and security of the clinics by managing the milieu of the main lobby/building and engaging clients. The CES team will also be tasked with providing trauma-informed support to clients and patients utilizing Hobson clinic and Pioneer Square by employing various de-escalation skills and tactics, both verbal and hands-on approaches, while in coordination and consultation with the wider clinical and medical teams. The CES team supports DESC's Good neighbor policy in public spaces adjacent to clinics and ensures the community milieu around DESC buildings are welcoming and approachable. ESSENTIAL DUTIES AND RESPONSIBILITIES: Be present in all main operating areas of both Hobson and Pioneer Square clinics for client engagement and de-escalation purposes only. Be a welcoming presence and direct clients to the services they are seeking, at times escorting to designated area, and walking regular rounds in both low and high-risk areas of the clinic, including area immediately outside of the clinic. Be present in outside spaces near to the clinic for community visibility and client engagement. Be a welcoming presence, orient community members and clients to DESC services, walk regular rounds in the neighborhood, escort clients and prospective clients to nearby DESC buildings, and participate in clean-up activities. Initiate and maintain appropriate social interactions with clients. Integrate experience with behavioral health and substance use conditions into work with clients. Monitor the general milieu, lobby, entryway, immediately outside of the clinic, security systems, and other common areas to monitor the safety and security of clients and staff. Work to maintain a comfortable milieu, even in the presence of potentially unusual client behaviors. Commitment to the Harm Reduction and Trauma Informed Care models and working to incorporate those principles through an equity and social justice lens. Commitment to diversity, equity, and inclusion and applying to all areas of work responsibility. Intervene when necessary to support clients, maintain order, and communicate/enforce clinic rules and policies. Intervene in client crises and emergencies (medical, behavioral health, interpersonal), participate in verbal de-escalation and hands-on de-escalation in emergent situations, and initiate action as required, including contact with emergency response systems, and facilitating a higher level of care. Write significant events involving clients and Clinic operations activities in a daily log; read log daily and coordinate with relevant staff. In collaboration with an interdisciplinary team, promote a safe and secure clinic environment by responding to emergent safety issues using a layered active response approach. Assist clinical staff in engaging clients through creative, resourceful strategies that build trust and confidence. Provide support to staff related to safety issues upon request. Help ensure cleanliness of lobby area and other common spaces within the building. Participate in staff meetings, team huddles, and training, with both DESC and HMC staff. Other responsibilities as assigned. MINIMUM EXPECTATIONS: Be reasonably available to accept 8 am to 5 pm per-diem shifts with less than 24 hours notice. Maintain current contact information with supervisor, including phone, email, text, etc. Once a full shift is accepted (no partial shifts), work that shift from start to finish, except in extraordinary circumstances that make this impossible. Attend to work responsibilities while on duty and limit personal phone calls and other interruptions to break times except for emergencies. Ability to learn and incorporate required DESC protocols and procedures with limited training and orientation (typically 1 day of training and two shift shadows). Picking up at least two shifts per month as shifts are available. 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. Experience working with behavioral health conditions and intervening with de-escalation and hands-on approaches using Crisis Prevention & Intervention (CPI) or the equivalent and must be familiar with behavioral health treatment services. Willingness to become certified in enhanced behavioral de-escalation training, which trains to use hands on techniques. Experience in human services (paid or volunteer), preferably working with adults living homeless and/or living with a mental illness and/or substance use disorder. Proficient in de-escalation skills, crisis intervention, and stabilization strategies and possess the ability to use these skills in high-risk, high traffic areas. Have a strong understanding of recovery and resilience, the value of client partnerships, and client choice. Experience working with adults living with mental illness and/or co-occurring disorders. Interest or experience in working with clients that traditional health care programs have turned away. Ability to communicate and work effectively with clients and staff from various backgrounds and utilize good customer service skills. Ability to work effectively with clients potentially displaying unusual and bizarre behaviors. Subscribe to the philosophy of working in an integrated team approach which fosters cooperation and continuity across programs and of consideration and respect for clients. Have experience working in collaboration with law enforcement, and neighborhood stakeholders that do not always agree with the harm reduction, trauma informed, or person-centered work philosophy. Able to prioritize multiple job responsibilities, work independently, and exercise good professional judgment. Able to maintain client confidentiality. Ability to pass criminal background check. PREFERRED QUALIFICATIONS: Has work experience as an Emergency Medical Technician or Psych Technician in the field. Bilingual in English and Spanish. Skill in operating office equipment, including computers (including e-mail), software (e.g., Microsoft Word, Excel) and telephones. 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 accommodation 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 to sit, communicate with other employees, required to lift and carry items weighing up to 40 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. WORKING CONDITIONS: Works in a climate-controlled office environment with frequent interpersonal interactions. Works outside in all weather. May escort clients or have professional meetings in environments which are not climate controlled. Also works outside of the office in the community. 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. Salary Description $39.00 per hour

Now Hiring: Billing & Collections Specialist (Part Accounting Pro, Part Collections Addict!) Are you the kind of person who gets a rush from seeing overdue balances disappear? Do you love numbers that actually add up-and spreadsheets that make sense? Are structure, accuracy, and deadlines your happy place? If yes… we want YOU on our team! What Makes You a Perfect Fit Insurance Billing & Collections Experience - You LOVE collecting! You know the ins and outs of insurance billing, and nothing makes your day like closing out an aged AR bucket. You take charge, follow up relentlessly, and celebrate every dollar collected. Accounting Know-How - Because numbers matter. Add, subtract, post, reconcile-you do it all correctly, efficiently, and with pride. Attention to detail is your superpower. Structured & Deadline-Driven - Black-and-white thinker who follows the data. You thrive in organized environments, meet deadlines without exceptions, and believe processes exist for a reason. If the data says it, you trust it! What You'll Do Manage and execute insurance billing with precision Drive collections activity with confidence and persistence Post payments and reconcile accounts accurately Maintain structured workflows and meet strict timelines Partner with internal teams to ensure clean, accurate financial data Why You'll Love It Here Because your love of structure, numbers, and collections won't just be appreciated-it'll be celebrated. This is a role where you get to shine doing what you do best. Requirements Education High school diploma or equivalent required. BA degree in Accounting or Business is preferred. Licenses/Certification Valid driver's license required Experience Six months experience in a long-term care environment preferred. Three years of experience in accounts receivable, collections or similar area of responsibility. Three years office or administration experience preferred. Salary Description $25 - $32 per hour DOE

Lead with Purpose. Make an Impact. Live the Lifestyle You Deserve. Are you a visionary nursing leader ready to shape the future of care? We're seeking a Director of Nursing to join our leadership team in beautiful Colville, WA. This is more than a job-it's an opportunity to lead a dedicated clinical team, drive excellence in patient care, and enjoy a lifestyle surrounded by the natural beauty of the Pacific Northwest. Why Colville, WA? Outdoor Paradise: Hike, fish, and explore the Selkirk Mountains and Colville National Forest. Affordable Living: Median home prices around $250K and cost of living below the national average. Family-Friendly: Great schools, low crime rates, and a welcoming community. Rich Culture: Festivals, music events, and local traditions make Colville vibrant and unique. Why You'll Love This Role: Executive Leadership: Partner with the CEO to set clinical strategy and lead nursing operations. Impactful Work: Ensure person-centered care, regulatory compliance, and staff development. Innovation & Growth: Implement evidence-based practices and performance improvement initiatives. Culture of Excellence: Advocate for residents and staff while fostering collaboration and safety. What You'll Do: Lead nursing operations and ensure quality outcomes. Oversee staffing, recruitment, and retention strategies. Collaborate with interdisciplinary teams and external partners. Drive performance improvement and manage adverse events. Participate in budget planning and serve as MDS coordinator. Promote education and clinical competency across the team. What We Are Looking For: RN license in Washington State or eligibility to obtain. Proven leadership experience in long-term care or skilled nursing. Strong knowledge of federal and state regulations. Excellent communication, organizational, and strategic skills. Passion for person-centered care and continuous improvement. Perks & Benefits: Competitive salary and bonus structure. Comprehensive health, dental, and vision coverage. Paid time off and retirement plan. Relocation assistance available. Professional development and leadership training. Ready to lead with purpose? Apply today and bring your expertise to a community that values care, compassion, and connection.

Job Description SALARY This is a unionized position represented by Local 8 of the Office and Professional Employees International Union (OPEIU). Starting wage is $30.48-$30.48 an hour. FIND OUT ABOUT THIS ROLE AND OUR MISSION TO CREATE POSITIVE CHANGE This is a unionized position, represented by Local 8 of the Office and Professional Employees International Union (OPEIU). The Float Janitor supports Plymouth residents by working to maintain a safe, clean, living environment all buildings and serves in responsibility for all major janitorial duties. Specific tasks related to this position (but are not limited to) include a variety of cleaning tasks i.e., common baths, showers, toilets, maintaining clean hallways, stairs, common areas, this includes vacuuming and shampooing carpets, preparing vacant units for incoming tenants, and maintaining the lobby i.e., cleaning and waxing floors, cleaning windows, taking out the trash, and changing out light bulbs in common areas. The Janitor Float position work is generally flexible with movement throughout the portfolio and can be reassigned on a short- or long-term basis and or shared between properties, based on business/service needs. Plymouth Housing is a nonprofit organization that develops and operates permanent supportive housing for single adults who have experienced chronic homelessness. With apartment buildings throughout King County, Plymouth is helping the most vulnerable members of our community leave homelessness behind forever. At Plymouth, we're not simply trying to get people off the streets. We provide supportive services like case management and health care so that our residents can thrive long-term. As part of our strategic vision, we are building internal behavioral health services and transforming our systems to address rapid growth and the changing needs of residents. WHAT YOU CAN EXPECT TO BE DOING IN THIS ROLE AT PLYMOUTH HOUSING Performs necessary routine janitorial and maintenance tasks to maintain order and a safe, sanitary living and work environment including, but not limited to individual units, offices, outside exterior of all buildings, common areas, bathrooms, showers, kitchens, laundry rooms. Performs routine cleaning assignments in common areas including, but is not limited to vacuuming, shampooing carpets, mopping floors, washing walls, and cleaning furnishings. Remove garbage from buildings following all safe trash removal protocol including but not limited to rotation of dumpsters. Monitors all areas of the building and systems for cleanliness and maintenance needs. Completes light maintenance and cleaning duties including but not limited to vacated units upon turnover as needed. Performs floor stripping, waxing, and buffing in common areas and in units at turn. Performs pest control treatments, including bed bugs. Change out light bulbs in all common areas as needed. Assist building maintenance staff and building maintenance vendors i.e., rooftop safety escorts as needed. Assists with restocking/inventory of supply closets as instructed by Facility Manager. Assists with flood/fire emergencies response when requested by the Facility Manager. Occasional removal, proper disposal and sanitizing of hazardous materials to include but not limited to human waste in accordance and compliance with OSHA standards. Works with Facility Manager to respond and complete work orders. Attends and participates in scheduled staff meetings of team goals and trainings i.e., OSHA basic industry training. Performs pre-inspection on vacant units. SOME KNOWLEDGE, SKILLS, AND ATTRIBUTES WE NEED FROM YOU Ability to communicate and work effectively with a diverse group of voices. Thorough knowledge and proper use of cleaning agents. Proven personal skills to communicate appropriately with tenants. Ability to communicate and understand written instructions on work orders. Ability to operate Plymouth owned vehicles. Basic computer skills or ability to familiarize and learn how to use Microsoft Outlook email, and other applications i.e., payroll system. Working knowledge of Hazmat procedures. QUALIFICATIONS High school diploma, GED certification or an equivalent combination of education and relevant work experience. Valid Washington State Driver license with fully insurable driving record Certificate in fall prevention training or the ability to be certified within a reasonable period of time. Two years janitorial/maintenance and multifamily or hospitality cleaning experience. Demonstrated experience working with diverse, low-income or special needs population is desired. BENEFITS We offer a comprehensive benefits package for Full-Time employees, including Medical, Dental, Vision, PTO, and 403(b) options. Additionally, employees have access to supplementary benefits such as the Employee Assistance Program, a subsidized ORCA pass, and more. This is a full-time position with benefits. Join us and be a catalyst for positive change! Plymouth Housing is an equal opportunity employer. We recruit, hire, train and promote employees based on merit and business needs, and without regard for race, color, citizenship status, national origin, ancestry, gender, sexual orientation, age, weight, religion, creed, physical or mental disability, marital status, veteran status, military status, political affiliation, or any other factor protected by law.

Title: Provider, ORCA Patient Outreach Division (POD) Schedule: Monday-Friday, business hours (typically 9am-5pm with 30 minute lunch); some flexibility required for outreach events, field engagement, and collaboration with community partners. 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 (255 hours per year), Retirement Plan Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW Supervised by: ORCA Provider Supervisor A cover letter is required as part of your application to be considered for this role. 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 the Opioid Recovery & Care Access (ORCA) program DESC's ORCA program provides compassionate, low-barrier, and evidence-based care to individuals who are recovering from opioid overdose and those seeking treatment for opioid use disorder (OUD). The ORCA Center, our brick-and-mortar location, provides post-overdose subacute stabilization services and provides walk-in access to medications for opioid use disorder (MOUD). The ORCA Patient Outreach Division (POD) delivers field-based MOUD care - meeting people where they literally are in the community. ORCA Center The ORCA Center is open 24 hours per day, 7 days per week, including holidays. It is staffed by a multidisciplinary team, including providers, nurses, medical assistants, peers, and milieu specialists. The ORCA Center offers four overlapping types of services: Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments. Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or CFR Title 21 §1306.07 (b)), for people with OUD, regardless of whether an opioid overdose has recently occurred. Harm reduction counseling and OUD-related physical and behavioral health services. Follow-up care for individuals who have started MOUD to ensure support in MOUD continuation. ORCA POD ORCA POD is ORCA's field-based care team, bringing MOUD induction, stabilization, and maintenance services as well as education and other supports directly to patients in the community. ORCA POD operates during business hours (Monday through Friday, 9 a.m. to 5 p.m.). ORCA POD is a multidisciplinary team, including providers, nurses, and peers, operating across several geographic areas throughout the greater Seattle region including: Permanent Supportive Housing (PSH) sites Emergency shelters Encampments or unsanctioned sites High-need geographic zones identified in collaboration with DESC and community partners Areas without easy access to low-barrier MOUD services JOB OVERVIEW: The POD Provider delivers flexible, trauma-informed clinical care in the field and supports rapid initiation and continuation of medications for OUD (MOUD). This role works closely with DESC's Mobile Integrated Health (MIH) partners at the Seattle Fire Department (SFD) to coordinate targeted outreach, create pop-up MOUD access points, and conduct follow-up with individuals after overdose or acute events. The POD Provider may also support the DESC ORCA Center, which operates 24/7 offering rapid MOUD access and post-overdose care. This is a clinical, non-supervisory position. MAJOR DUTIES AND RESPONSIBILITIES: Field-Based Clinical Care and Community Engagement: Provide evidence-based MOUD treatment (buprenorphine, including LAI formulations; methadone under the 72-hour rule) in a variety of community settings. Provide telemedicine care to patients and remote consultation for nurses in the field. Deliver low-barrier clinical assessments, MOUD initiations, acute follow-up, and ongoing management for individuals engaged in outreach. Conduct harm reduction counseling, including safer-use strategies and overdose prevention planning. Manage common conditions such as skin and soft tissue infections and connect individuals to primary care or mental health services as needed. Participate in Seattle Fire Department Mobile Integrated Health joint outreach operations, pop-up MOUD access points, and targeted “hot spot” engagement based on real-time overdose and EMS data. Support field-based follow-up after overdose, SFD encounters, or ORCA Center visits to ensure MOUD continuation and reduce treatment drop-off. Care Coordination & Multidisciplinary Collaboration Work closely with POD nurses and peers to deliver holistic, relationship-centered care. Coordinate care and warm handoffs with the ORCA Center, DESC outpatient clinics, community MOUD programs, hospitals, and outreach partners. Establish and maintain strong partnerships with SFD MIH, PSH and shelter staff, and other community organizations to expand access to low-barrier addiction care. Ensure continuity for individuals transitioning between field engagement, ORCA Center care, and community providers. Documentation & Clinical Practice Standards Complete timely documentation meeting DESC, regulatory, and payer requirements. Utilize electronic health records effectively and maintain accurate clinical and outreach notes. Professional Development & Team Culture Participate in ongoing training on addiction medicine, harm reduction, trauma-informed practice, race and social equity frameworks, and emerging best practices. Join case reviews, interdisciplinary meetings, and POD team huddles. Engage in reflective practice, welcome feedback, and support a culture of curiosity, collaboration, and equity. Requirements MINIMUM QUALIFICATIONS Fully licensed as a Physician, Nurse Practitioner (Family or Adult NP), or Physician Assistant in the State of Washington. If physician, board certification, or ability to obtain within 12 months of hire, in emergency medicine, family medicine, or internal medicine. Current registration with the Drug Enforcement Agency (DEA). Experience or training in addiction medicine, harm reduction, or caring for individuals with OUD. Proficiency with clinical documentation and electronic health records. Desire to serve people with complex needs who are or have been experiencing homelessness and are living with serious and persistent mental illness, substance use disorder, and other complex medical conditions. Able to work effectively with clients displaying a wide range of challenging behaviors . Adaptable to changing priorities, processes, or workflows as the program grows and evolves. Able to give and receive constructive feedback. Familiar with trauma-informed care, harm reduction, and equity and social justice principles. Possess cultural humility and able to work effectively with individuals of diverse backgrounds and identities. Willing to travel across the greater Seattle area. PREFERRED QUALIFICATIONS Doctoral degree. Experience in low-barrier buprenorphine programs or Opioid Treatment Programs. Background in acute settings (e.g., ED, EMS, crisis response). Training or experience in caring for co-occurring mental health conditions. Experience with field-based medical outreach. Bilingual in Spanish/English Ability to drive an agency or personal vehicle to conduct agency related business, which requires a current Washington State driver's license and insurable driving record. 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 to sit, communicate with other employees and clients, is 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, peripheral vision, depth perception, and the ability to adjust focus. Considerable stress may occur. 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. Salary Description $158,306.40 - $174,783.12

The Lead Therapist collaborates and supports the leadership team with the overall functions and personnel within the Regional site, as directed by the Executive Director/Director of Operations. Initiates and/or maintains positive working relationships with all peers. Job Duties & Responsibilities: Collaborate with the Executive Director/Director of Operations to coordinate the activities of all clinical staff. Oversee and assure effective discharge planning in a timely manner performed by Social Services staff. Complete medical record documentation accurately and in a timely manner. Provide effective group, individual, and/or family therapy as necessary. Participate in interdisciplinary staffing by being prepared to discuss each patient's case as directed. Assist in the management of department staff and function. Collaborate with the Executive Director/Director of Operations to establish goals for direct reports that are consistent with the goals and Mission of Rogers Behavioral Health. Communicate goals to staff. Develop methods of measuring goal achievement. Evaluate and report to the Executive Director/Director of Operations. Implement and educate staff on department policies and procedures with the input of department staff, management staff, and medical staff. Requirements and guidelines from external agencies; i.e., Joint Commission, State. Assist in the education of external department staff members about regulations or requirements of those functions that relate to their areas or departments. Incorporate acceptance and training of student interns in the department. Participate in the orientation and training of new employees according to accurate and current s. Assist in the development of s. Assist in the development of a training program that incorporates job descriptions with policies and procedures. Advise the Executive Director/Director of Operations re: staff performance so that such feedback can be incorporated into the employee performance evaluations. Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations. Involve self in the learning and application of standards relevant to Social Services. Participate in inservices/seminars and other meetings to increase involvement and awareness of regulations. Involve self in the education of other disciplines regarding Social Services regulations. Plan for department needs effectively through involvement in the Hospital's budgeting process. Organize department needs to be included in the annual budget and report to the Executive Director/Director of Operations. Monitor and communicate to the Executive Director/Director of Operations adherence and/or variance to budgeting restraints. Manage FTE expenditures with compliance to the FTE budget. Advise the Executive Director/Director of Operations of any variance to budget. Assist with management of capital and other operational expenditures with compliance to the related budget. Maintain an understanding of any variance and its impact on the department budget. Participate in committees, meetings, and team projects. Demonstrate punctuality and preparedness. Demonstrate effective chairperson skills. Exhibit good organizational skills with agenda and minute preparation. Be able to facilitate a meeting to keep it on track. Contribute in a positive, solution-focused manner. Provide timely communication on performance of Social Services staff to the Executive Director/Director of Operations. Promote a team environment by example and by participating in workload completion, when necessary. Interact with employees in a sensitive, positive manner. Understand and use the Human Resources policies and procedures manual. Involve the Human Resources Business Partner in any potentially volatile employee-related situation. Communicate with employees promptly when incidents arise that may be a detriment to their performance or to the Hospital in general. Assist employees in professional growth. Develop a working schedule that provides consistency in coverage and potential for future recruitment. Implement performance standards by which employees are measured. Assist in the development of measurements for competence within each area of responsibility. Participate in department meetings to provide timely communication and problem resolution. Lead department meetings in the absence of the Executive Director/Director of Operations as directed. Assist Clinical Director with providing supervision to all clinical staff. Collaborate in the development and implementation of organized, regular supervision of staff. Follow cases to provide for feedback for the improvement of the quality of care delivered by staff. Orientation and supervision of clinical interns All graduate level interns will receive weekly supervision unless otherwise specified by training agreement with educational institution. Supervision will be tracked and logged to identify content of supervision and focused goals for improvement. Implement and evaluate audits of specific staff performance to improve quality of care. Assist with the auditing of medical records for quality care and consistency. Conduct audits of patient medical records for assigned partial hospital and intensive outpatient programs. Rotate programs audited among the assigned program based on 20% of daily census (i.e. census of 30/3 random charts from this program to be audited). Record results of audited records to make recommendations as to error or quality trends to be improved. These audits include treatment plans; treatment plan signatures; interventions; documentation to the treatment plan; completeness of assessments; quality of information in assessments; referent/provider contacts; follow-up care within seven (7) days of discharge; treatment notes. Provide feedback, education and observations to the Executive Director/Director of Operations so he/she may conduct performance management as needed. Assist in the recruitment process. Complete the necessary recruitment and hiring documents in a timely and accurate manner. Assist in conducting interviews that are comprehensive, fair, and lead to a timely recruitment decision. Participate in the Rogers Operating System (ROS) program. Gain understanding of the ROS process. Apply the ROS model to department functions. Participate in and/or create ROS teams that lead to improvement in own and other areas. Educate and involve employees to Rogers Behavioral Health and Social Services department's ROS monitoring and activities. Participate in Rogers' marketing plan. Assist in the development of a department customer service/public relations plan. Interact with the Development and Marketing Lead for the corresponding regional location to communicate customer-related issues as directed. Participate in the customer feedback process, when necessary. Educate staff about Rogers' marketing plan as needed. Participate in department site-specific Marketing activities. Conduct self in a professional manner. Demonstrate organizational skills that promote timely response to all inquiries and to project completion. Communicate with all individuals in a positive and professional manner. Attempt to resolve individual issues with peers in a positive, calm manner, with a focus on solution. Communicate concerns and provide solutions for same. Attend outside seminars to promote professional growth. Interact with external professional peers to create a professional network. Comply with the Hospitals policies and procedures, as well as Human Resources, Infection Control and Employee Health programs. Project a professional image by wearing appropriate, professional attire. Education/Training Requirements: Master's degree in social work, Counseling, or a related field, Licensure as a Mental Health Counselor (LMHC), Licensed Marriage and Family Therapist (LMFT), or Licensed Clinical Social Worker (LCSW) is preferred, as is licensure as a Certified Addictions Professional (CAP) or Master's Level Certified Addictions Professional (MCAP). Minimum of one (1) year of clinical services management experience in a health care setting. A minimum of four (4) years' experience in health care; at least two (2) years' experience in a psychiatric facility. An understanding and a thorough knowledge of the following: social service administration, supervision, consultation, the community and its resources, the dynamics of human growth and behavior, therapy skills and techniques for all age groups. Current American Heart Association CPR certification or American Red Cross Professional Rescue is required within thirty (30) days of date of hire. Bi-annual re-certification is required. Formal training in the management of the aggressive patient (NCI) is required within sixty (60) days of date of hire. Annual re-certification is required. Pay Transparency Requirements: Compensation for this role is between $90,000.00 - $138,827.52 and placement in the range will vary based on years of experience and education. The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges. ******************************* EOE/MFDV Equal Employment Opportunity and Affirmative Action - Rogers Behavioral Health (rogersbh.org) Click for more videos below. Therapist day in the life: intensive outpatient Therapist day in the life: residential adult program With a career at Rogers, you can look forward to a Total Rewards package of benefits, including: Health, dental, and vision insurance coverage for you and your family 401(k) retirement plan Employee share program Life/disability insurance Flex spending accounts Tuition reimbursement Health and wellness program Employee assistance program (EAP) Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)

Days Off: Monday, Tuesday, Wednesday Shift: Day (7:00am - 5:30pm) Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (34 days per year), Retirement Plan 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 Mobile Rapid Response Crisis Team (MRRCT): The Mobile Rapid Response Crisis Team (MRRCT or “Meerkat”) at DESC, is a county funded program responsible for addressing the imminent and emergent needs of community members in crisis, in the central region of King County primarily covering the entirety of Seattle. The DESC team has been providing mobile crisis response services to the community for well over a decade. As a nonprofit with over 45 years of experience focused on serving our community's adults living with long histories of homelessness, behavioral health, and other disabling conditions, DESC is uniquely positioned to connect people in crisis to the important support and survival services they may need to overcome and prevent future occurrences of crisis, behavioral health distress, or other instabilities in our community. JOB DEFINITION: As a member of DESC's Mobile Rapid Response Crisis Team, you will be on the front lines responding to adults in the community experiencing mental health or substance use crises, as dispatched to us by Crisis Connections (988). You will work in a team alongside other skilled colleagues, including Mental Health Professionals and Certified Peer Counselors. Once called into action, teams of two will assist individuals responding to wherever they are in the community in identifying appropriate therapeutic options and next steps to resolve their crisis, while avoiding unnecessary usage of emergency rooms or other non-therapeutic settings like jail. We are working to stop the trend of criminalizing mental health disabilities and homelessness, and we want to make sure individuals in crisis get the help they need. Following our initial interaction, our teams will also follow up to ensure recommended service connections have been made to prevent future crisis events. The team works all throughout the central region of King County, primarily Seattle, in a wide variety of community settings every day throughout the year, and in all types of weather. MAJOR DUTIES AND RESPONSIBILITIES: In response to and cooperation with Crisis Connections and other referents (such as police, fire, medics), perform timely outreach services to individuals needing crisis intervention services, assessment, referral, and linkage to needed services. As a member of a multi-disciplinary team, conductive meaningful engagement to provide observation for multi-axial assessments, and substance use disorder assessments. Engage in crisis intervention, stabilization, and related activities. Establish and implement a plan to successfully engage clients in relevant services and other resources. As needed, provide follow-up services aimed at establishing linkage to services for program participants. Complete all data collection and documentation required. Develop and maintain cooperative relationships with programs providing services for the population served. Comply with all agency policies and procedures, and relevant titles of the Washington Administrative Code and Revised Code of Washington. Advocate for clients' access to community resources and services, ensuring that clients' needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care. Participate in psychiatric consultation, supervision, program meetings and in service trainings; participate in clinical reviews and case conferences for clients on caseload. Provide support to other DESC staff and programs around client crisis situations, including consultation and in-person responses to help assess and prevent emerging crisis events. Participate in verbal de-escalation and be able and willing to assist other staff as needed to maintain a safe, secure environment. 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 Associate's degree and two years' experience in mental health or related fields. Interest in working with clients who are difficult to engage and maintain in traditional mental health/substance use disorder programs. 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. Be able to pass a Washington State Criminal background check. Experience and skills in working with mentally ill individuals who are difficult to engage and may resist services. Familiar with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, Trauma-Informed Treatment, and relevant Evidenced based/Emerging best practices. Knowledge of Harm Reduction strategies. Strong working knowledge of DSM IV (and its successor). Be able to assess situations quickly and respond appropriately to any type of mental health and/or chemical dependency crisis to ensure the physical and psychological safety of clients. Be willing to seek to understand each client's unique circumstances and personal preferences and goals and incorporate them into the crisis response to help the client regain a sense of control. Assist clients in accessing internal resources to reinforce the client's ability to resolve crisis on their own. Assist clients in identifying unmet needs that may be causing them to have recurrent crisis. Have a strong understanding of recovery and resilience, the value of client partnerships and client choice, and the balance between protection from harm and personal dignity. Possess strong communication and writing skills. Able and willing to provide community outreach anywhere in King County from which a referral may originate. Familiar with King County crisis response system, other relevant community resources, and methods of access. Ability to communicate and work effectively with staff from various backgrounds. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior. Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for program participants. PREFERRED QUALIFICATIONS: Bilingual in Spanish/English (fluent). Bachelor's degree in a relevant field such as social work or psychology. Meet criteria as a Substance Use Disorder Professional (SUDP). Strong applicants are able to demonstrate the ability to be positive in their empathetic responses to all persons; understand the value of meaningful and deep client engagement; have the potential to acquire the necessary knowledge, attitudes and skills of an effective crisis worker; and value a nonjudgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and potentially stressful environment. 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 to sit, drive, walk, stand, communicate with other employees and vendors, is required to lift and carry items weighing up to 10 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. Considerable stress may occur. Employee will be working both indoors and outdoors in all types of weather. 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. Salary Description $36.75 - $40.58 per hour

Days Off: Saturday, Sunday Shift: Day (7:30am-4pm) Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) 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. 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. JOB DEFINITION: The Clinical Support Specialist works under the direction of the CSS Supervisor or Project Manager, and collaboratively as part of an integrated care team including other CSSs, Housing Stabilization Specialists, Residential Counselors, clinical case managers, and other outside provider agencies to provide and coordinate clinical services for tenants. This position offers case management and mental health services to tenants as well as coordinating care with other providers as appropriate. MAJOR DUTIES AND RESPONSIBILITIES: Facilitate engagement of tenants through creative, equitable, culturally relevant, and resourceful strategies that build trust and confidence; publicize service availability. Develop and routinely update an Integrated Service Plan (ISP) in collaboration with tenants, case managers, and other staff, outlining goals and strategies to ensure housing success. Identify and coordinate those case management elements that will be provided by DESC case managers or case managers from outside provider organizations. Support tenants in maintaining safe and healthy unit conditions and passing apartment inspections. This may include hands-on assistance cleaning apartments, arranging and monitoring caregiver/chore-worker services, and/or teaching and modeling independent living skills. Directly provide case management services not covered by other providers. Maintain regular contact with tenants and case managers from DESC and outside provider organizations to monitor progress toward goals identified in the ISP, and to ensure adequate provision of identified services. Document interactions with tenants through logs, service notes, EORs, emails, and other methods as appropriate in accordance with agency guidelines. Understand and meet the various contractual service and documentation obligations relevant to your project. Use trauma-informed strategies to intervene in crises and assist with building rule enforcement and lease compliance, as necessary. Provide education and support for tenants to ensure success as leaseholders. Assist tenants in the formation of interest groups or therapeutic support groups; facilitate when appropriate. Organize outings and activities to improve tenant skills in activities of daily living and to increase the level of meaningful activity in their lives. Work with tenants and other staff to identify needs for additional services, groups, and activities. Work with staff, outside service providers, and community resources to initiate and facilitate these services and activities. Provide individual culturally relevant counseling and information and referral services to tenants as needed. Facilitate community meetings. Participate in staff meetings and trainings. Other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Ability to perform all major and assigned duties and responsibilities with or without accommodations. Current Agency Affiliated Counselor (AAC) license in Washington State, or equivalent, or ability to obtain an AAC license soon after hire. Clinical experience working with homeless adults disabled by chronic alcoholism, mental illness, and drug use. Knowledge of local homeless, mental health, and chemical dependency service systems. Ability to communicate and work effectively with individuals from diverse backgrounds. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior. Commitment to the philosophy of cooperation and continuity across agency programs and of consideration and respect for clients. EDUCATION / EXPERIENCE REQUIREMENTS: 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 *Internal applicants in direct, client facing positions can substitute 6 months of experience in lieu of 1 year PREFERRED QUALIFICATIONS: Two years' experience working with homeless adults disabled by chronic alcoholism, mental illness, and/or drug use. Valid Washington State driver's license and insurable driving record. 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 to sit, communicate with other employees, required to lift and carry items weighing up to 40 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. Salary Description $37.78 - $41.72 per hour

Schedule: Three (3) 12-hour shifts with at least two 30-minute lunch break, 7:00 am - 7:30 pm, per week, with some weekends required; and one additional 12-hour shift every 4 weeks. Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) 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: ORCA RN Supervisor A cover letter is required as part of your application to be considered for this role. 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. Come work for us! About the Opioid Recovery & Care Access (ORCA) program DESC's ORCA program provides compassionate, low-barrier, and evidence-based care to individuals who are recovering from opioid overdose and those seeking treatment for opioid use disorder (OUD). The ORCA Center, our brick-and-mortar location, provides post-overdose subacute stabilization services and provides walk-in access to medications for opioid use disorder (MOUD). The ORCA Patient Outreach Division (POD) delivers field-based MOUD care - meeting people where they literally are in the community. ORCA Center The ORCA Center is open 24 hours per day, 7 days per week, including holidays. It is staffed by a multidisciplinary team, including providers, nurses, medical assistants, peers, and milieu specialists. The ORCA Center offers four overlapping types of services: Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments. Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or CFR Title 21 §1306.07 (b)), for people with OUD, regardless of whether an opioid overdose has recently occurred. Harm reduction counseling and OUD-related physical and behavioral health services. Follow-up care for individuals who have started MOUD to ensure support in MOUD continuation. ORCA POD ORCA POD is ORCA's field-based care team, bringing MOUD induction, stabilization, and maintenance services as well as education and other supports directly to patients in the community. ORCA POD operates during business hours (Monday through Friday, 9 a.m. to 5 p.m.). ORCA POD is a multidisciplinary team, including providers, nurses, and peers, operating across several geographic areas throughout the greater Seattle region including: Permanent Supportive Housing (PSH) sites Emergency shelters Encampments or unsanctioned sites High-need geographic zones identified in collaboration with DESC and community partners Areas without easy access to low-barrier MOUD services JOB DEFINITION: The Medical Assistant (MA) acts as a member of a multi-disciplinary team responsible for providing medical services to adults who have experienced an opioid overdose and/or those with a diagnosis of Opioid Use Disorder. DESC's ORCA Center sites provide 24-hour, low-barrier, enhanced supportive services. Here, the MA will assist with in-the-moment, low-threshold medical access to clients who may otherwise not be present at more traditional clinics. Work is done under the supervision of the ORCA Nurse Supervisor, Senior Nurse Manager, Director of Nursing and Medical Director. MAJOR DUTIES AND RESPONSIBILITIES: Perform initial history and physical of client; documenting any client identified concerns, vital signs, and mental health status exams/AIMs assessments. Reconcile medication and medical records with hospitals, other outpatient mental health clinics, and primary care facilities, including collecting appropriate Release of Information requests (ROIs). Ensure that client spaces and clinical spaces are clean, stocked, and appropriate medical equipment is in working order. Perform client assessments on a walk in and as needed basis utilizing clinic protocols and guidance of nursing supervisor. Administer pre-dosed oral medication, injections (both anti-psychotic injections and insulin), and wound care within scope of practice and plan of care. Coordinate communication between care team, outpatient case management, outpatient nursing care team, and providers regarding client medical needs and condition. Assist with medication refills, medication organization, and medication follow up needs as directed by provider and/or registered nurse. Complete plan of care documentation as appropriate. Participate in verbal de-escalation and physical interventions in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment. Build trusting relationships with clients who may be wary and difficult to engage by employing a warm and accepting approach that includes trauma informed care, harm reduction and motivational interviewing. Teach clients about safer substance use, overdose prevention and overdose reversal. Requirements MINIMUM QUALIFICATIONS: Medical Assistant licensed in the State of Washington Ability to meet Washington Department of Health requirements for registration as an Agency Affiliated Counselor (AAC) or any other superseding counseling credential. Experience with phlebotomy. Knowledge of psychiatric medications, side effects and methods of administration, or willingness to learn. Interest or experience in working with people experiencing homelessness, mentally illness and/or substance use disorders. Interest or experience in working with clients who are difficult to engage and maintain in traditional mental health programs. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior. Ability to communicate and work effectively with staff from diverse backgrounds. Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients. PREFERRED QUALIFICATIONS: 1-year clinic experience in adult medicine, addiction medicine, wound care, internal medicine, and/or infectious disease. Experience in community health, behavioral health, case management, and/or resource referral. Experience in an acute care setting (e.g., emergency department or overdose prevention center). Knowledge and skill in working with co-occurring mental health and substance use disorders; with people experiencing homelessness or with a history of homelessness. Crisis intervention and stabilization experience. Familiarity with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices. Bilingual in Spanish/English. Strong applicants can demonstrate the ability to be positive in their empathetic responses to all people; understand the value of meaningful and deep client engagement; and value a non-judgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and sometimes stressful environment. 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 extended 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. Salary Description $37.78 - $41.72 per hour

Seattle, WA (*************************************************************** -Medical - ORCA Center Apply Job Type Temporary Description **Schedule:** Variable, providers typically work 12-hour shifts with at least a 30-minute break, 7:00 am - 7:30 pm and 7:00 pm - 7:30 am **Shift Differential:** $3.25 per hour Night Shift differential, paid in addition to hourly wage **Supervised by:** ORCA Center Senior Medical Lead Physician **Other Benefits:** 403(b), EAP, Sick & Safe Time **About DESC:** DESC is a multi-service agency that specializes in providing permanent supportive housing, emergency shelter, residential crisis services, and comprehensive behavioral health outpatient services for people with long-time experiences of homelessness and serious behavioral health disabilities. We utilize harm reduction, trauma informed care, and housing first practices, striving to deliver high-quality, outcomes-oriented, flexible services that accommodate consumers' unique needs. The ORCA Center builds upon DESC's successful and innovative clinic- and field-based outpatient OUD treatment team and will collaborate closely with this team. **Job Overview:** This role will provide direct clinical care within the DESC Opioid Recovery and Care Access (ORCA) Center. The ORCA Center is open 24 hours per day, 7 days per week, including holidays. It offers four overlapping types of services, delivered by a team of prescribers, nurses, medical assistants, peer specialists and milieu specialists, with operational leadership support: + Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments. + Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the "72-hour rule", or Code of Federal regulations Title 21 §1306.07 (b)), for people with opioid use disorder (OUD), regardless of whether an opioid overdose has recently occurred. + Harm reduction counseling and OUD-related physical and behavioral health services, such as hepatitis C testing and treatment and HIV pre-exposure prophylaxis. + Follow-up care, at the ORCA Center or at times field-based, with individuals who have started MOUD to ensure support in MOUD continuation. This is a clinical role without administrative or supervisory duties. **PRIMARY RESPONSIBILITIES:** **Clinical Care** + Provide evidence-based treatment for OUD, including initiation and management of buprenorphine (sublingual and long-acting injectable) and, according to DESC protocols, methadone initiation. + Conduct harm reduction counseling and provide services related to infectious diseases such as syphilis, hepatitis C, and HIV (including PrEP). + Manage and treat conditions commonly seen in individuals with OUD, such as skin and soft tissue infections and linkage to mental health care. + Perform initial health assessments and follow-up visits for individuals starting or continuing MOUD. + Educate patients on health-related topics, treatment plans, and harm reduction strategies. + Document clinical care in accordance with DESC and regulatory standards. **Care Coordination** + Collaborate with an interdisciplinary team of clinicians, peer specialists, and social workers to provide holistic care. + Ensure continuity of care for individuals transitioning between ORCA Center services and other health care providers. **Professional Development** + Stay updated on best practices in addiction medicine and harm reduction through continuing education. + Participate in in-service training and case discussions to maintain high clinical standards. Requirements **MINIMUM QUALIFICATIONS:** + Fully licensed as a Physician, Nurse Practitioner (Family or Adult NP), or Physician Assistant in the State of Washington. + Registration with the Drug Enforcement Agency. + Experience or training in addiction medicine and harm reduction. + Strong commitment to serving individuals with complex needs, including homelessness and co-occurring behavioral health conditions. + Familiarity with trauma-informed care, harm reduction principles, and equity frameworks. + Ability to remain open and receptive to constructive feedback. + Strong ability to approach those with differing opinions with curiosity & active listening. + Ability to work collaboratively in a multidisciplinary team environment. **PREFERRED QUALIFICATIONS:** + Experience in low-barrier buprenorphine programs or Federal Opioid Treatment Programs. + Experience in an acute care setting (e.g., emergency department or overdose prevention center). + Skills in addressing co-occurring mental health conditions and physical health needs. + Proficiency with electronic health records and clinical documentation. **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 to sit, communicate with other employees and clients, is 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, peripheral vision, depth perception, and the ability to adjust focus. Considerable stress may occur. **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. Salary Description $87.54 per hour

Shift: Office Day Pay Rate: $30.50 per hour Benefits: Employee Assistance Program (EAP), Safe & Sick Time, Retirement Plan 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. JOB DEFINITION: On-Call Administrative Support staff fill staffing gaps on the administrative team when full-time staff are taking PTO, need to be away from their work site for meetings and trainings, during job transitions, when there is a need for additional help for special projects, or for other staff capacity needs. Shift locations vary across DESC's downtown Seattle offices at 515 3rd Ave and 216 James St. Shifts are sometimes split between locations. On-Call Admin Support prioritize open administrative shifts but may also pick up open shifts at DESC's housing projects, after approval and training. This position requires a strong interest in providing administrative support for a non-profit agency that specializes in services for those experiencing homelessness, mental health crisis, or currently engage in substance use. The successful candidate will be willing to build skills which specialize in engaging and, at times, deescalating clients to provide smooth communication between the client and their care team. This position is in addition to a 7-person full-time Admin Support team (including supervisor) which reports to the Senior Program Manager of Drop-in, Employment Services, Administrative Support Services and Client Engagement Services (DEAC). On-Call Administrative Support staff must pick up a least 4 shifts per month. MAJOR DUTIES AND RESPONSIBILITIES: Front Desk & Lobby - Client Interactions: Arrive promptly and complete pre-opening tasks, including populating schedules, preparing print outs, gathering intake information, and preparing the office for visitors. Provide Front desk coverage from 9 am - 5pm. Maintain a polite, convivial, and welcoming presence in DESC lobby spaces. Greet clients and visitors who enter the office, learn why they are visiting, and inform appropriate staff of their arrival. Aid and provide information to people experiencing homelessness and others who are experiencing crises and looking for help. Orient visitors to available services, DESC resources, and resources in the community as appropriate. Assist in maintaining a comfortable and clean lobby area, office area, and conference rooms, while being tolerant of unusual and bizarre client behavior. Intervene when necessary to discourage loitering, fighting, use or sale of drugs and alcohol, and other uncivil or illegal behaviors. Assist with providing front desk coverage to relieve teammates for breaks (Each staff working a full shift receives two 15-minute breaks and one 1-hour lunch break). Engage with people experiencing a variety of behavioral health conditions whose behaviors may be bizarre, unpleasant, or uncooperative. Engage in de-escalation as needed in accordance with agency values and training. Phones/Mail/Office Supplies: Answer incoming calls promptly with proper etiquette; route calls to appropriate persons; transfers calls to voice mail or take messages as needed. Provide basic information on agency and services as appropriate over the phone. Process mail for clients and staff: Accept and document mail from USPS, UPS, FedEx, and other independent vendors, sort/distribute mail, and enter received client mail into tracking database. Order, maintain and dispense office supplies and forms needed by staff. Paperwork: Assist program staff to update and maintain current resource lists, information manuals, and client service records accurately and in coordination with behavioral health program staff. Assist with daily documentation including writing logs, tracking attendance and supplies distributed, and end of day summary reports. Track company vehicles, maintain MS Outlook reservation calendar, enter any maintenance requests as needed. Organize, file and/or store source documents for data entered into system, following established procedures for retention or disposal of documents. Special Projects and other duties: Complete other tasks as needed for special projects such as doing inventory, filing, copying, or other organization projects. Participate in staff meetings and in-service trainings, as appropriate. Other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Excellent typing and keyboard skills and clerical skills/experience. Computer skills, including data entry and word processing experience, or related experience with the indicated potential to learn these skills quickly. Ability to work independently with a minimum of direct supervision. Willingness to be flexible and work cooperatively with co-workers to accomplish all responsibilities of the team. Initiative and creativity in problem solving and system development. Careful attention to detail. Ability to communicate and work effectively with staff from various backgrounds and disciplines. Ability to relate effectively to clients displaying a wide range of unpleasant and/or bizarre behaviors. Subscribe to philosophy of cooperation / collaboration and continuity across programs, and of consideration and respect for clients. Ability to support people's self-determination with impartiality by honoring strengths. Ability to provide equitable services without bias. 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 to sit, communicate with other employees, required to lift and carry items weighing up to 40 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. Salary Description $30.50 per hour

Days Off: Saturday, Sunday Shift: Office Day (9am -5pm) Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) 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. 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. JOB DEFINITION: Homeless Outreach Stabilization and Transition (HOST) is a multi-disciplinary team serving homeless adults experiencing severe and persistent mental illness and co-occurring disorders. The team prioritizes services to those who are highly vulnerable, lack service connections or other support, and are unwilling or unable to engage in traditional service models. The team works throughout the greater Seattle area to provide critical survival services and engagement with the ultimate goal of addressing acute mental and physical health needs, increasing stability, obtaining housing, and transitioning to long-term services. Referrals to this program will often include individuals with a history of involuntary detainments or observable behavioral health challenges, they often will not endorse a mental health or substance use issue, or have the insight into the impact of their well-being and access to care and resources. The HOST Mental Health Peer Specialist uses their lived experience of recovery from mental illness and/or substance use and addiction, plus skills learned in formal training, to assertively engage HOST clients into intensive services. This position requires a high degree of coordination and collaboration with other DESC programs as well as outside agencies. This role is supervised by a HOST/Pathfinder Clinical Supervisor who will consult with the SAGE Peer Supervisors as needed for peer supervision support and resources. A condition of employment is completion of the Washington State Peer Counselor Training and obtaining certification within one year of employment at DESC. MAJOR DUTIES AND RESPONSIBILITIES: Participate as a member of a multi-disciplinary team of clinical, outreach, medical, peer support, and intensive case management staff to provide a variety of services focused on stabilization and transition to long-term behavioral health or other appropriate ongoing services. Provide outreach and engagement services as assigned, in clinic, on the streets, shelters, encampments, DESC projects, and other community areas. On occasion, services may be provided in outlying King County areas. Identify individuals in need, screen for appropriateness to services, develop rapport and trust while offering support, and assist with immediate and basic needs to individuals who are homeless. Efforts are balanced between initial outreach and follow-up activity. Assist in obtaining and coordinating services, including services relating to daily living activities, personal financial planning, benefit enrollment, transportation, and case management. Link HOST clients to supportive and long-term resources, including behavioral, medical, and substance use treatment support and housing. Provide peer recovery support to HOST clients. Integrate personal experience with mental illness and/or substance use disorders into work with program participants. Assist consumers with voicing and identifying their interests and goals. Advocate for clients' access to community resources and services, ensuring that clients' needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care, facilitate linkages to collaborative resources when appropriate. Prioritize crisis intervention with clients as needed. This may include de-escalation, outreach in emergency departments, and/or making referrals to the County Designated Crisis Response system. Interact with general client population, intervene in crisis situations with individual clients and screen clients for HOST eligibility when appropriate. Participate in education of service community regarding the needs of homeless clients with mental illness/co-occurring disorders, techniques of engagement and service provision. Develop and maintain cooperative relationships with current programs providing services for homeless and mentally ill persons. Encourage development of new services. Develop and maintain strong collaborative relationships with DESC staff, and other service and resource organizations to ensure full continuity of care for clients. OTHER DUTIES AND RESPONSIBILITIES: Participate in psychiatric consultation, supervision, program meetings, and in service trainings; participate in clinical reviews and case conferences for clients on caseload. Comply with the agency's clinical accountability policies and procedures; maintain timely and complete clinical records; participate in quality assurance reviews when assigned. Comply with applicable program research and evaluation procedures. Other duties as assigned. 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. Requirements MINIMUM QUALIFICATIONS: Current Certified Peer Support Specialist (CPSS) or Certified Peer Support Specialist Trainee (CPSS-T) credential through the Washington State Department of Health or ability to gain certification within 60 days of hire. Completion of “Crisis Awareness and Communication in Peer Support (CACPS)” training or ability to complete within 90 days of hire. Lived experience as a consumer of behavioral health services (mental health and/or substance use treatment) or be the parent or legal guardian of a child who has received behavioral health services. Interest in working with clients who are difficult to engage and maintain in traditional mental health/substance use disorder programs. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behavior. 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 clients. PREFERRED QUALIFICATIONS: One or more years' experience in community based behavioral health services or like industry serving a diverse client/participant population. Two or more years' experience leveraging personal peer story as a peer specialist. Experience working with adults who are experiencing or who have experienced homelessness, have a mental illness and/or co-occurring substance use disorders. Knowledge of de-escalation skills, crisis intervention stabilization, and harm reduction strategies. Ability to drive an agency or personal vehicle to conduct agency related business, which requires a current Washington State driver's license and insurable driving record. Bi-lingual in Spanish/English or other languages. Strong knowledge of relevant community resources and methods for accessing them. 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 40 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. Salary Description $37.78 - $41.72 per hour

Schedule: Variable, providers typically work 12-hour shifts with at least a 30-minute break, 7:00 am - 7:30 pm and 7:00 pm - 7:30 am Shift Differential: $3.25 per hour Night Shift differential, paid in addition to hourly wage Supervised by: ORCA Center Senior Medical Lead Physician Other Benefits: 403(b), EAP, Sick & Safe Time About DESC: DESC is a multi-service agency that specializes in providing permanent supportive housing, emergency shelter, residential crisis services, and comprehensive behavioral health outpatient services for people with long-time experiences of homelessness and serious behavioral health disabilities. We utilize harm reduction, trauma informed care, and housing first practices, striving to deliver high-quality, outcomes-oriented, flexible services that accommodate consumers' unique needs. The ORCA Center builds upon DESC's successful and innovative clinic- and field-based outpatient OUD treatment team and will collaborate closely with this team. Job Overview: This role will provide direct clinical care within the DESC Opioid Recovery and Care Access (ORCA) Center. The ORCA Center is estimated to start clinical services in late summer to fall 2025 and will eventually be open 24 hours per day, 7 days per week, including holidays. It will offer four overlapping types of services, delivered by a team of prescribers, nurses, medical assistants, peer specialists and milieu specialists, with operational leadership support: Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments. Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or Code of Federal regulations Title 21 §1306.07 (b)), for people with opioid use disorder (OUD), regardless of whether an opioid overdose has recently occurred. Harm reduction counseling and OUD-related physical and behavioral health services, such as hepatitis C testing and treatment and HIV pre-exposure prophylaxis. Follow-up care, at the ORCA Center or at times field-based, with individuals who have started MOUD to ensure support in MOUD continuation. This is a clinical role without administrative or supervisory duties. PRIMARY RESPONSIBILITIES: Clinical Care Provide evidence-based treatment for OUD, including initiation and management of buprenorphine (sublingual and long-acting injectable) and, according to DESC protocols, methadone initiation. Conduct harm reduction counseling and provide services related to infectious diseases such as syphilis, hepatitis C, and HIV (including PrEP). Manage and treat conditions commonly seen in individuals with OUD, such as skin and soft tissue infections and linkage to mental health care. Perform initial health assessments and follow-up visits for individuals starting or continuing MOUD. Educate patients on health-related topics, treatment plans, and harm reduction strategies. Document clinical care in accordance with DESC and regulatory standards. Care Coordination Collaborate with an interdisciplinary team of clinicians, peer specialists, and social workers to provide holistic care. Ensure continuity of care for individuals transitioning between ORCA Center services and other health care providers. Professional Development Stay updated on best practices in addiction medicine and harm reduction through continuing education. Participate in in-service training and case discussions to maintain high clinical standards. Requirements MINIMUM QUALIFICATIONS: Fully licensed as a Physician, Nurse Practitioner (Family or Adult NP), or Physician Assistant in the State of Washington. Registration with the Drug Enforcement Agency. Experience or training in addiction medicine and harm reduction. Strong commitment to serving individuals with complex needs, including homelessness and co-occurring behavioral health conditions. Familiarity with trauma-informed care, harm reduction principles, and equity frameworks. Ability to remain open and receptive to constructive feedback. Strong ability to approach those with differing opinions with curiosity & active listening. Ability to work collaboratively in a multidisciplinary team environment. PREFERRED QUALIFICATIONS: Experience in low-barrier buprenorphine programs or Federal Opioid Treatment Programs. Experience in an acute care setting (e.g., emergency department or overdose prevention center). Skills in addressing co-occurring mental health conditions and physical health needs. Proficiency with electronic health records and clinical documentation. 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 to sit, communicate with other employees and clients, is 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, peripheral vision, depth perception, and the ability to adjust focus. Considerable stress may occur. 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. Salary Description $87.54 per hour

Days Off: Saturday, Sunday Shift: Day Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) 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. 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. JOB DEFINITION: The Substance Use Disorder Professional Trainee (SUDPT) trains under a Substance Use Disorder Professional (SUD) who works cooperatively with agency staff & community resources to provide a range of services to clients with drug & alcohol problems. Many clients have a sustained and/or complicated substance abuse history in addition to their co-occurring mental disorder. Often people suffering from mental illness who lack access to psychiatric treatment, attempt to self-medicate with street drugs or alcohol to lessen the symptoms. The ability to provide highly integrated services to people with concurrent mental health and substance use concerns is rare among homeless service providers. At DESC, our network of clinical services allows counselors to work in coordination with mental health case managers in both the emergency shelter and in supportive housing projects so that services meet clients at their current level and offer the support that can lead to significant change. MAJOR DUTIES AND RESPONSIBILITIES: Perform alcohol and drug assessments, and intake evaluations on selected clients; with the client's participation, develop support and treatment plans; facilitate linkages to collaborative resources when appropriate. Plan, organize and facilitate treatment and support groups for clients, as appropriate. Provide substance abuse consultation to Mental Health Program and Housing Program staff. Provide staff training on substance abuse issues as appropriate. Participate as a member of a multi-disciplinary team providing ongoing advocacy and integration of services to mentally ill, homeless and formerly homeless adults. Advocate for client access to community resources and services, ensuring that client needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care. Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for clients on caseload. Comply with the agency's clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance reviews when assigned. Comply with data gathering/submission requirements of DESC and reimbursement agencies. Comply with applicable program research and evaluation procedures. Other duties as assigned. 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. Requirements MINIMUM QUALIFICATIONS: Licensed by the State of Washington as a Substance Use Disorder Professional or Substance Use Disorder Professional Trainee in good standing. For SUDPT: Attested to the WA State Department of Health that the applicant is currently enrolled in an educational program to meet the educational requirements of a SUDP. The requirement for full licensure is an associate degree. 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 or experience in working with clients who are difficult to engage and maintain in traditional mental health programs. Ability to communicate and work effectively with individuals from diverse backgrounds. Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients. PREFERRED QUALIFICATIONS: Bi-cultural and/or bilingual background/experience. Experience working with adults experiencing homelessness and severe mental illness. 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 40 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. Salary Description $37.78 - $41.72 per hour

Shift: Office Day (8am - 4pm) Days Off: Saturday, Sunday Insurance Benefits: Dental, Life, Long-term Disability, Medical (no premiums/payroll deductions for employee coverage) 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. 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 PACT: The Program for Assertive Community Treatment (PACT) is a nationally recognized, evidence-based approach to mental health treatment which utilizes a highly collaborative model to positively impact the lives of individuals challenged by the most severe and persistent mental illnesses. The DESC PACT team is centered in the concept that recovery is more successful when all providers work closely together to provide integrated support services for all aspects of participant's lives, including medication, therapy, social support, employment and housing. Team scheduling requirements reflect this commitment to provide participants with intensive wrap-around, 24/7 services at their homes and in a variety of community settings. Team members provide rotating coverage for 12 hours per day Monday to Friday and 8 hours per day on weekends & holidays. In addition, all team members participate in on-call rotations to provide 24-hour crisis coverage. MAJOR JOB RESPONSIBILITIES: Manage and facilitate PACT's SUD Programming: The PACT model requires the SUDP to divide their time into approximately 80% facilitation of the SUD program and 20% direct case management work. The PACT SUDP will update substance use treatment plans monthly according to the client's identified stage of change and propose effective, evidence-based interventions to meet each stage. Act as the PACT team's subject matter expert for substance use disorders. Provide consultation to other team members regarding SUD issues, treatment, and education, including Harm Reduction best practices. Provide staff training on substance use issues, as appropriate. Provide individual and group substance use disorder (SUD) treatment in office and in community settings using a stage-based treatment model that is non-confrontational, considers interactions of mental illness and substance use, and has client-determined goals. With the client's participation, develop support and treatment plans; facilitate linkages to collaborative resources when appropriate. Plan, organize and facilitate treatment and support groups for clients, as appropriate. Monitor and coordinate replacement of PACT harm reduction supplies. Advocate for client access to community resources and services, ensuring that client needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care. Develop and maintain strong collaborative relationships with DESC staff, and other service and resource organizations to ensure full continuity of care for clients. Participate in psychiatric consultation, supervision, program team meetings and in-service trainings; participate in clinical reviews and case conferences. Comply with the agency's clinical accountability policies and procedures; maintain current and complete clinical records; participate in quality assurance reviews when assigned. Comply with data gathering/submission requirements, and with applicable program research and evaluation procedures. Participate in verbal de-escalation in emergent situations and be willing and able to assist other staff as needed to maintain a safe and secure environment. Participate in the planning, organizing and facilitating of unit mitigations for clients on your caseload. Unit mitigations are coordinated efforts to support clients with maintaining healthy living conditions. This can include but is not limited to attending care conferences related to unit mitigation, outreaching and supporting clients in their residential units with tools and skills to maintain their units, coordinating with housing staff to ensure proper work orders are filed in a timely manner, participating in cleaning out clients' units, and documenting barriers to unit mitigation. Collaborate with the greater DESC SUD team by attending the weekly SUD team meeting and consulting with the SUD Clinical Supervisor and SUD Senior Program Manager at least monthly. This is a multidisciplinary role, serving clients with dual diagnoses. Other duties as assigned. Specialty Area: Facilitate PACT's SUD program as described above. Complete and update monthly substance use assessments, according to each client's stage of change for all PACT enrolled clients. Prepare assessments for inpatient treatment programs. Coordinate inpatient treatment referrals through King County. Be comfortable with Harm Reduction and Motivational Interviewing approaches. 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: Participate in daily morning meetings, psychiatric consultations, clinical supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences. Comply with the agency's clinical accountability policies and procedures; maintain current, timely and complete clinical records; participate in quality assurance reviews when assigned. Comply with applicable program research and evaluation procedures. Other duties as assigned. Requirements MINIMUM QUALIFICATIONS: Licensed by the State of Washington as a Substance Use Disorder Professional (SUDP) in good standing. At this time, we can only consider applicants with an active SUDP license issued by the Washington State Department of Health. 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 or experience in working with clients who are difficult to engage and maintain in traditional mental health or substance use disorder programs. Interest or experience working with adults who are experiencing or who have experienced homelessness, have a mental illness and/or co-occurring substance use disorders, and who are involved in the criminal legal system. Have a strong understanding of recovery and resilience, the value of client partnerships and client choice, and the balance between protection from harm and personal dignity. Strong knowledge of relevant community resources and methods for accessing them. Possess strong communication and writing skills. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behaviors. Ability to communicate and work effectively with individuals from diverse backgrounds. Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients. PREFERRED QUALIFICATIONS: Associates degree or higher in a relevant social science. Strong applicants can demonstrate the ability to be positive in their empathetic responses to all people. Understand the value of meaningful and deep client engagement. Have the potential to acquire the necessary knowledge, attitudes and skills of an effective SUD Counselor. Value a non-judgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and stressful environment. 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 people by talking and hearing, required to lift and carry items weighing up to 40 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. Salary Description $36.75 - $40.58 per hour

Shift: Variable. Day shift: 7am-3:30pm, Swing shift: 3pm-11:30pm, Night shift: 11pm-7:30am Shift Differential: $1.00 per hour for Night Shift & $0.50 per hour for Swing Shift Benefits: Employee Assistance Program (EAP), Safe & Sick Time, Retirement Plan Supervised by: CSC 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 CSC: The Crisis Solution Center (CSC) is a temporary residential treatment facility that is open 24 hours per day, 7 days per week, including holidays. The CSC provides stabilization services for individuals, ages 18 and older, experiencing a behavioral health crisis, substance use crisis, and a post-overdose crisis. The CSC has two project components, the Crisis Diversion Facility (CDF) and the Crisis Diversion Interim Services (CDIS). The Crisis Diversion Facility (CDF) is a 16-bed non-smoking facility that offers an alternative option for first responders to divert individuals from jails and hospitals. The facility accepts individuals 24 hours per day, 7 days per week, and has a 72-hour maximum length of stay. The Crisis Diversion Interim Services (CDIS) is a 30-bed non-smoking facility co-located with CDF. Individuals may be referred from CDF to CDIS for continued support in their stabilization as this is an up to 14-day stay. JOB DESCRIPTION: The On-Call Support Staff works under the direction of the Clinical Supervisor or Project Manager and acts as a member of a multi-disciplinary team. The team is responsible for providing a welcome and supportive environment to adults who are experiencing a behavioral health crisis, substance use crisis or experienced an opioid overdose. This position offers support to the team on completing 15-minute wellness checks, watching security cameras, and serving meals/snacks to the clients. MAJOR DUTIES & RESPONSIBILITIES: Maintain safety and security of the CSC by monitoring security cameras, answering telephone calls, and completing 15-minute wellness checks. Respond to emergencies and initiate the appropriate response including contacting emergency-response systems as needed. Maintain order and cleanliness of the work area. Re-make beds and clean the cubicles after a client discharges from the facility. Work scheduled hours at stations and/or milieu coverage and handle all duties of those areas, including meal services and clean up. Document client interactions and other shift occurrences as needed and as directed. Interest in working with individuals experiencing mental and/or substance use disorders who are experiencing a crisis. Ability to work effectively with an interdisciplinary team. Ability to work effectively in a fast-paced work environment. Ability to be timely, dependable, and reliable in attendance. Engage in de-escalation skills, crisis intervention, and stabilization. Follow all Crisis Solution Center procedures as well as DESC ethics policies in maintaining appropriate client-staff interactions. Attend a 2-week onboarding process upon hiring and attending full day of mandatory training during employment. Other duties as assigned. Requirements MINIMUM EXPECTATIONS: Be reasonably available to accept on-call shifts with less than 24 hours' notice during day/swing/night shift hours. Must work a minimum of 15 hours per month or two 7.5-hour shifts. Maintain current contact information with supervisor, including phone, email, text, etc. Once a shift is accepted, it is expected that the shift is worked from start to finish, except in extraordinary circumstances that must be communicated with a supervisor. Attend to work responsibilities while on duty and limit personal phone calls and other interruptions to break times except for emergencies. Active Washington State Department of Health license or credential: including but not limited to SUD-T, CNA, RAAC, AAC, LAAC, LPN, etc. Ability to obtain a Washington State Food Handler's Permit. EDUCATION/EXPERIENCE REQUIREMENTS: A combination of 1 year* of relevant paid work experience and demonstration of the ability to perform required job duties *Internal applicants in direct, client facing positions can substitute 6 months of experience in lieu of 1 year. PREFERRED QUALIFICATIONS: Two years' experience working with homeless adults experiencing mental and/or substance use disorders. Experience working in social services. Ability to drive an agency vehicle to conduct agency related business, which requires a current Washington State driver's license and insurable driving record. 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 to sit, communicate with other employees, required to lift and carry items weighing up to 40 pounds, and to operate computer hardware systems. Specific vision abilities required by the job include close vision, distance 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. Salary Description $30.50 per hour

Schedule: Before ORCA Center Opens: TBD, but 18.75 hours per week between 9am - 5pm, clinical care on DESC's Opioid Treatment Network team. After ORCA Center Opens: Three (3) 12-hour shifts with at least a 30-minute lunch break, 7:00 pm - 7:30 am, over a two-week period. Supervised by: ORCA Center Senior Medical Lead Physician Insurance Benefits: Medical, Dental, Life, Long-term Disability Other Benefits: Employee Assistance Program (EAP), Flexible Spending Account (FSA), ORCA card subsidy, Paid Time Off (17 days per year), Retirement Plan Union Representation: This position is a part of a union and is represented by SEIU Healthcare 1199NW JOB OVERVIEW: This role will provide direct clinical care within the DESC Opioid Recovery and Care Access (ORCA) Center. The ORCA Center is estimated to start clinical services in late summer to fall 2025 and will eventually be open 24 hours per day, 7 days per week, including holidays. It will offer four overlapping types of services, delivered by a team of prescribers, nurses, medical assistants and peer specialists, with operational leadership support: Care to individuals in stable condition who have experienced an opioid overdose, brought to the ORCA Center by first responders or transferred from local emergency departments. Rapid initiation of medications for opioid use disorder (MOUD), including buprenorphine (sublingual and long-acting injectable) and methadone (under the “72-hour rule”, or Code of Federal regulations Title 21 §1306.07 (b)), for people with opioid use disorder (OUD), regardless of whether an opioid overdose has recently occurred. Harm reduction counseling and OUD-related physical and behavioral health services, such as hepatitis C testing and treatment and HIV pre-exposure prophylaxis. Follow-up care, at the ORCA Center or at times field-based, with individuals who have started MOUD to ensure support in MOUD continuation. Before the ORCA Center opens, this role will focus on supporting the DESC Opioid Treatment Network team, an outpatient OUD treatment team, to provide care for clients with OUD and related health conditions. After the ORCA Center's opening, responsibilities will transition to the Center's clinical operations. This is a clinical role without administrative or supervisory duties. PRIMARY RESPONSIBILITIES: Clinical Care Provide evidence-based treatment for OUD, including initiation and management of buprenorphine (sublingual and long-acting injectable) and, according to DESC protocols, methadone initiation. Conduct harm reduction counseling and provide services related to infectious diseases such as syphilis, hepatitis C, and HIV (including PrEP). Manage and treat conditions commonly seen in individuals with OUD, such as skin and soft tissue infections and linkage to mental health care. Perform initial health assessments and follow-up visits for individuals starting or continuing MOUD. Educate patients on health-related topics, treatment plans, and harm reduction strategies. Document clinical care in accordance with DESC and regulatory standards. Care Coordination Collaborate with an interdisciplinary team of clinicians, peer specialists, and social workers to provide holistic care. Ensure continuity of care for individuals transitioning between ORCA Center services and other health care providers. Professional Development Stay updated on best practices in addiction medicine and harm reduction through continuing education. Participate in in-service training and case discussions to maintain high clinical standards. Requirements MINIMUM QUALIFICATIONS: Licensed as a Nurse Practitioner (Family or Adult NP) or Physician Assistant in the State of Washington. Registration with the Drug Enforcement Agency. Experience or training in addiction medicine and harm reduction. Strong commitment to serving individuals with complex needs, including homelessness and co-occurring behavioral health conditions. Familiarity with trauma-informed care, harm reduction principles, and equity frameworks. Ability to remain open and receptive to constructive feedback. Strong ability to approach those with differing opinions with curiosity & active listening. Ability to work collaboratively in a multidisciplinary team environment. PREFERRED QUALIFICATIONS: Experience in low-barrier buprenorphine programs or Federal Opioid Treatment Programs. Experience in an acute care setting (e.g., emergency department or overdose prevention center). Skills in addressing co-occurring mental health conditions and physical health needs. Proficiency with electronic health records and clinical documentation. 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 to sit, communicate with other employees and clients, is 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, peripheral vision, depth perception, and the ability to adjust focus. Considerable stress may occur. 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. Salary Description $77,298.00 - $85.351.44 annually

Days Off: Saturday, Sunday Shift: Day (9:00am - 5:30pm) 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 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 2,000 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 Mobile Rapid Response Crisis Team (MRRCT): The Mobile Rapid Response Crisis Team (MRRCT or “Meerkat”) at DESC, is a county funded program responsible for addressing the imminent and emergent needs of community members in crisis, in the central region of King County primarily covering the entirety of Seattle. The DESC team has been providing mobile crisis response services to the community for well over a decade. As a nonprofit with over 45 years of experience focused on serving our community's adults living with long histories of homelessness, behavioral health, and other disabling conditions, DESC is uniquely positioned to connect people in crisis to the important support and survival services they may need to overcome and prevent future occurrences of crisis, behavioral health distress, or other instabilities in our community. JOB DESCRIPTION: The MRRCT Day Shift Project Manager is responsible for overseeing a highly motivated and effective crisis response outreach team, representing the roles of Clinical Supervisors, Mental Health Professional Outreach Specialists, Certified Peer Outreach Specialists, and Behavioral Health Outreach Specialists. This team will respond to the crisis needs of community members throughout the central region of King County, as dispatched by Crisis Connections/988, and will provide follow up care or recommendations as deemed clinically appropriate. The Day Shift MRRCT Project Manager will be responsible for overseeing their team's collaborative and engaging connections with law enforcement, fire/medics, designated community responders, emergency room staff, and crisis connections dispatch team, as well as other community partners and referents. MAJOR DUTIES AND RESPONSIBILITIES: Program Operations Under the supervision of the MRRCT Sr. Program Manager, oversee the day shift and flex shift operations of the program in continuity with swing and night shift programming. Understand expectations and implement shift work of MRRCT as described in King County's Provider Manual. Manage and provide oversight of the 24/7 scheduling for MRRCT services. Oversee hiring functions to ensure full staffing across all shifts and position types. Ability to work flexible hours as required by program and staffing needs including evenings, weekends, or holidays. This includes sharing on-call duties and covering shifts as necessary. Assure continuity of services with other DESC programming as necessary. Participate in verbal de-escalation and supportive restraints in emergent situations and be able and willing to assist other staff as needed to maintain a safe, secure environment. Monitor for good working conditions all vehicles in MRRCT fleet, in collaboration with DESC's Fleet Manager, and ensure vehicle and driver safety policies and procedures are followed by all team members. Report and respond to issues promptly. Compliance Ensure that MRRCT operates in compliance with contract, licensing and relevant regulatory requirements. In conjunction with DESC's Data Systems Administrator, coordinate data collection and reporting to King County. Oversee quality assurance of clinical documentation so staff maintain current and complete clinical records, and that documentation complies with the agency's clinical accountability policies and procedures and contract requirements. Participate in quality assurance reviews when assigned. ?Maintain strong knowledge of all DESC policies and procedures. Assure compliance with same. Supervision & Clinical Oversight Provide routine administrative and clinical supervision of three (3) Clinical Shift Supervisors, (Day Shift Peer Supervisor, Day Shift MHP Supervisor, Day Shift Flex/Follow Up Care Supervisor), including performance evaluations on a regular and scheduled basis and maintain supporting documentation in confidential supervision and personnel files. Train MRRCT staff in relevant skills and procedures that meet agency and various contract requirements. Provide specific crisis intervention and other relevant training. As a member of a multi-disciplinary team, provide multi-axial assessments, substance use disorder (SUD) assessments, crisis intervention, stabilization and meaningful engagement to adults referred to MRRCT in the field as necessary. Assure implementation of program development in congruence with principles of recovery-based services and mentor staff on conducting work within a Recovery framework. Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for clients as necessary. ?Maintain strong knowledge of the collective bargaining agreement between management and union represented staff. Assure compliance with same. Provide clinical consultation as needed for the evaluation of the psychiatric, substance use, and housing needs of clients, and advocating for clients to access the most effective disposition available in the community. Community Engagement & Agency Representation Act as point person for coordination and problem solving with partnering organizations including law enforcement, criminal legal system, healthcare facilities including emergency rooms, psychiatric inpatient units, behavioral health agencies, neighborhoods and surrounding businesses, and other human service organizations. Participate in routine meetings and check ins with community partners, funders, and others as required. Develop expertise and strong working collaborative relationships with all referral sources, as well as with “back door” providers of mental health treatment, substance use treatment, housing services, shelter services, state and federal benefits programs. Share on-call administrative and supervisory duties with the Mobile Response Division in emergent situations. Other When available and on-site at DESC locations, assist program staff as necessary. Other duties as assigned. Requirements MINIMUM 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. Two or more years' experience in community based behavioral health services. Experience working with adults experiencing homelessness, mental illness and/or substance use disorders. 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. Be able to pass a Washington State Criminal background check. Familiarity with Recovery Principles, Crisis Intervention and Stabilization, Integrated Treatment of Co-occurring Disorders, Intensive Case Management, Illness Management, and relevant Evidenced based/Emerging best practices. Knowledge of Harm Reduction strategies. Strong working knowledge of DSM 5. Be able to assess situations quickly and respond appropriately and calmly to any type of mental health and/or substance use disorder crisis to ensure the physical and psychological safety of clients. Be willing to seek to understand each client's unique circumstances and personal preferences and goals and incorporate them into the crisis response to help the client regain a sense of control. Assist clients in accessing internal resources to reinforce the client's ability to resolve crisis on their own. Assist clients in identifying unmet needs that may be causing them to have recurrent crisis. Have a strong understanding of recovery and resilience, the value of client partnerships and client choice, and the balance between protection from harm and personal dignity Possess strong communication and writing skills. Ability to work flexible hours as required by program and staffing needs including evenings, weekends, and/or holidays. Able and willing to provide community outreach anywhere in King County from which a referral may originate, at times with no first responders present. Ability to communicate with and supervise staff from diverse backgrounds. Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behaviors. Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for clients. PREFERRED QUALIFICATIONS: One or more years' supervisory experience. Licensed Social Worker (LICSW), Licensed Marriage and Family Therapist, or Licensed Mental Health Counselor (LMHC) in State of Washington. Qualified to provide Department of Health Approved Supervision to LICSW, LMFT and/or LMHC candidates. Bilingual in Spanish/English. Crisis Outreach and/or Crisis Intervention experience. Bi-cultural background/experience and/or qualify as an Ethnic Minority, DD, or Geriatric Mental Health Specialist (per WAC ************ definition). Strong applicants are able to demonstrate the ability to be positive in their empathetic responses to all persons; understand the value of meaningful and deep client engagement; have the potential to acquire the necessary knowledge, attitudes and skills of an effective crisis worker; and value a non-judgmental response to sensitive issues. Candidates should be able to accept feedback and work in a highly collaborative and potentially stressful environment. 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 to sit, drive, walk, stand, communicate with other employees and vendors, is required to lift and carry items weighing up to 10 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. Considerable stress may occur. Employees will be working both indoors and outdoors in all types of weather. 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. Salary Description $105,442.8 - $119,298.96

Shift: Office Day Days Off: Saturday, Sunday Insurance Benefits: Medical, 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 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. JOB DEFINITION DESC is seeking an experienced Senior Program Manager who is interested in strengthening systems, supporting a team of program leaders, and contributing to high-quality crisis and diversion services for some of our community's most vulnerable residents. This role provides senior leadership for facility-based crisis and diversion services within DESC's Mobile Response Department. In this role, you will oversee a multidisciplinary crisis stabilization program that provides essential mental health, substance use, and healthcare services to those experiencing an acute crisis and a diversion funds program that provides targeted financial assistance to help individuals connect to stable housing or reunite with family. Program scope may expand as services evolve. You will lead and support program managers and coordinators, helping ensure services are delivered safely, equitably, and in alignment with DESC's mission and values. The role balances operational leadership, staff development, funder partnership, and system coordination in a fast-paced, 24/7 crisis environment. You will also play a key role in shaping and operationalizing program vision-translating strategy into practical systems, workflows, and leadership practices that support high-quality, responsive services. In partnership with DESC's other agency leaders, this role supports program alignment with applicable healthcare regulations and contract requirements. This position reports to the Director of Mobile Response Division and is a member of DESC's senior management team. JOB DUTIES Program Leadership & Operations Provide overall leadership and oversight for assigned crisis and diversion programs, ensuring effective and coordinated service delivery. Support and develop program managers and coordinators as an integrated leadership team. Translate program vision into clear, workable systems and day-to-day operational practices. Provide on-call leadership coverage as part of a rotating schedule to support 24/7 operations. With support from Human Resources and agency leadership, oversee program operations in alignment with DESC personnel policies, applicable Collective Bargaining Agreements (CBAs), and employment practices. Staff Supervision & Workforce Support Provide direct supervision to program leadership staff and coordinators. Maintain flexibility in supervisory assignments, including temporarily providing supervision to supervisory or direct service staff when needed to ensure continuity, safety, and staff support. Partner with Human Resources to support recruitment, onboarding, performance management, and retention. Promote staff well-being, equity, and sustainability in high-acuity work environments. Support and encourage the development of internship, student, or trainee opportunities when operationally feasible. Clinical, Medical & System Collaboration Work in close partnership with senior medical, clinical, and operational leaders to support integrated, client-centered services. Partner with the program's Medical Director to ensure program operations reflect the needs and responsibilities of prescribing providers and medical staff. Support coordination across crisis response programs and community partners to promote continuity of care. External Partnerships, Funders & Contracts Build and maintain strong relationships with external partners, including healthcare providers, community organizations, funders, and contract administrators. Serve as a programmatic liaison with funders, participating in meetings, site visits, and contract discussions. Communicate program outcomes, challenges, and capacity needs in a transparent and collaborative manner. Work in partnership with DESC's contracts, finance, and grants teams to support funding alignment, renewals, and reporting expectations. Accountability & Continuous Improvement With guidance from DESC's compliance and quality teams, support program compliance with applicable healthcare regulations and funding requirements. Partner with finance, quality, and data teams to support accurate reporting, monitoring, and audit readiness. Use data, staff feedback, and operational experience to identify risks, improve services, and strengthen program sustainability. Support program readiness for licensing requirements applicable to facility-based crisis services as programs evolve. Requirements MINIMUM 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, Counseling, Psychology, Nursing, Public Health, or a related field. Two or more years' experience in community based behavioral health services. One or more years' supervisory experience. One or more years' of project or program management experience. Experience working with adults experiencing homelessness, mental illness and/or substance use disorders. Experience leading teams in complex or fast-paced environments. Commitment to harm reduction, trauma-informed care, recovery-oriented practice, and equity. Demonstrated strong communication, leadership, and problem-solving skills. Ability to work flexible hours, including on-call coverage, as needed. Ability to pass a Washington State criminal background check PREFERRED QUALIFICATIONS Experience supervising managers or senior staff. Experience working with public funding, contracts, or funders. Experience supporting workforce development or training initiatives. Bilingual or bicultural background. 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 to sit for long periods of time, walk when completing rounds several times a day, move quickly during de-escalations, communicate with other persons by talking and hearing, and 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. Salary Description $122,924.16 - $139,077.60 annually