Health-Related Social Needs (HRSN) Coordinator - AD284

Title: Health Related Social Needs (HRSN) Coordinator - AD284

Location: River House - 211 SE Caruthers Portland, OR 97214

Schedule: Onsite position, Mon-Fri 8:00am - 4:30pm

Wage Range: $25.00 - $30.45 hourly, Non-Exempt

If you are a motivated and dedicated Health Related Social Needs Coordinator looking for an opportunity to contribute to an organization making a positive impact, we want to hear from you!

At NARA Northwest, you’ll find a supportive work environment where every team member is valued and respected. Whether you’re passionate about healthcare, behavioral health, education, or social services, there’s a place for you to make a meaningful difference.

Company Mission

The mission of NARA NW is to provide education, physical, mental health services, and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and anyone in need.

At NARA NW, we deliver services and support to Native American and Alaska Native communities, helping individuals lead healthier, more fulfilling lives.

With almost 500 employees across a variety of clinics and programs—including medical and dental care, addiction treatment, housing assistance, and enrichment initiatives NARA NW offers numerous opportunities for growth and advancement, all while making a tangible, positive impact on the lives of others.

Position Overview

The Health-Related Social Needs (HRSN) Coordinator addresses a range of social determinants of health, with a primary focus on housing instability and homelessness as critical drivers of health outcomes. This role supports individuals in accessing HRSN benefits through screening, coordination, and ongoing support. The Coordinator is responsible for managing closed-loop referrals, as well as completing invoicing and maintaining accurate documentation related to ongoing HRSN benefits and services. The role works collaboratively with the social services team, housing providers, and community-based organizations to promote housing stability, improve health outcomes, and reduce health disparities.

What You Will Do

• Identify individuals eligible for HRSN benefits and services.
• Develop individualized housing support plans.
• Coordinate referrals to housing providers, supportive programs, and community-based organizations using Unite Us and other closed loop referral software.
• Provide housing navigation and tenancy support services.
• Conduct ongoing follow-up to support housing stability and continuity of care.
• Complete invoicing and documentation for housing-related HRSN services.
• Serve as a liaison between care coordination teams, housing agencies, and community partners.
• Educate participants on housing resources, program expectations, and participant responsibilities.
• Maintain working knowledge of and provide referrals to community services and resources, including Aging and Disability Services, Housing Assistance, Transportation, Food/Shelter Services, and Public Health resources.
• Provide culturally informed support to staff working directly with clients to ensure culturally responsive service delivery.
• Performs other duties as assigned.
  
  

Please note: This is a primarily administrative, office-based role focused on coordination, documentation, and referral management. The position does not involve direct, in-person outreach or face-to-face client services, though it supports staff and partners who provide those services.