Clinical Case Manager – SAGE, Pioneer Square Clinical: 216 Office

Downtown Emergency Service Center


Days Off: Saturday, Sunday

Shift: Office 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

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.


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

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


Case Management:

  • Participate as a member of a multi-disciplinary team providing on-going case management services to adults with severe and persistent mental illnesses.
  • Provide outreach and engagement services to assigned clients, to initially engage clients and maintain working relationships.
  • Conduct psychosocial assessments; develop goal planners with consumer participation; facilitate linkages to collaborative resources when appropriate.
  • Assume primary responsibility for coordinating all aspects of consumers’ support and goal planners. This includes: providing and/or coordinating the delivery of psychiatric treatment; substance abuse treatment; 24-hour support services; and performing acute case management to facilitate consumer access to food, clothing, housing, medical care, financial assistance and vocational training or employment.
  • Advocate for consumers’ access to community resources and services, ensuring that consumers’ needs are met and rights maintained; consult and collaborate with community providers to ensure continuity of care.
  • Participate in the planning, organizing and facilitating of group treatment services for consumers served by the mental health program.
  • Travel locally to outreach consumers; make home visits and assist with home inspections.
  • Provide crisis intervention and risk assessment; tolerate unusual or unpleasant behavior.
  • Provide counseling, as qualified.
  • Fulfill role of protective payee for some consumers on behalf of the agency, creating monthly budgets with consumers, distributing funds and assisting with purchases.
  • Document services provided.

Other duties & responsibilities:

  • Participate in psychiatric consultation, supervision, program meetings and in-service trainings; participate in clinical reviews and case conferences for consumers on caseload.
  • Comply with the agency’s clinical accountability policies and procedures; maintain current and complete clinical and administrative records; participate in quality assurance reviews when assigned.
  • Comply with applicable program research and evaluation procedures.
  • Other duties as assigned.


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.


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.



  • Interest in and experience working with homeless, mentally ill, and/or chemically dependent individuals.
  • Interest in or experience working with consumers who are difficult to engage and maintain in traditional mental health programs.
  • Ability to meet state requirements for registration as a counselor.
  • Knowledge of Recovery focused, strengths based work in mental health.
  • Knowledge of Harm Reduction strategies.
  • Ability to work effectively with clients displaying a wide range of unpleasant and/or bizarre behaviors.
  • Ability to communicate and work effectively with staff from various backgrounds.
  • Subscribe to the philosophy of cooperation and continuity across programs and of consideration and respect for consumers.
  • Washington State Driver’s License and insurable driving record.


  • 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


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

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