Transition Coordinator


Transition Coordinator
Thresholds- Chicago, IL

Thresholds, a national leader in mental health services, is a recipient of the Chicago Tribune “Top 100 Workplaces" for four consecutive years and a ten-time winner of Chicago’s “101 Best and Brightest Companies to Work For". Through our more than 100 Chicagoland locations and 30 innovative programs, Thresholds provides healthcare, housing and hope for over 15,000 adults and youth.

The Transition Coordinator reports to the Assistant Program Director, and serves as the primary transition facilitator by providing the coordination of treatment, housing, benefits, and other resources for youth and young adults with mental health needs who are discharging from the Young Adult Programs (Residential and Transitional Living Programs).

The Coordinator facilitates linkage to services and resources that will be needed post-discharge from YAP, and also assists in skill building through coaching and one-on-one work with young adults as they prepare for this transition.


Serves as the primary contact with collateral resources, funders, stakeholders, agencies, bureaucracies, and families to assist with the members’ transition goals and needs.

Advocates and assists with problem solving/resolution that will help the client access and utilize support from the community or family post-discharge from YAP.

Provides direct service to members through transition focused case management services, crisis intervention, and psycho-social rehabilitation services in the community and at Thresholds locations.

Performs comprehensive member assessments, under direct supervision of a QMHP or LPHA, in order to identify client’s mental health service needs and to make recommendations for treatment needs post-discharge from YAP.

Facilitates the development and implementation of the young adult’s transition/discharge plan.

This will require the assistance of the transition team, including the therapist, residential staff, supervisors, psychiatrist, guardian, member, and others.

Provides primary linkage to the community and Thresholds resources in order to assist members in achieving goals along the Transition Domains and post-discharge from YAP.

This includes, but is not limited to, assisting members during the transition phase to obtain appropriate housing, mental health and psychiatric services, physical health services, public assistance benefits, resources for social or leisure activities, and developing connections to family and other informal key players that they can continue to utilize post-discharge from YAP.

Provides direct assistance to help members move, obtain household items, and explore their new community at the time of discharge from YAP.

Maintains connection and contact with members post-discharge from YAP to provide continuity of care and track outcomes for program evaluation purposes.

Performs and participates in crisis intervention in accordance to TCI and Thresholds standards.

Models best practices for crisis intervention as trained in TCI (Therapeutic Crisis Intervention) to other staff.

Performs and supervises physical management when necessary, depending on program.

Attends all TCI trainings in the required time frames.

• Attends all transition related court appearances, DCFS meetings, agency staffings, team meetings, treatment team meetings, and other meetings as assigned.

Ensures all Thresholds procedures regarding the handling of members’ funds are followed and that both the members and Thresholds administration are assured that all safeguards, reports and accounting meet the highest standards.

Completes all assigned paperwork in a timely fashion.

Produces Medicaid compliant service notes.

Completes reports for Thresholds, DCFS, ICG, DMH, courts, and others regularly and when required.

Builds and maintains relationships with internal Thresholds resources and external resources to assist with expanding the quality and variety of transition options available to members.

Other duties as assigned.


May be required to work flexible schedules and be available to work on weekends or evenings as needed.

May be required to be on call.


Bachelor’s degree required to meet rule 132 requirements for a Mental Health Professional (MHP).


Previous experience working with young adults strongly preferred.

Previous experience working with housing assistance programs and/or public assistance benefits systems
strongly preferred.

Must be capable of regularly documenting in formats acceptable for Medicaid billing.

Computer proficiency, including the ability to use email, navigate and enter notes into electronic medical records and working knowledge of pertinent software.

Ability to work cooperatively with other members, their families, collaborating agencies, other coworkers, and management.

Requires daily access to a personal vehicle and willingness to use vehicle for facilitating work activities.


Current and valid driver’s license required.

Therapeutic Crisis Intervention (TCI) certification required.

Child Welfare Licensure (CWEL) may be required by the program.


Ability to bend, stretch, climb stairs, move and lift up to 30 pounds.

Stooping, kneeling, crouching, reaching, standing, walking, grasping and lifting may all be required in this position.

The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures;


Viewing a computer terminal;

Expansive reading, etc.

The worker is subject to both environmental conditions:

Activities occur inside and outside.

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