Care Coordinator
3 weeks ago
Qualifications:
Pay range $19.79-22.79 per hour.
Requires in person client visits.
Experience:
· Two years of direct care management experience including working independently in the field, conducting biopsychosocial assessments, and developing care plans preferred
· Experience navigating health and social service systems
· Experience linking people with complex health, behavioral health, and social needs to community resources
· Demonstrated ability to support, coach, and motivate participants to reach their goals
· Valid California driver’s license, reliable transportation and proof of current liability insurance required
· Ability to work effectively from office or home daily (private workspace, stable internet connection, etc.)
· Ability to manage time effectively in order to complete tasks and meet deadlines
· Experience and skills using electronic technology (laptop, tablet, cell phone) and Microsoft Office Suite (Excel, Word, and Outlook) required
Education/License/Certification Requirements:
Bachelors degree in Social Work, Public Health or related field preferred; or licensed LVN or certified CNA/MA; 2-4 years of experience working with underserved and diverse populations in community settings accepted in lieu of degree.
Responsibilities:
Participant Eligibility and Assessment:
· Confirm participant’s eligibility by verifying qualifying chronic condition and acuity criteria with participant.
· Conduct an in-depth assessment with participant including identifying participant’s referring chronic condition(s), Primary Health Concern (PHC), housing stability, SDoH needs, preferences, and barriers on a biannual basis.
· Create a Care Plan with each participant utilizing a SMART goal format and regularly update Care Plan according to participant’s ongoing needs and service utilization to encourage participant’s active participation in better managing their health.
Participant Focused:
· Assess participant’s motivation to change using Readiness to Change scale and use interventions appropriate to participant’s Readiness to Change.
· Utilize motivational interviewing to engage participant and support participant’s motivation to better manage their chronic conditions.
· Monitor ongoing referrals to community resources and services to support participant’s access to health, behavioral health, and SDoH resources.
· Communicate with participant’s health plan and service providers to ensure coordination of services and to advocate for participant’s needs and preferences.
· Help participant to move along the continuum to self-sufficiency.
Participant Education:
· Provide support and education to participants to assist them in adhering to medical recommendations and taking medications as prescribed.
· Provide system utilization education.
· Assist participants in accessing and understanding necessary health and wellness information provided by their medical provider and clinic.
Partners in Care Foundation is an equal opportunity employer. We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations. It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws. All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
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