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Care Coordinator

4 months ago

Napa, United States OLE Health Full time

**POSITION TITLE**:Care Coordinator

**DEPARTMENT**:Care Coordination

**REPORTS TO**:Care Coordination Manager

**SUPERVISION GIVEN**:no

**LOCATION**:North Napa, CA

**HOURS**: Mon to Fri, 40 hours a week

**PAY RANGE**:$24.39 to $33.14

**About CommuniCare+OLE**

Established in 2023, CommuniCare+OLE is the result of a union of two health centers with a deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare+OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs.

**JOB SUMMARY**: The Care Coordinator is a member of the CommuniCare+OLE clinical care team and works in continuous partnership with the patient, their family when appropriate, CommuniCare+OLE care team, and relevant community partners to improve health outcomes and meet the patient’s desired health and wellness goals by:

- Serving as the contact point, advocate, and informational resource for patients, family/caregiver(s), primary care team, payers, and community resources
- Facilitating access to internal and external services
- Identifying and addressing gaps in care
- Increasing patient’s ability for self-management and shared decision-making

**KNOWLEDGE OF WORK**
- Knowledge of Organizational Improvement Methods

Knowledge care coordination best practices

Knowledge of Federally Qualified Health Centers and the key health center principles and guidelines

**DUTIES AND RESPONSIBILITIES**
- Evaluates social determinants of health, identifies barriers to care and addresses/resolves obstacles impeding progress

Processes and closes the loop for community resource referrals

Provides warm hand-offs for urgent and stat medical referrals and collaborates with referral coordinators to ensure medical referrals are processed

Works with direct supervisor and QI department to ensure quality improvement initiatives are met

Meets with each new patient and orients patient and family/caregiver(s) to CommuniCare+OLE

As a member of the care team, participates in huddles, team meetings, and case conferencing as needed

Educates patient and family/caregiver(s) about relevant community resources

Coordinates warm hand-offs for integrated care providers

Provides support to primary care providers by completing forms and other tasks as needed

Provides care management and creates care plans for patients on high-risk registry.

Documents timely and efficiently in the EMR

Attends appropriate training courses/webinars and meetings

Gathers and reports data related to aspects of care coordination when needed

Provides feedback for the improvement of Care Coordination processes

Perform other duties as assigned

**EDUCATION, EXPERIENCE, TRAINING**
- High School Diploma or equivalent.
- Experience working with diverse populations; displays respect and sensitivity to cultural diversity.
- Experience working in community health setting.
- Strong collaborative skills; ability to effectively and appropriately engage members of the care team, other clinic departments, leadership, and external community partners.
- Exceptional communication skills; ability to effectively engage patients and assess needs and concerns to ensure that the patient is referred appropriately.
- Excellent in-person and phone customer service skills; able to manage difficult and emotional patient situations and to respond promptly to patient needs.
- Ability to adapt to change; approach challenges with an innovative and proactive attitude; and investigate resources.
- Strong verbal and written communication skills required; Bilingual (English/Spanish) required.

**BENEFITS**:

- Medical, Dental, Vision Coverage
- Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
- 18 days of PTO (Vacation & Sick)
- 10 Paid Holidays + 1 Float Holiday
- 4% Employer Match for 403(b) retirement plan
- Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
- Life & Accidental Insurance Coverage
- Employer contribution for Health Savings Account
- Flexible Spending Account (FSA) and Limited FSA Options