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Clinical Care Coordinator
3 months ago
At Umpqua Health, we're more than just a healthcare organization; we're a community-driven Coordinated Care Organization (CCO) committed to improving the health and well-being of individuals and families throughout our region. Our comprehensive services include primary care, specialty care, behavioral health services, and care coordination to ensure our members receive holistic, integrated healthcare. Our collaborative approach fosters a supportive environment where every team member plays a vital role in our mission to provide accessible, high-quality healthcare services. From preventative care to managing chronic conditions, we're dedicated to empowering healthier lives and building a stronger, healthier community together.
Umpqua Health strongly encourages applications from candidates of color as well as veterans, aiming to foster a work environment that is linguistically and culturally diverse and inclusive. Please note that at this time, Umpqua Health does not offer visa sponsorship.
Umpqua Health is seeking a compassionate and proactive Clinical Care Coordinator to join our team. This pivotal role focuses on coordinating healthcare services for our members, ensuring continuity of care and fostering collaborative relationships with healthcare providers and community resources. The Clinical Care Coordinator will leverage clinical expertise to deliver personalized care coordination, promote preventive care, and support members in managing their health conditions effectively.
Your Impact
- Engage members in diverse settings (home visits, telehealth, community-based locations) to conduct comprehensive assessments, identify healthcare needs, and develop tailored care plans that align with their goals and preferences.
- Serve as a dedicated advocate for members within the healthcare system, ensuring access to appropriate services and resources. Facilitate referrals to specialists, diagnostic services, and community support programs as needed.
- Apply clinical knowledge and evidence-based practices to educate members on managing chronic conditions, medication adherence, and preventive care strategies. Monitor member progress, evaluate outcomes, and adjust care plans collaboratively.
- Work closely with multidisciplinary healthcare teams, including physicians, nurses, social workers, and behavioral health specialists, to coordinate comprehensive care plans that address both physical and psychosocial aspects of health.
- Maintain accurate and detailed documentation of member interactions, care plans, and coordination activities in accordance with organizational policies and regulatory requirements.
- Participate in community outreach initiatives and educational programs to promote health literacy, raise awareness about available services, and encourage preventive healthcare practices among members.
- Regularly review and evaluate the effectiveness of care plans, making adjustments based on member progress and changing healthcare needs.
- Facilitate smooth transitions of care for members moving between healthcare settings or levels of care, ensuring continuity and adherence to best practices.
- Assist members in navigating complex healthcare systems, including understanding insurance coverage, accessing specialty services, and managing appointments.
- Perform other duties as assigned by management needed to help drive to our Vision, fulfill our Mission, and abide by our Organization's Values.
- Education and Certification: Bachelor's degree in behavioral science, social science, or related field OR licensed as RN, LCSW, RX, RT, or certified CRC, CDMS. Must obtain Certified Case Manager (CCM) certification within one year of hire.
- Experience: Minimum of two years' experience as a Case Manager, preferably in clinical healthcare settings. Prior experience with Oregon Medicaid Case Management is advantageous.
- Skills and Knowledge: Proficient in using MS Office suite and basic office equipment (e.g., computer keyboarding, copy machines, multiline phone systems). Typing speed of at least 45 wpm with high accuracy. Strong analytical and strategic problem-solving skills. Ability to organize, prioritize, and manage multiple tasks effectively with high attention to detail. Willingness to learn new skills, accept feedback, and take on new responsibilities.
- Preferred Qualifications: Previous experience as a Certified Case Manager (CCM). Familiarity with trauma-informed care principles and motivational interviewing techniques. Knowledge of community resources and ability to navigate healthcare systems effectively. Competency in providing culturally competent care and working with diverse populations. Clinical understanding of health and social needs for diverse patient populations.
Umpqua Health is an equal opportunity employer that embraces individuals from all backgrounds. We prohibit discrimination and harassment of any kind, ensuring that all employment decisions are based on qualifications, merit, and the needs of the business. Our dedication to fairness and equality extends to all aspects of employment, including hiring, training, promotion, and compensation, without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, veteran status, or any other protected category under federal, state, or local law.
