Patient Care Coordinator II

2 weeks ago

Everson, Washington, United States SeaMar Community Health Centers Full time
Position Overview:

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) established in 1978, is dedicated to delivering quality, comprehensive health, human, housing, educational, and cultural services to diverse communities, with a focus on serving Latinos in Washington State. We are committed to serving all individuals without discrimination based on race, ethnicity, immigration status, gender, or sexual orientation, and regardless of their ability to pay for services. Our extensive network includes over 90 medical, dental, and behavioral health clinics, alongside a variety of nutritional, social, and educational services.

Position Summary:

This full-time role is available at our Everson Medical Clinic. The selected candidate will be tasked with coordinating care for patients dealing with chronic conditions and behavioral health challenges at the point of care. As a vital member of the Clinical Care Team, the Care Coordinator will engage in daily huddles, assess patient needs following established protocols, and deliver point-of-care services. The role is essential in enhancing quality and patient-centered care at Sea Mar Community Health Centers.

Key Responsibilities:
  • Engage in morning huddles to proactively address the clinical, social, and behavioral health needs of patients.
  • Collaborate with the care team to identify and rectify gaps in care through process improvement initiatives.
  • Provide brief interventions at the point of care to support patients in managing chronic illnesses, addressing social needs, and connecting them to behavioral health resources.
  • Advocate for patient services with community organizations, social services, and medical providers.
  • Facilitate care transitions for patients recently discharged from emergency rooms or hospitals.
  • Monitor patient adherence to care plans and communicate outcomes to primary care providers.
  • Act as a key resource within the clinic care team regarding chronic disease management and quality improvement activities.
  • Organize and lead monthly Health Home meetings in collaboration with the Clinic Operations Team.
  • Work with the clinical care team to enhance Patient-Centered Medical Home processes and provide documentation of performance.
  • Review medical records for quality and utilization indicators in line with the Quality Improvement Plan.
  • Generate reports to identify areas for improvement and monitor the sustainability of quality measures.

Qualifications:

To excel in this role, candidates must demonstrate the ability to fulfill essential duties effectively. The following qualifications are essential:
  • Ability to work independently, prioritize tasks, and meet deadlines.
  • Strong critical thinking skills and a commitment to confidentiality.
  • Excellent organizational skills with the capacity to manage multiple tasks simultaneously.
  • Familiarity with medical terminology and behavioral health topics.
  • Proficient decision-making and prioritization abilities.
  • Ability to engage respectfully and professionally with diverse communities, patients, families, and staff.
  • Experience working effectively in a multicultural environment.
  • Demonstrated maturity, responsibility, and reliability.
  • Strong interpersonal and communication skills, with the ability to establish therapeutic relationships with patients.

Knowledge, Skills, and Abilities:
  • Understanding of the Patient-Centered Medical Home Model and motivational interviewing techniques is advantageous.
  • Knowledge of evidence-based care standards for chronic conditions and behavioral health issues.
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook).
  • Ability to document relevant patient information in Electronic Health Records.
  • Familiarity with community resources.
  • Capacity to thrive in a fast-paced community health care environment.
  • Analytical thinking and problem-solving skills within a multidisciplinary team.
  • Effective communication with diverse communities.
  • Time management and task prioritization skills.
  • Ability to analyze patient care data and assess client learning needs.
  • Commitment to maintaining the privacy and security of sensitive information.
  • Exceptional communication and customer service skills.
  • Critical thinking and process improvement implementation skills.
  • Bilingual in Spanish is strongly preferred; other language skills may be considered based on community needs.

Education and Experience:
  • LPN with experience in ambulatory care or a BA/BS/BSW in a health-related field with at least one year of experience in community health, or four years of equivalent experience. The LPN does not require an active license as this is a non-licensed position.
  • Basic Life Support (BLS) CPR certification must be obtained within 90 days of hire and maintained throughout employment.
  • NCQA Certification is a plus.
  • A valid Washington State Driver's License and proof of liability insurance are required.

What We Offer:

Sea Mar provides talented and motivated individuals with the opportunity to work in a dynamic and expanding community health organization. Employment at Sea Mar Community Health Centers is not just a job; it is a rewarding career with opportunities for advancement. Our benefits package is competitive, including:
  • Medical, Dental, and Vision coverage
  • Prescription coverage
  • Life Insurance
  • Long-Term Disability
  • Employee Assistance Program (EAP)
  • Paid time off starting at 24 days per year plus 10 paid holidays
We also offer 401(k)/Retirement options and the chance to work in a culturally diverse environment.

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