Care Coordinator

2 weeks ago

Puyallup, Washington, United States SEA MAR Community Health Centers Full time

Job Summary:

Sea Mar Community Health Centers is seeking a skilled Care Coordinator to join our team. As a Care Coordinator, you will play a vital role in enhancing quality and patient-centered care by assessing gaps in care for patients with chronic conditions and/or mental health needs. You will work closely with the clinical care team to create a plan and facilitate team meetings.

Key Responsibilities:

  • Participate in morning huddles to anticipate patient clinical, social, and behavioral health needs.
  • Work with the care team to identify gaps in care and resolve them using process improvement strategies.
  • Provide brief interventions at point of care to assist patients with chronic illness management, address social needs, and link patients to behavioral health.
  • Advocate for patient services with community, social service, and medical providers.
  • Coordinate care transitions for patients seen in an emergency room and/or discharged from a hospital/long-term care facility.
  • Track patient adherence with plan of care in electronic or paper charts and communicate outcomes and recommendations to the primary care provider.
  • Function as a point person within the clinic care team regarding chronic disease management and improvement activities to improve clinical quality measures.
  • Organize monthly Health Home meetings by working with the Clinic Operations Team/Clinic Manager, create the agenda, and facilitate the meeting.
  • Collaborate with clinical care team to improve Patient-Centered Medical Home processes and provide documentation demonstrating performance.
  • Review the medical record for quality and utilization indicators according to the Quality Improvement Plan.
  • Generate reports for care teams to identify areas of improvement and monitor sustainability of each quality measure.

Requirements:

  • Must be able to work independently, prioritize workload, and meet deadlines.
  • Must have critical thinking skills and maintain confidentiality.
  • Excellent organizational skills and ability to handle a variety of tasks simultaneously.
  • Knowledge of medical terminology and/or behavioral health topics.
  • Strong decision-making and prioritization skills.
  • Ability to work respectfully and professionally with the community, patients, families, and staff.
  • Able to work effectively in a multi-cultural environment with a diverse population.
  • Sympathetic, mature, responsible, and reliable.
  • Strong patient engagement, interpersonal, and communication skills and ability to establish a therapeutic relationship with the patient.

Education, Certificates, Licenses, and Registrations:

  • For Care Coordinator I, must have Medical Assistant Training with one or more years of experience in a community health setting or family practice, or, one or more years of equivalent experience. Current licensure is not required for this position.
  • For Care Coordinator II, must be an LPN with experience in ambulatory care and/or have a BA/BS/BSW in a health-related field with one year of experience working in community health, or, 4 years of equivalent experience. The LPN does not have to have an active license; this is a non-licensed position.
  • This position must obtain CPR within 90 days of hire date and is required to maintain current CPR throughout employment.
  • NCQA (National Committee for Quality Assurance) Certification is a plus.
  • Valid WA State Driver's License and proof of liability insurance.

What We Offer:

Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Working at Sea Mar Community Health Centers is more than just a job, it's a fulfilling career with opportunity for advancement. The fringe benefits surpass most companies. For example, Full-time employees working 30 hours or more, receive an excellent benefit package of:

  • Medical
  • Dental
  • Vision
  • Prescription coverage
  • Life Insurance
  • Long Term Disability
  • EAP (Employee Assistance Program)
  • Paid-time-off starting at 24 days per year + 10 paid Holidays.

We also offer 401(k)/Retirement options and an exciting opportunity to work in a culturally diverse environment

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