Care Coordinator, SR

Overview

First Choice Health Centers is seeking an experienced Senior Care Coordinator who will support patients with complex medical, behavioral health and social needs by ensuring seamless, whole-person care. This position provides advanced care coordination, connects patients to essential community resources and leads a team of care coordinators in support of our patient Center Medical Home model. Ideal candidates are collaborative, mission-driven leaders who are passionate about improving health outcomes and advancing health equity in underserved communities.

We are committed to you! We offer great training, great benefits, career growth and employee well-being! For full-time employees:

• Medical, Dental and Vision Insurance for employees working 30 hours or more
• 20 days of Vacation, 8 Paid Holidays, and 2 Floating Holidays per year
• Voluntary Term, Whole Life, Accident and Critical Care Insurance
• Retirement savings program, including a safe harbor 401k with up to a 4% company match after 6 months of employment
• Complimentary premium Calm Health membership (1 mental health app)
• Formal recognition programs
• Primarily a Monday through Friday schedule working 8:00 am to 4:30 pm on Monday, Wednesday at Thursday, 8:00 am to 6:00 pm on Tuesday and Friday, 8:00 am to 3:00 pm.
• The budgeted pay range for this position is $21.00 - $30.00/hour. Actual pay will be determined based on several factors. These may include education, work experience, and in some instances certifications and licensure. We strive for market alignment and internal equity with our colleague's pay.

For more than 25 years First Choice Health Centers has been a leading nonprofit human services organization that breaks down barriers to care helping individuals and communities live healthier lives. To learn more about First Choice Health Centers, visit us .

• Bachelor's degree in Social Work, Public Health, Psychology, or a related field required.

• Minimum of 3-5 years of experience in care coordination, case management, health navigation, or community health, with some supervisory experience preferred
• Knowledge of medical terminology, insurance processing and healthcare workflows
• Knowledge of local community resources, behavioral health services, and insurance programs is preferred.
• Ability to write reports, maintain documentation, and communicate effectively with diverse stakeholders.
• Demonstrated ability to build relationships with patients, families, and external agencies.
• Thorough understanding of HIPAA regulations, requirements, and guidelines.
• Bilingual Spanish/English highly desirable.
• Familiarity with electronic health records and managed care requirements.

• Provide advanced care coordination and case management for patients, including complex mental health and primary care needs.
• Supervise and mentor care coordinators, providing guidance, training, and performance feedback.
• Ensure timely outreach to patients upon referral by clinical departments.
• Evaluate patient care needs and coordinate referrals to the appropriate healthcare providers and community resources.
• Facilitate referrals to community and state resources, ensuring alignment with care plans and clinician recommendations.
• Support uninsured patients in accessing insurance and financial assistance programs.
• Educate patients about Center's services, including Behavioral Health, Internal Medicine, Family Medicine, Dental, and specialty care, and coordinate necessary referrals.
• Maintain and oversee documentation for HEDIS, Risk Stratification lists, and other quality metrics.
• Represent the health center in community programs, service systems, and partnership meetings to enhance referral networks and patient attribution.
• Develop and maintain comprehensive community resource guides for staff and patients.
• Lead presentations to internal teams regarding new or updated community resources.
• Ensure care plans and patient records are accurately maintained in electronic medical record.
• Participate in committees, educational seminars, and projects as needed.
• Community outreach/attending events; collaborate with external healthcare agencies
• Travel between…