Community Care Coordinator

Community Care Coordinator page is loaded## Community Care Coordinator locations:
Visalia, California time type:
Full time posted on:
Posted Todayjob requisition :
R26 Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.
** Benefits Eligible
** Full-Time Benefit Eligible
** Work Shift
** Day - 8 Hour or less Shift (United States of America)
** Department
* * 8519 Cal Aim Enhanced Care Mgmt Improves the outcomes and delivery of care to those individuals who have serious unmanaged health and/or psychological conditions and uses health services in ways that do not result in positive health outcomes. Connects high utilizing individuals with available resources in the community to improve their health outcomes, reduce redundant health care utilization, and procure housing in the case of homelessness.

The Community Care Coordinator coordinates the provision of patient care within programs such as Enhanced Care Management (ECM), and Community Supports (CS) to ensure patients’ care is continuous and integrated amongst service providers. Acts as the lead case manager for patients and will be responsible for the navigation of patient’s medical health, behavioral health, social systems, community resources and housing transitions.

Involves patients and their family members, the health-care team members and outside organizations to reduce and address Social Determinants of Health (SDOH) and barriers to care.

QUALIFICATIONS License /Certification

Required:

Valid California Driver's License. Must provide DMV report prior to offer being made. No driving infractions 5 years prior to hire or during time in this job. Infractions include DUI, Suspended or Revoked License, Reckless Driving.
Education

Required:

Bachelor's degree in Social Work, Psychology, Behavioral Sciences, Health Education, Public Health or related field, or four years of community outreach experience.
Knowledge/Skills/Abilities  Ability to organize and prioritize work  Excellent diplomacy and negotiation skills  Good written and verbal skills  Must have valid transportation and auto insurance  Bilingual in Spanish strongly preferred  Preferred working knowledge of social service programs and benefits; laws, rules, and procedures governing eligibility for public assistance programs, basic record keeping practices including client related service documentation, use of electronic office tools;

client service engagement and accountability.

JOB RESPONSIBILITIES    Essential    Conducts outreach, client engagement, referral, treatment, education, data collection, and supportive community-based services for assigned client caseload.
Works closely with the Primary Care Provider (PCP) team, Patient and Family Services (PFS), Patient Advocates, Financial Counselors, and the admissions/benefits staff to assist in patient transitions of care and follow up. Provides insight into the client challenges and barriers based on home visits to the client’s care team.
Facilitates client access to community resources, including locating housing, food, clothing, school programs, vocational opportunities or services, providers to teach life skills, and relevant mental health services, assists client to develop natural resources and make contact with social support networks.
Acts as liaison on behalf of the client and care team; will encourage and enable when necessary patients to go to scheduled appointments.
Responsible for becoming…