Care Coordinator I or II

Sea Mar Community Health Centers

Lacey (WA)

On-site

USD 45,000 - 60,000

Full time

14 days+

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Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

Paid time off starting at 24 days per year

401(k) / Retirement options

Job summary

Sea Mar Community Health Centers is hiring a Care Coordinator for their Lacey Medical Clinic. This full-time role involves enhancing patient-centered care by assessing gaps in care and facilitating solutions with a clinical team. Responsibilities include patient advocacy and tracking care plans.

The ideal candidate will possess strong critical thinking, organization, and communication skills, with the ability to work effectively in a diverse community health setting. Bilingual in Spanish is preferred.

Qualifications

Must have critical thinking skills and maintain confidentiality.
Knowledge of medical terminology and/or behavioral health topics.
Ability to effectively manage time and prioritize tasks.

Responsibilities

Participate in morning huddles to address clinical and social health needs.
Advocate for patient services with community and medical providers.
Track patient adherence with care plans and communicate outcomes.

Skills

Critical thinking skills

Organizational skills

Communication skills

Ability to work in a multi-cultural environment

Interpersonal skills

Bilingual in Spanish

Education

Medical Assistant Training or equivalent experience

LPN or BA/BS/BSW in health-related field

Tools

Microsoft Word

Microsoft Excel

Microsoft PowerPoint

Microsoft Outlook

Job description

Sea Mar Community Health Centers

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. Sea Mar is a mandatory COVID-19 and flu vaccine organization.

Care Coordinator I or II

Job Number: #27316

Position Summary

Full‑time Care Coordinator position available for our Lacey Medical Clinic. The Care Coordinator is responsible for being part of a clinical care team and enhancing quality and patient‑centered care. This is accomplished by assessing gaps in care for patients with chronic conditions and/or mental health needs and creating a plan with the clinical care team during daily huddles. They will assist patients with medication management, access to insurance, and help identify any other preventive health needs. The Care Coordinator will also assist patients with ongoing self‑management goal setting utilizing Motivational Interviewing skills. Strong computer skills are necessary to track patient’s adherence with their plan of care in electronic charts. This position also requires that the Care Coordinator facilitate team meetings so organization skills and effective communication skills are needed.

Duties and Responsibilities

Participate in morning huddles to anticipate the patient’s clinical, social and behavioral health needs
Work with the care team to identify gaps in care and work to resolve them using process improvement strategies
Provide brief interventions at point of care to assist patients with management of their chronic illness, address any social needs and link patients to behavioral health
Advocate for patient services with community, social service, and medical providers
Participate and coordinate care transitions for patients who have been seen in an emergency room and/or have been discharged from a hospital/long‑term care facility
Track patient’s 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 help 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
Other duties assigned as needed

Qualifications and/or Experience

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

Knowledge, Skills, and Abilities

Knowledge of the Patient-Centered Medical Home Model and motivational interviewing skills a plus
Knowledge of evidence-based standards of care for chronic conditions and behavioral health issues
Knowledge of and proficient in Microsoft Word, Excel, PowerPoint, and Outlook
Ability to utilize and document relevant patient information in the Electronic Health Record
Knowledge of community resources
Ability to work in a fast‑paced community health care setting
Ability to think analytically and problem solve in a multidisciplinary team and independently
Ability to deal effectively with difficult people and situations
Ability to communicate effectively with diverse communities
Ability to manage time effectively and prioritize tasks
Ability to analyze patient care data
Ability to identify client learning needs and to assess client’s knowledge, skill level and readiness for learning
Ability to maintain the privacy and security of sensitive and confidential information in all formats including verbal, written and electronic; and adhere to policies and procedures related to local, state, and federal privacy requirements
Excellent communication and customer service skills
Critical thinking skills
Ability to understand and implement process improvement activities
Bilingual in Spanish is strongly preferred

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 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
Must obtain CPR within 90 days of hire date and 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

Benefits

Sea Mar offers talented and motivated people the opportunity to work in a dynamic and growing community health organization. Full‑time employees working 30 hours or more receive an excellent benefit package that includes: