Care Coordinator I or II

Sea Mar Community Health Centers; Olympia (WA); On-site; USD 45,600 - 47,100; Full time

Benefits offered by this job

Health insurance

PTO and holidays

401(k) plan

EAP

Job summary

Sea Mar Community Health Centers is seeking a Care Coordinator I or II for the Olympia Medical Clinic. The role involves assessing gaps in care for patients with chronic or mental health needs, creating care plans, assisting with medication management and insurance access, and leading monthly Health Home meetings.

Strong computer skills and bilingual ability are preferred. The position is full-time with an hourly rate of $21.88–$22.63, and requires CPR certification within 90 days.

Qualifications

• Knowledge of the Patient-Centered Medical Home model and motivational interviewing.
• Experience documenting patient information in the Electronic Health Record.
• Ability to work in a fast-paced community health setting.

Responsibilities

• Participate in morning huddles to anticipate patients' clinical, social, and behavioral health needs.
• Identify and resolve gaps in care using process improvement strategies.
• Provide brief interventions at point of care for chronic illness management and social needs.

Skills

Care coordination

Communication

Organizational skills

Bilingual English/Spanish

Education

Medical Assistant Training

LPN / BA/BS / BSw

Tools

Microsoft Word

Excel

PowerPoint

Outlook

Job description

Sea Mar Community Health Centers is a Federally Qualified Health Center (FQHC) founded in 1978 that provides comprehensive health, human, housing, educational, and cultural services to diverse communities. Sea Mar serves all persons regardless of race, ethnicity, immigration status, gender, sexual orientation, or ability to pay.

Care Coordinator I or II – Posting #27392

Hourly Rate: $21.88 – $22.63

Position Summary

The Care Coordinator is a full‑time member of the clinical care team for the Olympia Medical Clinic. Responsibilities include assessing gaps in care for patients with chronic conditions and/or mental health needs, creating care plans during daily huddles, assisting with medication management and insurance access, providing brief interventions, and facilitating team meetings. Strong computer skills are required for tracking patient adherence in the electronic health record.

Duties and Responsibilities

• Participate in morning huddles to anticipate patients' clinical, social, and behavioral health needs.
• Work with the care team to identify and resolve gaps in care using process improvement strategies.
• Provide brief interventions at point of care to assist patients with chronic illness management, address social needs, and link to behavioral health services.
• Advocate for patient services with community, social service, and medical providers.
• Coordinate care transitions for patients discharged from an emergency department or hospital/long‑term care facility.
• Track patient adherence to the plan of care in electronic or paper charts and communicate outcomes to the primary care provider.
• Act as the point person for chronic disease management and quality improvement initiatives.
• Organize monthly Health Home meetings, create agendas, and facilitate discussions.
• Document improvements in Patient‑Centered Medical Home processes.
• Review records for quality and utilization indicators per the Quality Improvement Plan.
• Generate reports to identify areas for improvement and monitor sustainability of quality measures.

Qualifications and Experience

• Independently prioritizes workload and meets deadlines.
• Exhibits critical thinking and maintains confidentiality.
• Strong organizational and multitasking skills.
• Knowledge of medical terminology and/or behavioral health topics.
• Strong decision‑making and prioritization abilities.
• Works respectfully and professionally with a diverse population.
• Communicates effectively and establishes therapeutic relationships.
• Reasonable accommodations may be provided to employees with disabilities.

Knowledge, Skills, and Abilities

• Knowledge of the Patient‑Centered Medical Home model and motivational interviewing.
• Knowledge of evidence‑based standards for chronic conditions and behavioral health issues.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
• Experience documenting patient information in the Electronic Health Record.
• Knowledge of community resources.
• Ability to work in a fast‑paced community health setting.
• Analytical and problem‑solving skills in multidisciplinary teams.
• Skill in handling difficult people and situations.
• Excellent communication and customer service.
• Bilingual in English/Spanish is strongly preferred.

Education, Certificates, Licenses, and Registrations

• Care Coordinator I: Medical Assistant Training with one or more years of experience in a community or family practice setting, or equivalent experience. Licensure not required.
• Care Coordinator II: LPN with ambulatory care experience, or BA/BS/BSW in a health‑related field with one year of experience in community health, or 4 years of equivalent experience. LPN license not required.
• Must obtain CPR certification within 90 days of hire and maintain it.
• NCQA certification is a plus.
• Valid Washington State driver’s license and proof of liability insurance.

Benefits

Full‑time employees working 30+ hours receive a comprehensive benefits package, including:

• Medical, dental, vision, and prescription coverage
• Life insurance, long‑term disability, and EAP
• Paid‑time‑off starting at 24 days per year plus 10 paid holidays
• 401(k) retirement plan

Equal Opportunity Employer

Sea Mar is an Equal Opportunity Employer.