Care Coordinator I or II

Sea Mar Community Health Centers; Puyallup (WA); On-site; USD 28,929 - 31,684; Full time

Benefits offered by this job

Medical

Vision

Prescription coverage

Life Insurance

Long-Term Disability

Employee Assistance Program

PTO 24 days + 10 holidays

Job summary

Sea Mar Community Health Centers in Washington state is hiring a Full-time Care Coordinator I or II for our Puyallup Medical Clinic. The role focuses on assessing gaps in care for patients with chronic conditions and mental health needs, and developing plans with the care team during daily huddles to improve patient-centered care.

The position requires strong computer skills to track adherence in electronic charts, along with organization and effective communication to facilitate team meetings

Qualifications

• Ability to work independently, prioritize workload, and meet deadlines.
• Confidentiality and strong critical thinking needed.
• Excellent organizational and multitasking abilities.
• Knowledge of medical terminology and behavioral health topics.
• Strong decision-making and prioritization skills.

Responsibilities

• Participate in morning huddles to identify patient care needs.
• Collaborate with the care team to close gaps in care.
• Provide brief interventions to support chronic illness management.
• Advocate for patient services with community, social service, and medical providers.
• Coordinate care transitions from ER or hospital discharge.
• Track adherence to the care plan in charts and report outcomes to providers.
• Serve as a point of contact for chronic disease management and quality improvement.
• Organize monthly Health Home meetings with clinic leadership.
• Improve Patient-Centered Medical Home processes and document performance.
• Review records for quality and utilization indicators and generate improvement reports.

Skills

Care coordination

Patient support

Motivational interviewing

Electronic charting

Team collaboration

Education

Medical Assistant Training

LPN or health-related BA/BS

Job description

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 – Posting #27365

Hourly Rate: $21.88 - $22.63

Position Summary

Full‑time Care Coordinator position available for our Puyallup 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. The coordinator will assist patients with medication management, access to insurance, and help identify any other preventive health needs. The coordinator will also assist patients with ongoing self‑management goal setting utilizing Motivational Interviewing skills. Strong computer skills are necessary to track patient adherence with their plan of care in electronic charts. The coordinator must also facilitate team meetings, so organization 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 or 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

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 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 multicultural 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 Care Coordinator II: must be an LPN with experience in ambulatory care and/or have a BA, BS, or BSW in a health‑related field with one year of experience working in community health, or four 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
• 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.

Sea Mar is an Equal Opportunity Employer.

Posted 02/25/2025. External candidates are considered after 02/28/2025.

This position is represented by Office and Professional Employees International Union (OPEIU).