Care Coordinator – Managed Care (RN, LCPC, LPC, LCSW, LSW)

Access Community Health Network; Chicago (IL); On-site; USD 65,000 - 95,000; Full time

Benefits offered by this job

Tuition reimbursement

Health insurance

Generous PTO

403(B) retirement plan

Life Insurance

Cross-departmental collaboration

Job summary

Access Community Health Network is seeking a Care Coordinator to lead care navigation across transitions, education, and coaching for patients. The role supports both RN and Social Worker tracks, with licensure in Illinois and clinical experience required.

The position emphasizes team leadership, use of EMR, and patient empowerment through structured care planning and education across the care continuum.

Qualifications

• Must have Illinois license: LCPC, LPC, LCSW or LSW for Social Worker track.
• RN track requires Illinois RN licensure and an associate degree (bachelor’s preferred).
• Minimum 2 years (Social Worker path) or 1 year (RN path) clinical experience.

Responsibilities

• Lead intake process and care plan development.
• Coordinate patient navigation across care transitions.
• Provide health education, advocacy and coaching.
• Conduct face-to-face visits per policy and workflow.
• Support families in self-management and goal achievement.
• Ensure post-emergency department and hospital follow-up.

Skills

Care coordination

Bilingual Spanish

Microsoft Office

Electronic Medical Records

Education

Bachelor’s degree in Nursing

Associate’s degree

Master’s degree in Social Work

Tools

EMR

Microsoft Office

Job description

We are an equal opportunity employer. All qualified applicants will receive consideration for employment. We do not discriminate for any reason. We welcome talented individuals who believe in our mission, drive the organization forward, and recognize the positive impact they can bring to our communities.

Who We Are

If you want to work for a mission-driven organization that’s impacting community health care both on a local and national level, then Access Community Health Network (ACCESS) may be the perfect place for you. As a nationally recognized leader in community health, we continue to innovate and improve our integrated care model to address the total health and wellness of our patients. Our dedicated staff are committed to advancing health equity and making a long-term impact on the health outcomes of the more than 150,000 patients that count on ACCESS as their medical home each year.

Position Summary

The Care Coordinator is a Registered Nurse, Licensed Social Worker or Counselor who provides care coordination, social support services and outreach services to assist patients in navigating health care transitions, and support patient empowerment through health education, advocacy and coaching.

• Serve as team lead for intake process, development and maintenance of care plan and promoting health programs and services.
• Utilize information systems and decision support, manages a patient panel to proactively contact, educate, and track patients by disease, risk, and self-management status, as well as family and community need.
• Lead Patient-Centered Care Planning including assessment, plan, implementation/intervention and evaluation, as well as a method for monitoring and intervening.
• Conduct (face-to-face) visits according to policy and workflows
• Provide resources to support patient/families in self-management to meet health care treatment goals, assess readiness to learn and validate learning outcomes.
• Assist patients and providers from across the care continuum in the transition from outpatient- to inpatient setting, and ensure post-emergency department, hospitalization, and/or specialist follow up.

Requirements

Social Worker/ Counselor

Bachelor’s Degree Required, Master’s Degree Preferred

Current, unrestricted Illinois license: LCPC, LPC, LCSW or LSW required

Minimum two (2) years’ experience in a clinical setting required.

OR

Registered Nurse

Associate’s degree required; Bachelor’s degree preferred

Registered Nurse (RN); current unrestricted licensure in Illinois, required

Minimum of one (1) year of general nursing experience in a clinical setting is required.

• Care Coordination experience preferred.
• Bilingual Spanish a plus.
• Previous experience using an electronic medical record preferred.
• Intermediate proficiency in Microsoft Office products (Word, Excel, PowerPoint) required.

Benefits

• Tuition reimbursement and student loan forgiveness programs for qualifying individuals
• Comprehensive healthcare coverage including Medical, Dental, and Vision
• Generous PTO
• 403(B) retirement plan and financial resources to help you save and plan for your retirement
• Life Insurance
• Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace

ACCESS is a Network of Federally Qualified Health Centers treating patients on the frontlines of community-based health care. Depending on position applied/being recruited for, candidates may be required to be vaccinated against communicable diseases and provide supporting documentation proving that they are properly vaccinated, or apply for religious and/or medical vaccination exemption as a part of the application process.

The pay ranges provided represent the minimum to mid-range for positions. Actual compensation will be determined based on a combination of factors including years of experience, educational background, market conditions, and available grant funding.