Care Navigator & Resource Coordinator

Brattleboro Memorial Hospital; Brattleboro (VT); On-site; USD 34,440 - 45,447; Full time

Job summary

Brattleboro Memorial Hospital in Brattleboro, VT seeks a Care Coordinator embedded in Primary Care to support medical and social service teams with screening, case management and resource coordination, and to assist in discharge planning for Brattleboro Family Medicine patients.

The role emphasizes collaboration with clinicians to assess complex patients, develop time‑limited treatment plans, and document in the EHR while ensuring follow‑ups for ongoing services.

Qualifications

• Bachelor’s degree in science or arts.
• 3–5 years recent experience in Care Coordinator/Care Management preferred.
• Current Healthcare Provider CPR certification.

Responsibilities

• Provides consultation with team members and takes referrals from them to outside resources.
• Collaborates with clinicians to assess and establish plan of care for complex patients including setting priorities with the patient/family.
• Assists individuals and families with identifying and prioritizing goals.
• Develops time‑limited treatment plans that target clearly identified goals with measures of success.
• Provides care coordination and resource connection.
• Maintains accurate and timely clinical documentation in the EHR; coordinates patient care proactively.

Skills

Care coordination

Discharge planning

Case management

Education

Bachelor's degree

Job description

POSITION SUMMARY:

Embedded in the Primary Care, the Care Coordinator provides consultation to the medical and social service treatment teams providing screening, case management and resource coordination and assisting in discharge planning when appropriate. The Care Coordinator is an integral member of the care team and provides case management, discharge planning and resource coordination to patients as well as provides routine follow ups on services for patients of Brattleboro Family Medicine.

Job Type

Full-time

Description

POSITION SUMMARY:

Embedded in the Primary Care, the Care Coordinator provides consultation to the medical and social service treatment teams providing screening, case management and resource coordination and assisting in discharge planning when appropriate. The Care Coordinator is an integral member of the care team and provides case management, discharge planning and resource coordination to patients as well as provides routine follow ups on services for patients of Brattleboro Family Medicine.

Dept. Scope Of Service

The BMH-owned or managed physician practices provide medical services in various specialties and offices including pediatrics, OB/GYN, cardiology, orthopedics, general surgery, family practice and internal medicine. The practices are staffed by physicians and other licensed providers who are supported by clinical staff (RNs, LPNs or medical assistants) and clerical staff (receptionists, transcriptionists, file clerks). Hours vary by practice.

Key Responsiblies

• Provides consultation with team members, and takes referrals from them to outside resources
• Collaborates with clinicians to assess and establish plan of care for complex patients including setting priorities with the patient/family.
• Assists individuals and families with identifying and prioritizing goals.
• With individuals, formulates time-limited treatment plans that target clearly identified treatment goals with a means of measuring success and treatment completion
• Provides care coordination and resource connection.
• Establishes relationship with community team, other providers, partner community agencies, and identified support systems for patients, collaborating as indicated.
• Completes periodic reports as required by BMH and or the state.
• Adheres to professional and ethical conduct at all times.
• Maintains accurate and timely clinical documentation in the EHR.
• Demonstrates the ability to coordinate patient care with a proactive approach to both acute and chronic conditions while being an advocate for the patient’s rights, value and belief systems.
  
  

Requirements

QUALIFICATIONS:

• EDUCATION:
• Bachelor’s degree in science or arts.
• EXPERIENCE/SKILL SETS:
• 3-5 years recent experience in Care Coordinator/Care Management preferred.
• Hospital experience preferred
• LICENSURE/CERTIFICATION(S):
• Current Healthcare Provider CPR certification
  
  

OSHA CATEGORY

• OSHA Category I - Tasks that involve exposure to blood, body fluids, or tissues require use of techniques of Universal Precautions as evidenced with blood borne pathogens standards.
  
  

Physical Demands

• On-the-job time is spent in the following physical activities.
• Standing - Up to 1/3
• Walking - Up to 1/3
• Sitting - 2/3 or more
• Talking or Hearing - 2/3 or more
• Use of hands to finger, handle or feel - Up to 1/3
• Pushing/Pulling - None
• Stooping, kneeling, crouching or crawling - None
• Reaching with hands and arms - Up to 1/3
• Tasting or smelling - None
  
  

This position requires that weight be lifted, or force be exerted.

• Up to 10 pounds - 2/3 or more
• Up to 25 pounds - 1/3 to 1/2
• Up to 50 pounds - Up to 1/3
• Up to 100 pounds - None
• More than 100 pounds - None
  
  

This position has special vision requirements.

• Close Vision (clear vision at 20 inches or less)
• Color Vision (ability to identify and distinguish colors)
• Ability to Adjust Focus (ability to adjust eye to bring an object into sharp focus)
  
  

WORK ENVIRONMENT

• This position requires exposure to the following environmental conditions.
• Wet, humid conditions (non-weather) - None
• Work near moving mechanical parts - Up to 1/3
• Fumes or airborne particles - Up to 1/3
• Toxic or caustic chemicals - Up to 1/3
• Outdoor weather conditions - None
• Extreme cold (non-weather) - None
• Extreme heat (non-weather) - None
• Risk of electrical shock - None
• Work with explosives - None
• Risk of radiation - None
• Vibration - None
• The typical noise level for the environment is:
• Very Quiet
• Quiet
• Moderate Noise
• Loud Noise
• Hearing
• Ability to hear calls
• Ability to hear instructions from physician/department staff/others
  
  

EEO/ADA Statement

Brattleboro Memorial Hospital provides equal employment opportunities to all applicants and employees and strictly prohibits any type of harassment or discrimination in regard to race, religion, age, color, sex, disability status, national origin, genetics, sexual orientation, protected veteran status, gender expression, gender identity, or any other characteristic protected under federal, state, and/or local laws.

Consistent with the Americans with Disabilities Act (ADA), it is the policy of Brattleboro Memorial Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact Human Resources.

Compensation Disclosure In Accordance With Vermont Act 155

In compliance with Vermont Act 155, Brattleboro Memorial Hospital provides the compensation range for this position in good faith. The listed range represents the pay scale reasonably expected for a successful candidate based on factors such as relevant experience, education, internal equity, and market competitiveness. Final compensation will be determined during the hiring process.

Salary Description

$25.00 - $32.99 / hour