Chronic & Behavioral Health Care Navigator

002 Sea Mar Community Health Center; Washington (Washington County); On-site; GBP 34,000 - 45,000; Full time

Job summary

Sea Mar Community Health Centers seeks a Care Coordinator to manage the coordination of care for patients with chronic conditions and behavioral health needs at the point of care. As a member of the Clinical Care Team, you will participate in daily huddles, identify patient needs per protocols, and enhance quality and patient-centered care at Sea Mar.

The role involves coordinating with the care team to fill gaps in care, providing brief interventions, linking patients to behavioral health 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 resolve them using process improvement strategies.
• Provide brief interventions at point of care to assist patients with management of chronic illness and address social needs.
• Advocate for patient services with community, social service, and medical providers.
• Coordinate care transitions for patients seen in emergency rooms or discharged from hospital/long-term facilities.

Job description

Sea Mar Community Health Centers seeks a Care Coordinator to manage the coordination of care for patients with chronic conditions and behavioral health needs at the point of care. As a member of the Clinical Care Team, you will participate in daily huddles, identify patient needs per protocols, and enhance quality and patient-centered care at Sea Mar.

The role involves coordinating with the care team to fill gaps in care, providing brief interventions, linking patients to behavioral health and