Integrated Care Coordination Specialist

Cascadia Health; United States; On-site; USD 36,000 - 38,000; Full time

Benefits offered by this job

PTO 6 weeks

Medical & Dental

Vision discount

401(k) retirement

FSA

Disability & Life Insurance

Wellness program

Job summary

Cascadia Health relies on a Clinical Coordination Specialist to facilitate comprehensive client care across ITBC services, including mental health and primary care. The role requires coordinating hospitalizations, ER visits, and post-discharge follow-ups, while bridging gaps in care between services.

This position engages in panel population management and outreach, collaborating with ITBC leadership and the Population Health team to improve care transitions and outcomes for clients.

Qualifications

• Education: BA in a related field (e.g., social or behavioral science, public health) or QMHA/CADC preferred but not required.
• Experience: At least one year in a healthcare setting; consumer/customer service experience required.
• Behavioral health and panel management experience preferred.

Responsibilities

• Organize and analyze data from client panels to track healthcare utilization and needs, with outreach as needed.
• Coordinate referrals with other providers using electronic health records and payer support.
• Identify and engage clients in mental, physical, and oral health services.
• Monitor ED admissions and follow up with clients and interdisciplinary team post-discharge.
• Assist with scheduling external appointments and coordinate reminders.
• Coordinate medical equipment orders and transportation for clients.
• Attend team huddles, staff meetings, and departmental meetings to align with team objectives.
• Collaborate with teams to address diabetes management, mental health, preventative health, and health promotion.
• Identify target client populations with leadership to develop outreach strategies.

Skills

Recovery model

Motivational interviewing

Care coordination

Panel management

Trauma-informed care

Harm reduction

Cultural responsiveness

Data analysis

Education

BA in related field

QMHA/CADC certification preferred

Tools

EHR systems

Job description

Cascadia Health relies on a Clinical Coordination Specialist to facilitate comprehensive client care across ITBC services, including mental health and primary care. The role requires coordinating hospitalizations, ER visits, and post-discharge follow-ups, while bridging gaps in care between services.

This position engages in panel population management and outreach, collaborating with ITBC leadership and the Population Health team to improve care transitions and outcomes for clients.