Integrated Care Coordinator

Wilmington Community Clinic; California; On-site; USD 30,000 - 34,000; Full time

Benefits offered by this job

Medical, dental and vision insurance

10 vacation days year 1

12 holidays + sick leave

Retirement plan + EAP

Job summary

Wilmington Community Clinic seeks an Integrated Care Coordinator to help patients navigate care across medical, dental, behavioral health, and outreach services.

The role focuses on reducing barriers to care, coordinating referrals, and ensuring accurate documentation in EHRs, with occasional evenings/weekends as needed.

Qualifications

• High School Diploma or GED; Bachelor's Degree preferred.
• 1 year of general clerical and customer service experience.
• 1–2 years in care coordination, case management, or ECM; clinical/Medicaid setting preferred.

Responsibilities

• Serve as central contact for patients in care coordination programs.
• Outreach and follow-up after referrals to encourage engagement.
• Track referrals from start to finish and ensure follow-up.
• Document interactions and program info in EHRs.
• Coordinate care across medical, dental, behavioral health teams.
• Update providers and teams to support continuity of care.
• Help patients overcome barriers by connecting to resources.
• Manage appointments, care plans, referrals, and interactions.
• Attend community events to connect patients to services.
• Support navigation of healthcare and social services.
• Coordinate transitions of care with outside providers and transportation needs.
• Maintain relationships with community organizations to strengthen support.
• Promote and connect with care coordination services in the community.
• Assist with program development and enrollment activities.
• Ensure activities comply with DHCS, health plans, and HIPAA.
• Participate in audits, meetings, and trainings as needed.
• Maintain accurate patient demographics and enrollment data.

Skills

Microsoft Office

Verbal and written communication

Customer service

Effective communication

Medical terminology

Bilingual English/Spanish

Team collaboration

Documentation accuracy

EHR systems

Education

High School Diploma or GED

Bachelor's Degree preferred

Job description

Description

Join Wilmington Community Clinic!

Have you ever wanted to be a part of something bigger? Have you ever wanted to make a difference? At Wilmington Community Clinic, here you can. WCC provides quality, non-discriminatory primary care, mental health, dental and women’s health services to improve the health and well-being of all served – regardless of their ability to pay. We have served patients in and around Wilmington and Los Angeles for over 40 years. Our multi-generational impact makes us proud of the services we provide, and we put patient care front and center - it's The Wilmington Way!

Position Summary

Wilmington Community Clinic (WCC) is seeking an organized, compassionate, and resourceful Integrated Care Coordinator to join our team. This position plays an important role in helping patients navigate healthcare and social services while ensuring their care is coordinated across WCC’s medical, dental, behavioral health, and outreach services. The Integrated Care Coordinator serves as a key point of contact for patients enrolled in care coordination, case management, Enhanced Care Management (ECM), and other care coordination programs. The ideal candidate is comfortable communicating with patients, providers, community partners, and health plans and is passionate about reducing barriers to care and improving the patient experience.

Compensation and Benefits

The compensation for this position is $22.00 - $25.00 hourly.

WCC offers competitive salary and benefits including medical, dental and vision health insurance plans, 10 vacation days for first year employees, 12 paid holidays, sick leave, life insurance, a retirement plan, and an employee assistance program.

Education and Experience

• High School Diploma or GED; Bachelors Degree (Preferred)
• One year of general clerical and customer service experience
• Minimum of one to two years of experience in care coordination, case management, referral coordination, health navigation, or Enhanced Care Management (ECM) required; experience in a clinical, community health, or Medi-Cal managed care setting (Strongly Preferred)

Essential Position Responsibilities

• Serve as a central point of contact for patients participating in care coordination, case management, ECM, and other care coordination programs.
• Conduct patient outreach and follow-up after referrals to confirm understanding, encourage engagement, and identify barriers to receiving care.
• Track internal and external referrals from initiation through completion and ensure appropriate follow-up occurs.
• Document referrals, patient interactions, outcomes, care coordination activities, and program information accurately in electronic health records systems.
• Coordinate care across WCC’s medical, dental, behavioral health, and Outreach & Enrollment teams to support a whole-person approach to care.
• Communicate referral and care coordination updates to providers and care teams to support continuity of care and closed-loop referral management.
• Help patients overcome barriers to care by connecting them with emotional, financial, administrative, social, transportation, and community resources.
• Manage and track patient appointments, care plans, program enrollment, referrals, and interactions with WCC staff and external partners.
• Attend community events to connect patients to healthcare, social services, and care-management programs.
• Support patients in developing the skills and knowledge needed to independently navigate healthcare and social service systems.
• Coordinate transitions of care between WCC and outside clinical or social service organizations, including assisting with medical records and transportation needs when appropriate.
• Maintain relationships with community-based organizations and other resource providers to strengthen available support for patients.
• Participate in community events to promote WCC’s care coordination and case management services and develop community resource connections.
• Assist with the development, implementation, and enrollment activities associated with care coordination, case management, and ECM programs.
• Ensure program activities and documentation comply withDepartment of Health Care Services (DHCS),health plan, and HIPAA
• Participate in health plan audits, compliance reviews, meetings, and program specific trainings as needed.
• Maintain accurate patient demographic, appointment, referral, and program enrollment information.
• Promote awareness of available care coordination, case management, and ECM services among WCC care teams.
• Maintain patient confidentiality and protect patient information in accordance with HIPAA policies.
• Work collaboratively with patients, providers, staff, vendors, community partners, and visitors in a manner consistent with WCC’s mission and values.
• Be available to work occasional evenings and weekends as needed.
• Perform additional duties as assigned in support of WCC’s mission.

Skills

• Microsoft Office and telephone protocol
• Professional verbal and written communication skills
• Excellent customer service skills
• Ability to communicate effectively
• Familiar with general medical terminology
• Bilingual English/Spanish required
• Comfortable collaborating across different healthcare disciplines and community organizations
• A strong communicator who can build positive relationships with patients, providers, and external partners
• Detail oriented and able to maintain accurate and timely documentation
• Comfortable working with electronic health records and other healthcare related systems
• Able to work effectively in a fast paced, team oriented community health environment
• Committed to maintaining patient confidentiality and following HIPAA, regulatory, and organizational requirements

Requirements

Supervisory Responsibilities

This position does not have any supervisory responsibilities.

Physical Requirements

Position requires prolonged hours of sitting and working on a computer.

Travel Requirements

Occasional travel by car to local meetings.