Integrated Care Coordinator

Health Connect America; Wilmington (NC); On-site; USD 52,000 - 78,000; Full time

Benefits offered by this job

Flexible scheduling

Employee Assistance Program

Paid time off & holidays

Medical, dental, vision insurance

Health Savings Account

Job summary

Health Connect America is seeking an Integrated Care Coordinator in North Carolina. You will oversee care planning and coordination for clients, ensuring integrated behavioral and physical health services.

The role emphasizes collaboration with treatment teams, primary care, and community resources to close care gaps and improve outcomes. You will monitor progress, document care activities, and support responsible transitions of care, while engaging families and community partners to promote

Qualifications

• Bachelor's Degree required — in Human Services with a minimum of two years of experience working with youth or families
• Must meet qualifications as a Qualified Professional (QP) with experience serving children and adolescents with a primary mental health diagnosis

Responsibilities

• Oversee care planning, coordination, and monitoring for assigned clients, supporting behavioral and physical health goals
• Coordinate and monitor services across treatment teams, primary care providers, and community resources
• Facilitate follow-up services for hospitalizations or transitions of care
• Monitor progress, track HEDIS gaps, verify enrollment/status to ensure access to services
• Provide health education, guidance, and crisis support to clients and families
• Maintain documentation of care coordination per regulatory standards
• Support clinic operations including scheduling, charting, and collaboration with Nurse Practitioners
• Participate in outreach and education to promote program enrollment

Skills

Care coordination

Assessment

Client advocacy

Cross-functional teamwork

Education

Bachelor's Degree in Human Services

Job description

Some careers are just jobs. This one is different. At Pinnacle Family Services, the work you do every day has a real and lasting impact on children and families who need it most.

For over 30 years, we've provided evidence-based therapeutic foster care and behavioral health services to at-risk youth across North Carolina and South Carolina — specializing in serving children who have experienced trauma, loss, abuse, or neglect. Our approach is trauma-informed and relationship-focused, because we know that healing happens through connection.

When you join Pinnacle, you're not just joining an organization — you're joining a community of professionals who show up every day because they genuinely believe in this work.

Pinnacle Family Services is part of Health Connect America, a COA-accredited family of behavioral health brands serving children, families, and adults across nine states. That means you'll have the close-knit culture and mission focus of a team that's been doing this work for decades, backed by the resources, clinical infrastructure, and organizational support to help you do it well. Every program across our network shares the same commitment — compassionate, client-centered care that meets people where they are and walks alongside them toward something better.

Come make a difference and grow with us.

Health Connect America Family of Brands

If you’re someone who believes that coordinated, person-centered care can transform lives, this role was built for you

As an Integrated Care Coordinator at Health Connect America, you’ll serve as a key connector for clients, providers, and community resources—ensuring comprehensive behavioral and physical health support, closing gaps in care, and promoting overall well-being. Your work will be hands-on, relationship-driven, and integral to both client outcomes and program success.

What You’ll Do

As an Integrated Care Coordinator, you’ll oversee care planning, coordination, and monitoring for assigned clients, supporting both behavioral and physical health goals. Day to day, you can expect to

• Conduct assessments and develop individualized, person-centered care plans based on client needs, health goals, and Social Determinants of Health (SDOH)
• Coordinate and monitor services across treatment teams, primary care providers, and community resources to ensure seamless care delivery
• Facilitate follow-up services for recent hospitalizations, life transitions, or other critical events to support smooth transitions of care
• Monitor client progress, track HEDIS gaps, and verify enrollment and payer status to ensure access to all required services
• Provide health education, guidance, and crisis response support to clients and their families as needed
• Maintain timely, accurate documentation of care coordination, assessments, and interactions in accordance with regulatory and agency standards
• Support clinic-based operations, including scheduling, reminders, vitals, chart documentation, and direct collaboration with Nurse Practitioners for integrated care clients
• Participate in marketing initiatives, outreach to new referrals, and education of prospective clients to promote engagement and program enrollment

What to Expect

This role requires strong organizational skills, clinical insight, and the ability to navigate complex care needs across multiple providers and settings. You’ll balance in-office responsibilities with community and client-focused engagement, supporting both ongoing wellness and crisis intervention as needed.

As part of your role, you’ll collaborate closely with treatment teams, integrated care staff, and community partners, ensuring that every client experiences comprehensive, coordinated care that addresses both immediate needs and long-term health goals.

Supporting Quality & Compliance

You will ensure all care coordination activities comply with Health Connect America policies, state regulations, and program standards. Through diligent documentation, adherence to timelines, and proactive monitoring, you’ll help maintain the highest quality of service while promoting positive client outcomes.

We welcome candidates who bring a genuine commitment to children and families and meet the following qualifications

• Bachelor's Degree required — in Human Services with a minimum of two years of experience working with youth or families, or in a non-Human Services field with a minimum of four years of experience working with youth or families
• Must meet qualifications as a Qualified Professional (QP) with experience serving children and adolescents with a primary mental health diagnosis

Be Well with HCA

We recognize that people who care for others need support themselves. Health Connect America offers a comprehensive benefits package to promote your professional and personal well-being

• Flexible scheduling and a culture that values work/life balance
• Employee Assistance Program (EAP) including 8 mental health counseling sessions annually
• Paid time off and paid holidays for full-time employees
• Medical, dental, vision, and voluntary insurance options
• Health Savings Account with company contribution
• Dependent Daycare Flexible Spending Account
• Access to a Health Navigator
• 401(k) Retirement Plan
• Benefits Hub and Tickets at Work — exclusive savings and perks for everyday life

Employment at Health Connect America and its companies is contingent upon successful completion of a comprehensive background investigation.

Health Connect America and its companies are an Equal Opportunity Employer and consider applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics, or any other basis prohibited under federal, state, or local law. For more information, please review our Equal Employment Opportunity Posters.