Social Determinants of Health Coordinator

AbsoluteCare; Chicago (IL); On-site; USD 45,000 - 70,000; Full time

Job summary

An established industry player is seeking a dedicated Social Determinants of Health Coordinator to enhance member support by linking them to essential community resources. This role is crucial in addressing health disparities among diverse populations, requiring strong organizational and communication skills. You will collaborate with interdisciplinary teams to ensure comprehensive care, assist members with navigating complex systems, and maintain an updated Community Resource Guide. If you are passionate about making a difference in healthcare and have the skills to support vulnerable populations, this opportunity is perfect for you.

Qualifications

• Bachelor’s degree in public health, social work, or related field.
• 2 years’ experience with Medicaid, Medicare, or uninsured populations.

Responsibilities

• Assist members with referrals and coordinate services with community resources.
• Document all interactions accurately in the electronic health record.

Skills

Teamwork

Communication Skills

Interpersonal Skills

Problem-solving

Knowledge of Community Resources

Organizational Skills

Education

Bachelor’s degree in Public Health

Experience with Medicaid/Medicare

Tools

Outlook

Word

Excel

PowerPoint

Electronic Health Records

Job description

Social Determinants of Health Coordinator

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Job Summary

This role assists primary care providers, nurses, and care managers with complex situations related to resolving the SDOH needs of our members. The SDOH Coordinator supports members by linking them to community resources through referrals, assistance with applications, and follow-up. Key skills include maintaining knowledge of community resources, understanding eligibility and application processes (e.g., health plan benefits, entitlements, SNAP, housing, transportation), identifying appropriate resources for each member, and organizational skills to ensure timely follow-up.

Duties and Responsibilities

• Receive referrals from the Integrated Care Team (ICT) to address members’ SDOH needs.
• Assist members with referrals and coordinate services with community resources, including housing, benefits, food, utility assistance, advocacy, documentation, medication assistance, transportation, and educational resources.
• Update the local Community Resource Guide as needed.
• Collaborate with ICT and other teams regarding services not covered by the health plan.
• Exhaust all community and health plan options before requesting additional funds for SDOH items.
• Work closely with the Resource Specialist on member fund requests and inventory management.
• Coordinate with Behavioral Health team for mental health and substance use referrals.
• Participate in care team meetings and case consultations.
• Follow primary care provider plans to meet member needs.
• Coordinate with behavioral health professionals and Community Health Workers.
• Communicate with care managers and interdisciplinary teams to facilitate care continuity.
• Engage members directly in the center, in the community, and via phone.
• Document all interactions accurately in the electronic health record.
• Prioritize tasks to meet response time standards.

Minimum Qualifications

• Bachelor’s degree in public health, social work, or related field, or 3 years’ experience serving complex populations.
• 2 years’ experience with Medicaid, Medicare, or uninsured populations.
• Extensive knowledge of local community resources and application processes.
• Strong teamwork, communication, interpersonal, and problem-solving skills.
• Ability to operate a personal motor vehicle, hold a valid driver’s license, and proof of insurance.
• Passion for addressing health disparities among diverse, high-risk populations.
• Proficiency in Outlook, Word, Excel, PowerPoint; experience with electronic health records preferred.

Working Conditions

Work is performed in an office and community settings, requiring reliable transportation, a driver’s license, and proof of insurance.

Physical Requirements

• Effective communication skills.
• Ability to remain stationary for periods.
• Operate office equipment and a personal vehicle.
• Occasional lifting up to 20 lbs.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Other

Industries

• Hospitals and Health Care