About The Position

Pair Team is expanding its partnership with one of our largest health plan partners through an exciting new field-based care management role focused on improving patient engagement and access to care throughout Alameda County. The Field Care Coordinator plays a critical role in bringing care directly to patients where they are—at home and in the community. This is a highly active, relationship-based role focused on hands-on support, in-person outreach, new patient onboarding, and helping patients overcome barriers to accessing care. You may support patients with a wide range of needs, including care plan follow-up, blood pressure checks, connecting patients to resources, and delivering groceries or care packages when needed. This is a fast-paced, high-volume role supporting a large and complex patient population across Alameda County. Field Care Coordinators are expected to be in the community five days per week, meeting patients where they are and managing a busy daily field schedule. The average monthly expectation is approximately 120 completed in-person patient visits per month, or roughly 30 visits per week. Success in this role requires strong organization, time management, independence, and the ability to efficiently manage a high volume of patient interactions while adapting to changing needs in the field.

Requirements

  • Bilingual – English/Spanish
  • 1+ years of field based (in person) case management or care coordination
  • Physical location in or near Alameda County with familiarity of the local community and resources
  • Reliable transportation for regular field visits, including patient homes, clinics, community-based organizations, and partner sites
  • Valid driver’s license and current auto liability insurance
  • Strong understanding of cultural fluency and the ability to build trust with diverse populations
  • High degree of empathy and ability to remain patient when faced with adversity
  • Demonstrated ability to work collaboratively in a multidisciplinary care team
  • Excellent organizational skills and attention to detail
  • Strong technical skills and comfort learning new systems; experience with tools such as Google Suite, Slack, CRM databases, and basic Excel, Word, email, and video conferencing
  • Reliable, HIPAA-compliant workspace with a stable internet connection for documentation and team communication

Responsibilities

  • Manage a high-volume, field-based caseload and complete approximately 30 in-person patient visits per week (up to 120 visits per month).
  • Independently manage a busy daily schedule while traveling throughout Alameda County to meet patients where they are.
  • Support recurring community-based events and provide care coordination for patients with complex needs.
  • Serve as the primary point of contact for members with complex medical, behavioral, and social needs
  • Meet members in person at their homes, in the community, or at partner organizations to complete new patient onboardings, deliver care packages, or collect health readings such as blood pressure
  • Conduct in-person visits to assess member needs, provide ongoing support, and encourage adherence to care plans
  • Coordinate services, appointments, and referrals across primary care, behavioral health, and social support resources
  • Support care continuity by collaborating with internal care team members including Nurses and Behavioral Health Care Managers
  • Identify and address barriers to care such as transportation, medication access, or health literacy challenges
  • Develop and maintain individualized care plans and ensure follow-up on all interventions and goals
  • Maintain accurate and timely documentation of all member interactions and care coordination activities
  • Advocate for member needs within the healthcare and social support systems
  • Participate in collaborative care meetings with other members of the care team to review patient panels, discuss progress, and align on care plans

Benefits

  • Comprehensive health, vision & dental insurance
  • 401k
  • Monthly $100 work from home expense stipend for your WFH days
  • Gas reimbursements for your on-site engagement days
  • Flexible vacation policy -- take the time you need to recharge!
  • We provide all of the equipment needed for the role
  • Opportunity for rapid career progression with plenty of room for personal growth!
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