Care Coordination Specialist - CMA - MD126

Native American Rehabilitation Assoc. of the NW•Portland, OR

2d•Onsite

About The Position

The Certified Medical Assistant Care Coordination Specialist supports clinical care and culturally specific care coordination for Spirit of Healing members. The position helps members navigate health care and social service systems, addresses barriers and social determinants of health, and works collaboratively with members, families, caregivers, community partners, and multidisciplinary care teams to improve health outcomes and satisfaction with care. This is an in-person position serving the Indian Health Clinic, Wellness Center, RiverHouse, and community-based locations throughout the Portland metropolitan area. The regular schedule is Monday through Friday, 8:30 a.m. to 5:00 p.m., with occasional evenings, weekends, and special events required. The wage range is $26.25–$29.40 per hour, non-exempt. NARA Northwest provides education, physical and mental health services, and substance abuse treatment that is culturally appropriate to American Indians, Alaska Natives, and anyone in need. The organization has over 450 employees and offers programs including medical and dental care, addiction treatment, housing assistance, and enrichment initiatives. Employees must comply with NARA NW’s sobriety policies, including refraining from illicit drug use, marijuana use, and prescription drug abuse, and modeling alcohol sobriety. Employees, volunteers, interns, and contractors, as applicable, must sign the Drug-Free/Alcohol-Free Workplace Certification Form and Modeling Sobriety Policy Form as a condition of employment. Qualified Native Americans receive hiring preference in accordance with the Indian Preference Act. NARA Northwest is an Equal Opportunity Employer.

Requirements

High school diploma or GED certification.
Active certification as a Medical Assistant in the State of Oregon.
Annual CPR certification.
Computer proficiency, including Microsoft Office applications, electronic health records, and database or care-management systems.
Ability to work independently and collaboratively while maintaining professional boundaries with clients, community members, and staff.
Ability to travel between multiple sites and community locations throughout the day.
Must meet NARA NW driving requirements, including a valid driver’s license, clean driving record, reliable transportation, and proof of current automobile insurance.
Availability to work occasional evenings, weekends, and special events as needed.
Must pass pre-employment and for-cause drug testing.
Must pass criminal background and DMV checks.
Must comply with NARA NW’s sobriety policies and sign the required workplace and modeling sobriety policy forms as a condition of employment.

Nice To Haves

Two years of recent paid experience performing responsibilities similar to those described.
Certification as a medication aide.
Experience using motivational interviewing, trauma-informed care, or evidence-based practices that support behavior change.
Experience working with diverse populations that have encountered barriers related to marginalization, mental health, substance use, or access to care.
Experience working with American Indian/Alaska Native communities, Tribal communities, and people affected by intergenerational trauma.
Knowledge of, or willingness to learn about, gender-affirming care and resources and the unique needs of transgender and gender-diverse people.
Experience working with Native American/Alaska Native communities is considered a plus.

Responsibilities

Provide health education regarding procedures, diagnoses, and medications.
Help members navigate health care systems and identify and reduce barriers to care.
Coordinate and update plans of care that include member-specific goals and self-management support.
Help members navigate social service resources, benefits, and community programs.
Help members track upcoming appointments, schedule transportation, and understand after-visit and follow-up instructions.
Coordinate appointments with providers to support timely diagnostic and treatment services, arranging language interpretation or translation when needed.
Send, track, and follow up on referrals to internal and external resources and facilitate connections to follow-up services.
Provide warm handoffs to internal and external services, which may include accompanying members to an initial appointment or connecting them with health care, behavioral health, addiction, housing, or cultural resources.
Help members learn about and access culturally specific resources and activities.
Conduct outreach and monitor member well-being in clinic, community, or home settings according to the plan of care and program protocols.
Communicate and collaborate with members, families, caregivers, community partners, and service-team members as permitted by the member.
Participate in multidisciplinary team meetings, clinical supervision, and other required meetings to coordinate care.
Maintain a timely and effective caseload and complete thorough, accurate documentation and required daily, weekly, and month-end reports in accordance with agency policy and applicable Oregon Administrative Rules.

Benefits

15 paid holidays, including the employee’s birthday.
Affordable medical, dental, and vision insurance through Kaiser Permanente for employees working 20 or more hours; benefits begin on the first of the month following the hire date.
13 paid days of sick time.
13 paid days of PTO, with vacation accrual increasing with years of service to a maximum of 26 days.
$50,000 life insurance and AD&D.
Short-term and long-term disability.
Flexible Spending Account.
Health Spending Account.
401(k) with 4% match.
Employee Assistance Program.
Inclement weather days (snow days).
Public Student Loan Forgiveness eligibility.