CARE COORDINATOR

Camillus Health Concern•Miami, FL

6d•$22 - $25

About The Position

The Care Coordinator, Population Health, helps Camillus Health Concern patients navigate and connect with appropriate health and wellness resources, public benefit programs, and community-based social services in a timely, culturally appropriate, and patient-centered manner.

Requirements

Minimum two years of experience in the health-related field.
High School Diploma or GED – BSW/BA preferred
Current Basic Life Support (BLS) certification
Excellent interpersonal skills
Excellent organizational skills
Computer Proficient
Bilingual (English/Spanish), Creole a plus

Nice To Haves

Culturally sensitive to the needs of underserved populations
Work effectively and productively in a team environment
Prior patient care experience with underserved population
Experience with EMR systems – knowledge of EPIC is a plus

Responsibilities

Committed to the Mission of Camillus Health Concern.
Directly delivers or effectively connects patients to appropriate wellness resources, public benefit programs, and other needed social services/community resources in a timely manner.
Coordinates medical care with patients and across health care providers, settings, conditions, and caregivers, with the goal of reducing unnecessary ER and hospital visits.
Assist patients in identifying and setting short- and long-term goals related to their social, behavioral, and healthcare needs. Provides support in addressing barriers to care, including insurance navigation, access to community resources, transportation, housing, food insecurity, and other social service needs to promote overall well-being and continuity of care.
Communicates with patients monthly and includes an assessment of current medical and social needs, documentation of recent home health care interactions, and a status update on individualized care plan goals.
Provides referrals to community resources, including housing, job training programs, support groups, transportation, and childcare. Ensure patients complete primary and specialty care appointments by proactively working to resolve patient-identified barriers, making reminder calls, scheduling appointments, arranging transportation, contacting patients following missed appointments.
Facilitates patient empowerment and engagement by promoting educated, independent patient choice on all aspects of care, including encouraging patients to ask questions and understand the purpose of prescribed treatment and helping patients develop competency in understanding their personal medical information and health conditions.
Acts as a liaison between patients, caregivers, providers, clinical staff, specialists and other social service professionals.
Connect patients to community-based resources and social service programs to address social determinants of health, including housing, food assistance, transportation, financial support, and behavioral health services. Promotes CHC services through outreach activities such as health fairs, community events, and patient education initiatives.
Utilizes a trauma-informed, culturally sensitive, and patient-centered approach when interacting with patients, families, and community partners.
Perform any other department or agency related duties or special projects as directed by Supervisor.