About The Position

The Care Coordinator is a Registered Nurse, Licensed Social Worker, or Counselor who provides care coordination, social support, and outreach services. The role helps patients navigate health care transitions and supports patient empowerment through health education, advocacy, and coaching. The Care Coordinator leads intake, develops and maintains care plans, promotes health programs and services, and manages a patient panel using information systems and decision support. The role includes patient-centered care planning, in-person visits, self-management support, and coordination of transitions and follow-up across the care continuum.

Requirements

  • For the Social Worker/Counselor pathway: bachelor's degree required.
  • For the Social Worker/Counselor pathway: current, unrestricted Illinois license as an LCPC, LPC, LCSW, or LSW required.
  • For the Social Worker/Counselor pathway: at least two years of experience in a clinical setting required.
  • For the Registered Nurse pathway: associate degree required.
  • For the Registered Nurse pathway: current, unrestricted Illinois Registered Nurse (RN) license required.
  • For the Registered Nurse pathway: at least one year of general nursing experience in a clinical setting required.
  • Intermediate proficiency in Microsoft Office products, including Word, Excel, and PowerPoint, required.

Nice To Haves

  • Master's degree preferred for the Social Worker/Counselor pathway.
  • Bachelor's degree preferred for the Registered Nurse pathway.
  • Care coordination experience preferred.
  • Bilingual Spanish is a plus.
  • Previous experience using an electronic medical record preferred.

Responsibilities

  • Serve as team lead for the intake process, development and maintenance of care plans, and promotion of health programs and services.
  • Use information systems and decision support to manage a patient panel and proactively contact, educate, and track patients by disease, risk, self-management status, and family and community needs.
  • Lead patient-centered care planning, including assessment, planning, implementation or intervention, evaluation, and monitoring and intervention methods.
  • Conduct face-to-face visits according to policy and workflows.
  • Provide resources to support patients and families in self-management toward health care treatment goals; assess readiness to learn and validate learning outcomes.
  • Assist patients and providers across the care continuum with transitions from outpatient to inpatient settings.
  • Ensure follow-up after emergency department visits, hospitalizations, and specialist care.

Benefits

  • Tuition reimbursement and student loan forgiveness programs for qualifying individuals.
  • Comprehensive medical, dental, and vision coverage.
  • Generous paid time off.
  • 403(b) retirement plan and financial resources to help employees save and plan for retirement.
  • Life insurance.
  • Opportunity to participate in cross-departmental committees to innovate and transform care delivery and the workplace.
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