Care Coordinator - Napa

OLE Health • Napa, CA

11d • $29 - $36 • Onsite

About The Position

The Care Coordinator works in continuous partnership with the patient, their family when appropriate, their care team, and relevant community partners to improve health outcomes and meet the patient’s desired health and wellness goals by serving as the contact point, advocate, and informational resource for patients, family/caregiver(s), primary care team, payers, and community resources; facilitating access to internal and external services; identifying and addressing gaps in care and assessing for social determinants of health; and increasing patient’s ability for self-management and shared decision-making. CommuniCare+OLE provides an inclusive workplace that promotes and values diversity and life experience. CommuniCare+OLE encourages people of all backgrounds to apply including, but not limited to, Black, Indigenous Peoples, people of color, immigrants, refugees, women, LGBTQIA+, people with disabilities, veterans, individuals of all ages and religions, and individuals who have been affected by the legal system. YOU ARE WELCOME HERE. The following reflects requirements and essential functions of this position but does not restrict tasks that may be assigned. Essential functions include basic job duties, core elements, or fundamental responsibilities that an employee must perform to hold the position. Employees must be able to perform these essential functions with or without reasonable accommodation (accommodation may be requested). Duties and responsibilities are not all-inclusive, and they may be assigned or reassigned to this job at any time, due to reasonable accommodation or any other reason.

Requirements

• High School Diploma or equivalent.
• Experience working with diverse populations displaying respect and sensitivity to diversity, equity and inclusion preferred
• Experience working in a community health setting preferred
• Experience working with complex patient situations a plus
• Strong verbal and written communication skills required; Bilingual (English/Spanish) required.
• BLS Certification required.
• Strong collaborative skills: ability to effectively and appropriately engage members of the care team, other clinic departments, leadership, and external community partners.

Responsibilities

• Evaluates social determinants of health, identifies barriers to care and addresses/resolves obstacles impeding progress
• Processes and closes the loop for community resource referrals
• Provides warm hand-offs for urgent and stat medical referrals and collaborates with referral coordinators to ensure medical referrals are processed
• Works with direct supervisor and QI department to ensure quality improvement initiatives are met
• Meets with each new patient and orients patient and family/caregiver(s) to CommuniCare+OLE
• As a member of the care team, participates in huddles, team meetings, and case conferencing as needed
• Educates patient and family/caregiver(s) about relevant community resources
• Coordinates warm hand-offs for integrated care providers
• Provides support to primary care providers by completing forms and other tasks as needed
• Provides care management and creates care plans for patients on high-risk registry.
• Documents timely and efficiently in the EMR
• Care manages and documents as per Enhanced Care Management (ECM) processes, a percentage of patients on the high-risk registry determined by the BH Manager, Care Coordination.
• Covers care coordination duties for colleagues who are out of the office
• Attends appropriate training courses/webinars and meetings
• Gathers and reports data related to aspects of care coordination when needed
• Provides feedback for the improvement of Care Coordination processes
• Performs other duties as assigned.

Benefits

• Medical, Dental, Vision Coverage
• Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
• 18 days of PTO (Vacation & Sick)
• 10 Paid Holidays + 1 Float Holiday
• 2% employer match with employee 4% Contribution 403(b) retirement plan
• Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
• Life & Accidental Insurance Coverage
• Employer contribution for Health Savings Account

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED