Clinical Coordination Specialist

Cascadia Health•Portland, OR

20h•$26 - $28•Onsite

About The Position

The Clinical Coordination Specialist works in Cascadia Health’s Integrated Team Based Care program at the Garlington Health Center in Northeast Portland, Oregon. The role facilitates comprehensive care for clients across mental health, addiction medicine, physical healthcare, and community-based services. Responsibilities include coordinating hospital and emergency department follow-up, referrals, appointments, and transitions between services, as well as participating in panel population management and outreach. The specialist collaborates with multidisciplinary teams and leadership to identify and address gaps in systems of care. The position is scheduled Monday through Friday, 8:30 a.m. to 5:00 p.m. Work takes place in clinical offices, acute care settings, and community locations such as client residences, correctional facilities, shelters, hospitals, public places, and other social service sites. Work is primarily during regular business hours, with possible after-hours work for crisis response. Breaks may be interrupted, and the role can involve unpredictable, high-stress situations and potential exposure to violence, disease, biohazards, noise, and contaminants.

Requirements

A bachelor’s degree in a related field, such as social or behavioral science or public health, is required; alternatively, the posting lists QMHA or CADC certification as preferred but not required.
At least one year of experience working in a healthcare setting.
Consumer or customer service experience.
Understanding of the recovery model, motivational interviewing, illness management and recovery, evidence-based practices, and strength-based case management philosophies and strategies.
Understanding of harm reduction, cultural responsiveness, and trauma-informed care.
Ability to operate computer hardware and software needed to perform the job.
Ability to commute to other locations.
Ability to perform CPR and First Aid and use AED equipment effectively.
Current BLS and First Aid certifications, which must remain current.

Nice To Haves

Experience in behavioral health and panel management is strongly preferred.
QMHA or CADC certification is preferred but not required.
Knowledge of panel management best practices.

Responsibilities

Organize and analyze client panel data to track healthcare utilization, needs, and clinical quality metrics, and conduct outreach as needed.
Coordinate referrals with other client providers in a timely and professional manner using electronic health records and payer support.
Identify and engage clients in mental, physical, and oral healthcare services.
Monitor emergency department admissions and follow up with clients and the appropriate interdisciplinary team after discharge.
Rotate responsibility for monitoring after-hours and on-call reports for ITBC clients and crisis services provided to assigned panel members.
Assist with scheduling external appointments and coordinate with the team administrator to ensure clients receive appointment reminders.
Coordinate medical equipment orders and client transportation with the team administrator.
Attend scheduled team huddles, staff meetings, supervision sessions, and departmental meetings.
Collaborate with interdisciplinary teams and community services on diabetes management, mental health, preventative health, and health promotion.
Work with Integrated Team-Based Care leadership and the Population Health team to identify target populations and develop outreach strategies.
Attend health integration team meetings and collaborate with project leads to implement plans.
Follow compliance requirements, including mandatory reporting laws and HIPAA.
Maintain accurate documentation in the Electronic Health Record System in accordance with agency policies and applicable regulations.
Complete annual employee training requirements.

Benefits

Paid time off; full-time employees earn six weeks in their first year.
Medical coverage beginning the first of the month following hire.
Dental coverage beginning the first of the month following hire.
VSP Vision Discount Plan.
403(b) retirement plan with immediate 100% vesting and a 1-to-1 company match up to 3% per pay period, plus an opportunity for an additional discretionary contribution.
Flexible Spending Account for medical, dependent care, and transportation.
Short-term disability, long-term disability, and life insurance.
Paid bereavement leave and jury duty leave.
Length of Service Award.
Voluntary life insurance.
Supplemental insurance.
Student loan forgiveness options.
Employee Assistance Program.
Bike to Work Reimbursement.