Community Care Coordinator (LA - New Orleans/Orleans Parish)

Adobe Population Health•New Orleans, LA

2d•$45,000 - $60,000•Onsite

About The Position

The Community Care Coordinator provides comprehensive care coordination and management to clients in an assigned territory, combining field-based support with oversight of case management activities. The role focuses on improving client outcomes through behavioral, physical, and social interventions, ensuring compliance with organizational policies, and building positive relationships with clients, caregivers, providers, and team members. The coordinator collaborates with healthcare providers, social services, and community organizations to identify barriers to health and well-being and connect clients with appropriate resources. This position requires travel throughout New Orleans, Orleans Parish, and surrounding areas to provide in-home support. Duties include assessing clients’ needs; developing and following individualized care plans; providing health education and emotional support; coordinating hospital transitions and post-discharge follow-up; conducting home safety evaluations and community outreach; maintaining accurate records in the EMR; and participating in program evaluation and quality improvement. The role also involves attending meetings and training, following organizational policies and procedures, and completing other assigned duties.

Requirements

At least four years of related experience and/or training, or an equivalent combination of education and experience.
Associate’s degree in Social Work, Sociology, Psychology, Counseling, or a related field, or active LPN/RN licensure, EMT certification, or Paramedic certification.
Current BLS certification and annual TB testing.
Current and clear driver’s license and current auto insurance.
Willingness to drive and a clean driving record.
Reliable transportation.
Experience working with diverse populations, including marginalized, low-income, and underserved communities.
Excellent verbal and written communication skills.
Problem-solving and decision-making abilities.
Ability to work independently in a self-directed environment and achieve results with little oversight.
Ability to identify and resolve problems efficiently and effectively.
Ability to adapt to changing business needs, conditions, and responsibilities.
Proficiency in Microsoft Office Suite.
Knowledge of confidentiality and data protection regulations, particularly HIPAA.
Ability to travel frequently, including long distances and potentially within a two-hour radius of the designated county.
Ability to perform the position’s physical duties, including lifting 30 pounds, transporting materials, and bending, stooping, kneeling, crouching, reaching, balancing, walking, standing, sitting, talking, hearing, and typing.

Nice To Haves

Medical experience is strongly preferred.
Bachelor’s degree preferred.
Bilingual Spanish/English preferred.

Responsibilities

Provide field-based care coordination to address clients’ behavioral, physical, and social needs.
Assess the social, financial, and health needs of individuals and families.
Connect clients with housing, food security, healthcare, transportation, mental health, and other community resources.
Develop individualized care plans with clients and provide follow-ups and reassessments.
Advocate for clients’ timely access to services and resources.
Educate clients about physical health, illnesses, treatments, dietary concerns, stress management, and safe medicine use.
Provide emotional support and help clients develop self-care strategies and access preventive health services.
Coordinate services for members transitioning from hospitals, support hospital-based visits, and conduct post-discharge follow-up.
Monitor member vital signs and assist with care gap closure during interactions.
Conduct home safety evaluations and monitor client progress through regular home visits.
Build relationships with community organizations, healthcare providers, and government agencies.
Participate in outreach to underserved communities and represent the organization at community events, health fairs, and workshops.
Identify community trends and emerging needs to inform organizational planning and service delivery.
Maintain accurate care coordination records in the EMR and comply with HIPAA and confidentiality requirements.
Document interactions, care plans, and outcomes; track referral and intervention effectiveness; and provide timely reports.
Participate in program evaluation and quality improvement initiatives.
Follow organizational policies and procedures and assist with developing or updating programs, policies, and procedures as needed.
Maintain positive relationships with case managers, providers, administration, and other stakeholders.
Travel to assigned territories for training and meetings, and attend applicable facility and management meetings.
Complete other duties and responsibilities as assigned.