Community Care Coordinator (LA - East Baton Rouge Parish)

Adobe Population Health•Baton Rouge, 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. The role combines field-based care coordination with supervisory responsibilities, supporting behavioral, physical, and social needs to improve outcomes and quality of life. The coordinator oversees case management activities, follows organizational policies, and builds relationships with clients, caregivers, providers, and team members. They collaborate with healthcare providers, social services, and community organizations to identify and address barriers to health and well-being. The position requires travel throughout Baton Rouge, East Baton Rouge Parish, and surrounding areas to provide in-home support, attend meetings, and participate in community events. Work also takes place in members’ homes, hospitals, clinics, and physicians’ offices, and may involve varied temperatures and other conditions.

Requirements

Four or more 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, reliable transportation, and a clean driving record.
Experience working with diverse populations, including marginalized, low-income, and underserved communities.
Excellent verbal and written communication skills.
Problem-solving and decision-making skills.
Ability to work in a self-directed environment, take responsibility for quality and timeliness, and achieve results with little oversight.
Ability to identify and resolve problems efficiently and effectively.
Ability to adapt to changing business needs, conditions, and work responsibilities.
Proficiency in Microsoft Office Suite.
Knowledge of confidentiality and data protection regulations, especially HIPAA.
Ability to perform the physical duties of the position, including lifting 30 pounds, transporting materials, and performing the listed movements and activities.

Nice To Haves

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

Responsibilities

Provide field-based care coordination for clients’ behavioral, physical, and social needs.
Assess the social, financial, and health needs of individuals and families.
Connect clients to housing, food security, healthcare, transportation, mental health, and other community resources.
Develop individualized care plans with clients and provide ongoing follow-ups and reassessments.
Advocate for clients’ timely access to services and resources.
Educate clients about physical health, illnesses, treatments, diet, stress management, and safe medication use.
Provide emotional support and encourage self-care, preventive care, and engagement in health and well-being.
Coordinate care for members transitioning from hospitals, support hospital-based visits, conduct post-discharge follow-up, monitor vitals, and assist with care gap closure.
Conduct home safety evaluations and regular home visits to monitor client progress.
Build relationships with community organizations, healthcare providers, and government agencies; participate in outreach and community events; and identify emerging community needs.
Maintain accurate and timely care coordination records in the EMR, complying with HIPAA and organizational confidentiality requirements.
Track and report the effectiveness of referrals and interventions; provide reports to supervisors and funding agencies; and participate in program evaluation and quality improvement.
Follow Adobe 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.