Community Care Coordinator - (Las Vegas/Clark County)

Adobe Care And Wellness LLC•Las Vegas, NV

4h•Hybrid

About The Position

Adobe Population Health (APH) is a women-owned health solutions company founded in 2018, focused on positively impacting lives through inclusivity, human kindness, and high-quality care. Recognized as one of America’s Fastest-Growing Private Companies and a 'Best Place to Work,' APH partners with health plans, providers, hospitals, and families to deliver tailored programs including case management, in-home and in-clinic wellness assessments, preventative care, transitional care, and social services. As a fully integrated healthcare organization, APH provides comprehensive, coordinated medical and social support. The Community Care Coordinator is responsible for comprehensive care coordination and management services to clients within an assigned territory, combining field-based care coordination with supervisory responsibilities. This role focuses on enhancing client outcomes through behavioral, physical, and social interventions, overseeing case management, ensuring policy compliance, and fostering positive relationships with clients, caregivers, providers, and team members. The coordinator collaborates with healthcare providers, social services, and community organizations to identify and address barriers to health and well-being, connecting individuals with appropriate resources to improve health outcomes. This position requires travel to Las Vegas, around Clark County, and surrounding areas to provide in-home support to members.

Requirements

Four (4) years of related experience and/or training, or an equivalent combination of education and experience.
Medical experience.
Experience working with diverse populations, including marginalized, low-income, and underserved communities.
Willingness to drive with a clean driving record.
Reliable transportation.
Clean driving record.
Excellent communication skills, both verbal and written.
Requires problem-solving and decision-making.
Must be able to work in a self-directed environment.
Experience and understanding of Quality/HEDIS/STARS measures.
Identify and resolve problems in efficient and effective ways.
Takes personal responsibility for the quality and timeliness of work and achieves results with little oversight.
Adapts to changing business needs, conditions, and work responsibilities.
Proficiency in Microsoft Office Suite.
Knowledge of confidentiality and data protection regulations, especially in relation to health information (e.g., HIPAA compliance).
Associate’s degree in social work, sociology, psychology, counseling, or a related field AND/OR active LPN/RN licensure, EMT, or Paramedic certification.
Current BLS certification.
Annual TB testing.
Current and clear driver’s license.
Current auto insurance.

Nice To Haves

Bilingual (Spanish/English) preferred.
Bachelor’s degree preferred.

Responsibilities

Provide field-based care coordination to address behavioral, physical, and social needs of assigned clients, aiming to reduce medical costs and improve quality of life.
Assess the social, financial, and health needs of individuals and families within the community.
Connect clients with appropriate services, including housing assistance, food security programs, healthcare services, transportation, and mental health resources.
Develop and implement individualized care plans in collaboration with clients, ensuring that their unique needs are addressed.
Provide ongoing support to ensure clients' needs are met, including follow-ups and reassessments.
Advocate on behalf of clients to ensure they receive timely access to services and resources.
Offer education on physical health, illnesses, treatments, dietary concerns, stress management, and safe medicine use.
Provide emotional support to clients and manage their overall well-being.
Support clients in developing self-care strategies and accessing preventive health services.
Encourage clients to actively engage in their health and well-being through empowerment and education.
Conduct home safety evaluations and monitor client progress through regular home visits.
Connect clients with appropriate community services and resources.
Build and maintain strong relationships with local community organizations, healthcare providers, and government agencies to ensure access to a wide range of resources.
Participate in outreach efforts to identify individuals and families in need, particularly in underserved or marginalized communities.
Represent the organization at community events, health fairs, and workshops to promote services and educate the public about available resources.
Identify trends and emerging needs within the community to inform organizational planning and service delivery.
Facilitate telehealth visits in the members home with Nurse Practitioners to complete comprehensive exams.
Assist in preparing members for telehealth visits by gathering vitals and supporting documentation.
Ensure the completion of preventative screenings during any in-home visit when appropriate.
Participate in community outreach efforts, including health fairs.
Maintain accurate records of care coordination in the Electronic Medical Record (EMR) system and ensure compliance with HIPAA regulations.
Document interactions, care plans, and outcomes in accordance with organizational policies and confidentiality guidelines.
Track and report on the effectiveness of referrals and interventions to help identify gaps in services or areas for improvement.
Maintain accurate records of client information and provide timely reports to supervisors and funding agencies as required.
Participate in program evaluation and quality improvement initiatives.
Ensure adherence to Adobe policies and procedures, and assist in developing and updating company programs, policies, and procedures as needed.
Develop and maintain positive relationships with case managers, providers, administration, and other stakeholders.
Travel to assigned territories for training, meetings, and as requested by upper management.
Attend all applicable facility and management meetings.
Completes other duties and responsibilities as assigned.