Complex Care Program Coordinator

Marin Community Clinics • Novato, CA

1d • $34 - $40

About The Position

Marin Community Clinics, founded in 1972, is today, a multi-clinic network with a wide array of integrated primary care, dental, behavioral, specialty and referral services. As a Federally Qualified Health Center (FQHC), we provide vital health services to almost 40,000 individuals annually in Marin County. The Clinics regularly receive national awards from the Health Resources and Services Administrations (HRSA). Our Mission is to promote health and wellness through excellent, compassionate care for all.
Marin Community Clinics is looking for a mission-driven Complex Care Program Coordinator to join our dynamic, multidisciplinary, Complex Care team to advance our goal of improving health outcomes for individuals with complex medical, behavioral health, and psychosocial needs. Our Complex Care team is committed to increasing health equity among Marin’s most vulnerable patients through person-centered, trauma-informed, case management support. Working collaboratively with primary care, behavioral health, and other members of the clinical care team, the Complex Care Program Coordinator works as a member of an expert team of professionals to provide patient-centered, outcome- driven care that promotes independence and dignity.
To this end, The Program Coordinator will provide comprehensive eligibility assessments, outreach and engagement, care planning, and administrative coordination, with the goals of minimizing barriers to care, improving health outcomes, and ensuring an efficient system of care. The Complex Care Program Coordinator role is a patient-facing role that aims to build engagement and trust with our Complex Care patients. The Case Manager will report to the Manager of Complex Care.
We are looking for a Complex Care Program Coordinator who:
Is familiar with eligibility criteria for existing MCC Case Management programs including CalAIM, CPSP, ECC, and Whole Child Programs.
Is familiar with reporting requirements for case management programs.
Is able to effectively triage and prioritize referrals.
Is able to effectively engage new patients and conduct initial needs assessments.
Has excellent organizational skills necessary for tracking caseloads.
Understands the interplay between chronic conditions and psychosocial issues.
Is comfortable working with individuals with complex behavioral health presentations and/or substance use disorders.
Has passion for helping individuals navigate a complex system of care.
Is a team player and welcomes guidance from multidisciplinary team members.
Demonstrates initiative, creativity, and enjoys problem solving.
Is comfortable working with community partners including community-based organizations (CBOs), Marin County, medical/BH specialists, and insurance providers.
Ascribes to the tenets of person-centered, trauma-informed, housing-first care.
Demonstrates compassion and respect for individuals served in all interactions.
Demonstrates a willingness to be flexible and adaptable in all aspects of this work.

Requirements

• MA or equivalent experience in healthcare setting
• Experience with administrative/operations management
• 1-2 years’ experience (and passion for) providing support to individuals with chronic and complex BH needs, complex medical conditions and/or substance-using individuals highly preferable.
• Knowledge of state regulations and legal/ethical standards related to patient rights, and client/patient confidentiality required.
• Must be fluent in English with the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports and business correspondence in English.
• Must be able to communicate with patients and partners in Spanish: effectively present information and respond to questions from clients, customers, and the general public in Spanish. Strong preference for a candidate than is able to conduct clinical assessment interviews and case management interventions with patients in Spanish.
• Perform this job successfully, an individual must be computer literate and knowledgeable in Microsoft Office software programs, and how to conduct searches on the Internet.
• Hold a current CPR certification.
• Fulfill immunization and fit for duty regulatory requirements.
• Prolonged standing and walking.
• Prolonged periods of sitting at a desk and working on a computer with keyboard and mouse.
• Must be able to lift to 15 pounds at times.
• May travel between clinics or meet Patients in the community as needed.

Nice To Haves

• Training in motivational interviewing highly desired/or willingness to learn.

Responsibilities

• Receive, assess, and triage all Complex Care referrals.
• Conduct initial patient outreach and engagement.
• Create initial patient care plan.
• Initiate case conferencing and case assignment with Case Managers
• Submit and manage Treatment Authorization Requests to managed care plans.
• Track and submit capacity reports.
• Ensure reporting requirements are met.
• Assist Patients to complete necessary forms/applications.
• Assist patients to schedule/attend medical, BH, and specialist appointments.
• Conduct home/community visits as needed.
• Consult/coordinate with interdisciplinary care team, including behavioral health, care navigation MAs, nursing, medical providers, and external partners.
• Liaison with identified partner agencies
• Document all Patient interactions and services using MCC’s electronic health record AND secondary database.
• Attend internal and external meetings (i.e., case conferencing, administrative).
• Attending trainings such as health coaching, engagement techniques, etc.
• Timely and accurate reporting of data as requested to MCC CM programs.
• May travel between clinics or meet Patients in the community as needed.
• Provide frank and considered opinions regarding case management services and quality improvement measures.
• Provide services to satellite clinics as needed.
• Other duties may be assigned.

Benefits

• Our benefits program is designed to protect your health, family and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short term and Long Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid time off, and Extended Illness Benefits.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 101-250 employees