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Care Coordinator

OLE Health
Davis, CA Full Time
POSTED ON 3/5/2025
AVAILABLE BEFORE 5/5/2025

POSITION TITLE:              Care Coordinator

DEPARTMENT:                  Care Coordination 

REPORTS TO:                   Care Coordination Manager

LOCATION:                        Davis, CA 

PAY RANGE:  $27.46 to $33.56 hourly 


About CommuniCare OLE

Established in 2023, CommuniCare OLE is the result of a union of two health centers with   deep roots in their respective communities and reputations for providing high-quality primary care to all, regardless of insurance or ability to pay: OLE Health of Napa and Solano Counties and CommuniCare Health Centers of Yolo County. Building on a legacy established by both organizations in 1972, CommuniCare OLE is a network of federally-qualified health centers with 17 sites across Napa, Solano, and Yolo Counties. It offers comprehensive care, including medical, dental, behavioral health and substance use treatment, nutrition, optometry, pharmacy, care coordination, referrals, and enrollment assistance to more than 70,000 individuals, and no one is turned away due to lack of insurance, immigration status, or ability to pay. Many services are offered outside of its sites, including mobile health, home visiting, and community and school-based programs


 

BENEFITS

  • Medical, Dental, Vision Coverage
  • Employer covers 90% of employee medical, dental and vision premium and 50% of dependent premium
  • 18 days of PTO (Vacation & Sick)
  • 10 Paid Holidays 1 Float Holiday
  • 4% Employer Match for 403(b) retirement plan
  • Tuition Reimbursement of up to $2,000 per Calendar Year for part-time and full-time employees (prorated per Full-Time Equivalent)
  • Life & Accidental Insurance Coverage
  • Employer contribution for Health Savings Account
  • Flexible Spending Account (FSA) and Limited FSA Options


The following statements are intended to describe the major elements and requirements of the position and should not be taken as an all-inclusive list of responsibilities, duties, and skills required of individuals assigned to this job.

 

JOB SUMMARY: The Care Coordinator is a member of the OLE Health clinical care team and works in continuous partnership with the patient, their family when appropriate, OLE Health care team, and relevant community partners to improve health outcomes and meet the patient’s desired health and wellness goals by: 

  1. Serving as the contact point, advocate, and informational resource for patients, family/caregiver(s), primary care team, payers, and community resources 
  2. Facilitating access to internal and external services
  3. Identifying and addressing gaps in care 
  4. Increasing patient’s ability for self-management and shared decision-making


EDUCATION, EXPERIENCE, TRAINING

  1. High School Diploma or equivalent.
  2. Experience working with diverse populations; displays respect and sensitivity to cultural diversity. 
  3. Experience working in community health setting.
  4. Strong collaborative skills; ability to effectively and appropriately engage members of the care team, other clinic departments, leadership, and external community partners.
  5. Exceptional communication skills; ability to effectively engage patients and assess needs and concerns to ensure that the patient is referred appropriately.
  6. Excellent in-person and phone customer service skills; able to manage difficult and emotional patient situations and to respond promptly to patient needs.
  7. Ability to adapt to change; approach challenges with an innovative and proactive attitude; and investigate resources.
  8. Strong verbal and written communication skills required; Bilingual (English/Spanish) required.
  9. Must certify and remain current in CPR.
  10. Bilingual English/Spanish required

 

KNOWLEDGE OF WORK

 

1.

Knowledge of Organizational Improvement Methods

 

2.

Knowledge care coordination best practices

 

3.

Knowledge of Federally Qualified Health Centers and the key health center principles and guidelines

 

 DUTIES AND RESPONSIBILITIES

 

1.

Evaluates social determinants of health, identifies barriers to care and addresses/resolves obstacles impeding progress.

2.

Processes and closes the loop for community resource referrals

3.

Provides warm hand-offs for urgent and stat medical referrals and collaborates with referral coordinators to ensure medical referrals are processed

4.

Works with direct supervisor and QI department to ensure quality improvement initiatives are met                   

5.

Meets with each new patient and orients patient and family/caregiver(s) to CommuniCare OLE.

6.

As a member of the care team, participates in huddles, team meetings, and case conferencing as needed

7.

Educates patient and family/caregiver(s) about relevant community resources.

8.

Coordinates warm hand-offs for integrated care providers

9.

Provides support to primary care providers by completing forms and other tasks as needed

10.

Provides care management and creates care plans for patients on high-risk registry.

11.

Documents timely and efficiently in the EMR

12.

Attends appropriate training courses/webinars and meetings 

13.

Gathers and reports data related to aspects of care coordination when needed

14.

Provides feedback for the improvement of Care Coordination processes 

15.

Perform other duties as assigned

Salary : $2,000

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