Job Description

Work with Care Alliance Health Centers patients to provide medical and community care coordination

Task Responsibilities Include but are not limited to:

• Medical- and Social Case Management
• Assessing patients for psychosocial needs and developing individualized service plan to meet needs.
• Providing supportive care coordination and case management for chronic illnesses.
• Supporting clients in following health care treatment plans.
• Linking patients with education and support opportunities such as diabetes education and support groups.
• Facilitate internal and external referrals and consults.
• Follow up after scheduled referrals/appointments.
• Coordinates transportation assistance for referral appointments.
• Establishing positive relationships with health care resources.
• Assisting with the completion of prescription assistance program applications.
• Link patients to financial counseling for specialty services (Enrolling clients in CHAP, assisting in the Metro health Rating process)
• Serving as the liaison for healthcare collaborative services
• Provide information and referral services to individuals in need of supportive services such as referrals for employment search, transportation, county benefits, clothing, obtaining birth certificates, State IDs and furniture assistance, the transition from homelessness to permanent housing
• Establish positive relationships with community resources and social service agencies to link clients with a matrix of services that will promote self-sufficiency

Minimum Education and Experience:

Required:

• HS Diploma, Associate or Bachelor's degree in Public Health, Social work, or a related field preferred.
• 2 or years of experience as a Patient Navigator, Care Coordinator, or Case Manager
• 2 or more years of medical and/or resource coordination experience
• Prior experience using EPIC and the HUB is desired.
• Experience working with vulnerable populations with chronic illnesses, mental illness, and substance abuse; 
• Able to work compassionately with a diverse population.
• Ability to plan, organize and complete associated paperwork promptly and maintain confidentiality

First and foremost, please be informed that Culture Index is:

A survey, not a test. There is no passing or failing.
Please click the link below to take the 5-10 minute survey.

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