Care Coordinator I or II

Care Coordinator I or II - Posting #27316

Hourly Rate: $21.88 - $22.63

Full-time Care Coordinator position available for our Lacey Medical Clinic. The Care Coordinator is part of a clinical care team and enhances quality and patient-centered care by assessing gaps in care for patients with chronic conditions and/or mental health needs, creating a care plan during daily huddles, assisting patients with medication management, insurance access, and preventive health needs, and using Motivational Interviewing skills for ongoing self-management.

Strong computer skills are required to track patient adherence in electronic charts, and the role facilitates team meetings, requiring organizational and communication skills.

• Participate in morning huddles to anticipate patients’ clinical, social and behavioral health needs.
• Work with the care team to identify and resolve gaps in care using process improvement strategies.
• Provide brief interventions at point of care to assist patients with chronic illness management, address social needs, and link patients to behavioral health.
• Advocate for patient services with community, social service, and medical providers.
• Coordinate care transitions for patients discharged from emergency or hospital/long-term care facilities.
• Track patient adherence with the plan of care in electronic or paper charts and communicate outcomes to the primary care provider.
• Serve as a point person within the clinic care team for chronic disease management and quality improvement activities.
• Organize monthly Health Home meetings by collaborating with the Clinic Operations Team/Clinic Manager, creating agendas, and facilitating the meetings.
• Collaborate with the clinical care team to improve Patient-Centered Medical Home processes and document performance.
• Review medical records for quality and utilization indicators per the Quality Improvement Plan.
• Generate reports to identify areas for improvement and monitor sustainability of each quality measure.

• Independent work ability, prioritization, and deadline management.
• Critical thinking with confidentiality maintenance.
• Excellent organizational skills with multitasking capability.
• Knowledge of medical terminology and/or behavioral health topics.
• Strong decision‑making and prioritization skills.
• Professional respectful interaction with community, patients, families, and staff.
• Effectiveness in a multicultural environment with a diverse population.
• Sympathetic, mature, responsible, and reliable demeanor.
• Strong patient engagement, interpersonal, and communication skills to establish therapeutic relationships.

• Knowledge of the Patient-Centered Medical Home Model; motivational interviewing skills a plus.
• Knowledge of evidence‑based standards of care for chronic conditions and behavioral health issues.
• Proficiency in Microsoft Word, Excel, PowerPoint, and Outlook.
• Ability to utilize and document patient information in the Electronic Health Record.
• Knowledge of community resources.
• Ability to work in a fast‑paced community health care setting.
• Analytical thinking and problem solving in multidisciplinary and independent contexts.
• Effective communication with diverse communities.
• Time management and task prioritization.
• Patient care data analysis.
• Assessment of client learning needs and readiness for learning.
• Maintenance of privacy and security of sensitive information in all formats and adherence to federal privacy requirements.
• Excellent communication and customer service skills.
• Critical thinking skills.
• Implementation of process improvement activities.
• Bilingual in Spanish strongly preferred.

• Care Coordinator I:
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