Care Coordinator

Sea Mar Community Health Centers, a Federally Qualified Health Center (FQHC) founded in 1978, is a community-based organization committed to providing quality, comprehensive health, human, housing, educational and cultural services to diverse communities, specializing in service to Latinos in Washington State. Sea Mar proudly serves all persons without regard to race, ethnicity, immigration status, gender, or sexual orientation, and regardless of ability to pay for services.

Sea Mar's network of services includes more than 90 medical, dental, and behavioral health clinics and a wide variety of nutritional, social, and educational services. We are recruiting for the following position:

Sea Mar is a mandatory COVID-19 and flu vaccine organization
** Duties and Responsibilities
** As a mission-driven organization, the core values of, and the services offered at Sea Mar are based on thebelief that everyone deserves to be respectfully treated in a way that preserves dignity and enhances selfworth. Sea Mar is an advocate for its clients and aims to achieve industry-leading, client-centered, culturally aware services.

Sea Mar employees serve as an extension of this mission and demonstrate their commitment to an excellent client experience by:
• Understanding and empathizing with client needs
• Surpassing client expectations
• Demonstrating a high level of integrity
• Exhibiting compassion and commitment
• Advocating for social justice
• Taking pride in individual work as well as that of the team
• Continually learning to stay current with industry standards, best practices and technology

As a Sea Mar employee, the individual in this position commits to adherence to these values to their utmost ability and endeavors to strengthen and embody this mission daily.

The following is a list of duties and responsibilities for the care coordinator:

Job Description
** Patient Care Coordination*
* • Participate in morning huddles to anticipate the patient’s clinical, social and behavioral health needs.
• Work with the care team to identify gaps in care and work to resolve them using process improvement strategies.
• Provide brief interventions at point of care to assist patients with management of their chronic illness, address any social needs and link patients to behavioral health.
• Send letters and perform follow-up phone calls to patients for planned visits.
• Advocate for patient services with community, social service, and medical providers.
• Participate and coordinate care transitions for patients who have been seen in an emergency roomand/or have been discharged from a hospital/long-term care facility.
• Connect patients to Sea Mar and non-Sea Mar resources as appropriate and track all resources available to patients. These services may include but are not limited to insurance enrollment,preventive health services, behavioral health, dental, and care management.
• Assist patients with ongoing self-management goal setting based on mutual goal setting and with emphasis on client decision-making utilizing motivational interviewing skills.
• Follow up with patient to evaluate their condition and address barriers to care plan.
• Track patient’s adherence with plan of care in electronic or paper charts and communicate outcomes and recommendations to the primary care provider.
• Participate in group visits and planned visit events providing care coordination support.
• Disseminate information regarding care for chronic illnesses and/or mental health and behavioral issues to the clinical care team.
• Maintain indigent patient medication assistance program and dispense 340b medications and supplies depending on the clinic site.
• Exhibit excellent customer service skills by using active listening skills, greeting patients in awelcoming manner, making them their only priority when providing services and assist in meeting the patients’ needs.
• Other duties as assigned by the Health Center Administrator and/or the Health Education & Care Coordination Program Manager.
** Quality Improvement*
* • Function as a point person within the clinic care team regarding chronic disease management and improvement activities to improve clinical quality measures.
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