Job title: Complex Care Coordinator
Department: Community Health Department
Reports To: Chief Clinical Officer
Salary Level: Grade 7
FLSA Status: Non-Exempt
Approved By: Chief Executive Officer
Approved Date: May 19, 2025
GOALS FOR POSITION: The goal of the program will be to assist patients to achieve optimal health and/or independence in managing their care. To achieve this goal the CCC will demonstrate and apply knowledge of the philosophy/principles of comprehensive case management, patient-centered, culturally sensitive care coordination and management of complex patients.
SUMMARY: The Complex Case Coordinator will perform intermediate skilled administrative support managing case files, ensuring compliance with policies and procedures, scheduling of mobile clinic, performing administrative duties and related work as apparent or assigned.
FUCTIONS & RESPONSIBILITIES:
- Provide appropriate interventions which demonstrate knowledge of and sensitivity toward cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served. Utilize interpreter services per policy.
- Upon referral from health care staff, community agencies, families, or other sources, reviews medical records of client's or patient's hospital chart regarding staff recommendations on needed services. Interviews client or patient, the family, and other sources to get information about the client's or patient's needs and the desires of the client or patient and the family
- Schedules and organizes daily schedules for CHRs and Outreach RNs.
- Interviews participant to determine family need and eligibility. Explores alternate resources and links clients to community services. Completes program application for program benefits and, if eligible, issues appropriate support payments.
- Reviews updated information from clients (e.g., changes in household composition, income or resources) as required. Visits client's home to get, verify, and exchange information. Recontacts collateral sources to verify information.
- Scheduling – Mobile clinic and staff. Tracking of Hospital @ Home clients and visits, Documentation for ECM , tracking Outreach clients and staff, compiling data and assisting complex care manager in day to day operations.
- Other duties as assigned
Skill in:
- Manage a complex caseload and establish priorities for case management, treatment, and referrals.
- Organizing or scheduling events or projects within established timeframes.
- Exercising sound independent judgment within established guidelines.
- Communicating clear and accurate information regarding clients to physicians, health providers and other health members.
- Preparing clear, complete, and accurate documentation, reports, and other written materials.
- Assisting in the evaluation of Community Health Outreach Program effectiveness.
- Establishing and maintaining effective working relationships with clients, public and private social and health agencies, physicians, and the public.
- Proficient in treatment and procedures carried out in the ambulatory care setting and home setting, wound care, urinary catheter, dressing changes etc.
EDUCATION and/or EXPERIENCE:
High School Diploma or equivalent
At least 2 years of scheduling or organizing projects or events experience preferred.
CERTIFICATES, LICENSES, REGISTRATIONS:
- Current CPR, ACLS, and PALS certificate (or obtain ACLS and PALS within 2 months of employment)
- Valid California Drivers License
- Valid RN licensure, BSN and/or PHN Certification preferred.