Care Coordination Outreach Worker

Care Coordination Outreach Worker

Home Sites: Park Forest, IL and Chicago Heights Family Health Center Travel: Ability to travel to Humboldt Park approximately 12 times per month Department: Care Coordination Schedule: Full-Time Starting Pay: $17.50 per hour Spanish-speaking preferred

About Aunt Martha's Health & Wellness

At Aunt Martha's Health & Wellness, we are committed to improving the health and well-being of the communities we serve by helping patients access timely, compassionate, and coordinated healthcare services.

As a Care Coordination Outreach Worker, you'll help patients stay connected to the healthcare services they need by completing health risk screenings, coordinating follow-up care, providing education, and conducting outreach in clinic, hospital, and community settings. This is a great opportunity for someone who enjoys working directly with patients, building relationships, and being part of a collaborative healthcare team.

Position Overview

Under the supervision of the Care Coordination Outreach Supervisor, the Care Coordination Outreach Worker supports the delivery and coordination of healthcare services for Aunt Martha's patients.

This position completes health risk assessments, conducts patient outreach, schedules follow-up appointments for patients recently discharged from the emergency department or inpatient care, and provides ongoing education related to preventive services and appropriate healthcare utilization. The role works closely with health plans, specialists, hospitals, physicians, and Aunt Martha's clinical teams to support continuity of care.

The primary work locations are Park Forest and the Chicago Heights Family Health Center, with travel to Humboldt Park approximately once or twice per month.

Key Responsibilities

Patient Outreach & Follow-Up

• Complete health risk screenings for active care coordination patients.
• Conduct outreach to patients through clinic visits, home visits, and hospital visits as required.
• Schedule follow-up appointments for patients recently discharged from the emergency department or inpatient care.
• Help patients stay connected to appropriate medical services and follow-up care.
• Provide ongoing health education related to preventive services and appropriate emergency department utilization.

Care Coordination & Collaboration

• Collaborate with health plans, specialists, hospitals, physicians, clinic staff, and other members of the care team.
• Support coordinated care and help address barriers that may prevent patients from receiving needed services.
• Communicate professionally with patients, healthcare providers, and internal staff.
• Work independently while contributing to a collaborative Care Coordination team.

Documentation & Administrative Support

• Accurately document patient information and outreach activity in the Athena Electronic Health Record (EHR).
• Maintain databases and outcomes information as required by the program.
• Answer designated telephone calls professionally, respond to inquiries, route communications, and document messages.
• Maintain accurate and timely records while protecting patient confidentiality.
• Attend required meetings, trainings, and Core Curriculum sessions.

Qualifications

Required

• High School Diploma or equivalent.
• Experience working with Microsoft Office programs.
• Strong computer and data-entry skills.
• Strong verbal and written communication skills.
• Ability to manage multiple priorities and adapt to changing needs.
• Strong organizational skills and attention to detail.
• Ability to work independently and as part of a collaborative team.
• Current driver's license.
• Current automobile insurance.

Preferred

• Spanish-speaking / bilingual English-Spanish preferred.
• Previous experience in healthcare, patient outreach, community services, care coordination, or customer service.
• Experience using an Electronic Health Record system.
• Experience interacting with patients, healthcare providers, hospitals, or health plans.

Additional Requirements

• Ability to work primarily from Park Forest and Chicago Heights Family Health Center.
• Ability and willingness to travel to Humboldt Park approximately 12 times per month.
• Ability to work late evenings, weekends, and scheduled holidays as needed by the program.
• Ability to perform outreach through clinic, home, and hospital visits as required.
• Ability to maintain patient confidentiality and follow organizational policies and procedures.

Benefits

• Medical, Dental, and Vision Insurance
• Life and Disability Insurance
• Paid Vacation
• Paid Sick Time
• Paid Holidays
• Retirement Plan
• Employee Assistance Program (EAP)
• Employee Discount Programs
• Professional Development and Career Growth Opportunities