Care Coordinator

Job TitleTo serve the immediate health and psychosocial needs of clients by providing information, advice, and referral services.Essential Job Functions- Collaborate with physicians, care teams, and other staff members in ensuring patients are directed to the appropriate level of care resources and services.- Collaborate with teams across the care continuum to oversee and ensure appropriate care transitions.- Responsible for the tracking, coordination, and communication of patient referrals.- Ensure that referrals are addressed in a timely manner.- Remind patients of scheduled appointments.- Ensure that patient's primary care chart is up to date with information on specialist consult reports. Specialty consultations must be requested within a specific time, as per clinic policy.- Conduct intake/enrollment screening and documentation of all services and referrals on a service plan.- Complete appropriate documentation, scheduling, and work in Epic as it pertains to completing all assigned job duties.- Adheres to all departmental policies, procedures, and standard work in completing all assigned tasks and duties. Maintains awareness and understanding of individual and department.- Performance measures and embraces improvement efforts and changes to continually meet performance goals.- Determine the client's needs.- Provide clients with referrals to federal, state, and local social services programs.- Document all care provided, directly or indirectly by others (i.e. referrals, services, consults, etc.)- Maintain client confidentiality.- Attends FoundCare programs and other meetings in the community.- Consistently demonstrates appropriate and professional communication behavior toward patients, customers, and coworkers. Cooperates with Management and peers to promote an environment of teamwork and collaboration.- Become familiar with local community resources.- Complies with all FoundCare program policies and procedures.- Assist with agency fundraising activities as requested, including promoting events, selling tickets, soliciting donations, and other tasks to support events.- Attends and participates in all meetings, daily huddles, seminars, and in-service training as required.- Perform other duties, as assigned.Required Knowledge, Skills and Abilities- Knowledge of Social Work and community resources.- Ability to communicate effectively with others, with or without the use of an interpreter.- Medical terminology, in registration tasks and front desk operations.- Ability to review, understand and apply concepts presented in training programs, conferences, and/or professional literature.- Excellent interpersonal, organizational, and communications skills.- The ability to multi-task and stay organized.- The ability to type 30 words per minute and basic proficiency in computer skills, including proficient use of Outlook, MS Word, and Excel, and the ability to navigate electronic health record systems.- Experience in medical records and EMR billing systems; medical billing/coding experience; knowledge of community/ insurance programs.- A clear understanding of the FoundCare program and related agencies.- The ability to provide educational information to individuals about safer sex practices which could include, but is not limited to, exposure to explicit language, explicit printed material, and descriptions of explicit sexual activities, as part of the agency's mission in the prevention and transmission of HIV disease.Physical Requirements- Ability to endure short, intermittent, and/or long periods of sitting and/or standing in the performance of job duties.- Accomplish job duties using various types of equipment/supplies, e.g. pens, pencils, calculators, computer keyboard, telephone, etc.- Ability to lift and carry objects weighing 25 pounds or less.- Ability to travel to other FoundCare locations and perform job duties.- Ability to travel to other locations to attend meetings, workshops, and seminars, plus travel to other FoundCare departments and FoundCare conference rooms.Minimum Qualifications- Bachelor's degree in a health or human-services field from an accredited institution is required.- Minimum of 2 years' experience in clinical settings/FQHC.- Cultural sensitivity to diverse populations including the diversity of those infected with HIV and/or at risk of infection.- Valid driver's license, automobile insurance, and a reliable automobile.- Bilingual preferred: English and Haitian Creole/Spanish is highly desirable.- This role is not eligible for visa sponsorship.