MCPN provides excellent health-related services focusing on the underserved. MCPN has one of the largest population bases of any community health center in Colorado. MCPN is dedicated to being a positive work place with a culturally diverse population of employees that are committed to being focused and disciplined team members. MCPN is also dedicated to taking care of our patients and our employees to ensure the best quality of life.
In order to support and help create positive health outcomes for patients, the Complex Care Coordinator provides assessment, intervention, coaching and support to MCPN patients and their responsible parties to proactively manage their care. The selected candidate will coordinate the delivery of services to patients, including collaborating with clinical and other staff to address patient’s needs. The Complex Care Coordinator evaluates the patient’s condition, develops care plans to improve overall health, assesses barriers to health and determines appropriate ways to address those barriers. The selected candidate will also be responsible for the following:
- Work closely with medical and behavioral health provider to help ensure patients have comprehensive and coordinated car. Follow-up with patients should be continuous from initial identification through closure.
- Be responsible for providing consistent communication to the Care Management Team to evaluate patient/family status, ensuring that provided information, and reports clearly describe progress
- Act as a patient advocate and liaison between patient/family and community service agencies (i.e. schools, Department of Human Services, home health agencies, specialists, hospitals, etc.)
- Provides ongoing follow-up, basic motivational interviewing and goal setting with patients/families
- Helps patients set personal goals and attend in-clinic appointments
- Provides mentoring and assists with skill building for entry-level care coordinators as needed.
- Visits home on an as needed basis for clients if they are unable to visit the clinic.
- Research and provide guidance on outreach programs for a diverse population of at risk clients
Education or Formal Training:
- MSW degree or related Human Services field required.
- Direct related care coordination experience may be substituted on a year-for-year basis for the master’s degree.
Experience:
- Previous experience working in social work, behavioral health or community health required.
- Background in case management, health education, or community resources required.
Click here to apply – Search for req # 3517