Care Coordinator

Applications will be accepted until 5pm on 04/22/2026. EOE

Location: Hybrid. This position can be based out of any Community Connections location in SW Colorado.

This position follows established safety protocols in the community setting, as well as established preventive and disease management programs for health promotion and education. This position will be familiar with health and community resources that will reduce barriers to care and will deliver culturally appropriate information to address social drivers of health outcomes.

Key Responsibilities:

• Respect confidentiality and maintain confidences of members. The ability to maintain confidentiality is a critical and essential component of this position.
• Serve as a consultant to care coordination teams in the region.
• Serve as community liaison and maintain relationships with key individuals in the community and serve as an advocate by coordinating linkages or referrals to improve health, social, and environmental conditions for members.
• Connect members to appropriate community resources and manage the successful completion of referrals, assist with warm hand-offs and document outcomes in Channels360 platform.
• Communicate the mission and role of the SWCC team and Care Coordination to community associations, community-based organizations, senior groups, local clubs and groups, and churches.
• Serve as the direct personal contact in the community to members who are unable to be reached through phone calls.
• Conduct member assessments.
• Assess the changing needs and condition of the client and communicate this information to all involved Care Coordinators, community partners, physicians and other appropriate individuals.
• Document assessments, client/family response to care coordination interventions in the required systems at the time of the encounter. Meet standards and deadlines for timely completion of all required documentation and meet current prescribed productivity standards.
• Educate and assist identified members about behaviors that can enhance their health, including how to successfully navigate the health system.
• Facilitate access to preventive and disease management health services.
• Participate in interdisciplinary care team meetings as indicated.
• Manage difficult to reach and non-compliant members.
• Work collaboratively with and seek guidance from the Senior Director and/or Vice President of Case Management as needed to develop a plan of management associated with health care goals for each member addressing the diverse needs in a culturally appropriate way.
• Develop and maintain a report system for outcomes.
• Communicate member issues requiring interventions to appropriate team members or community partners.
• Maintain confidentiality and use only the minimum amount of protected health information (PHI) necessary to accomplish job related responsibilities. Maintain confidentiality of patient information.
• Participate in staff meetings, case conferences and in-services. Maintain familiarity with all policies and procedures that impact decisions and care.
• Perform additional duties as assigned by the Senior Director.
• This position may require travel. Requires independent, reliable, flexible, and on-demand, transportation for travel between various locations and timely arrival and departure from various locations. If the employee chooses to satisfy this requirement by driving a vehicle, the employee must meet the requirements for Colorado licensure and company requirements for liability insurance coverage. CCI will reimburse for mileage per our policy.

• Bachelor’s degree in social work, social sciences or counseling or four years of case management experience; or a Bachelor’s degree in a human services field such as Child, Family and Community Services, Early Childhood Development, Guidance and counseling, Home Economics – Child Family Services, Human Development Counseling, Human Service Administration, Human Services, Pastoral Care, Pastoral Counseling, Psychology, Public administration, Rehabilitation Counseling, Social Science, Social Services/Social Work, Sociology, or Fellow designation from the Academy of Healthcare Management (AHM) is preferred or related field, or the combination of education and experience that would enable performance of the full scope of the position.
• Requires 2 years of progressive related experience working with diverse populations, community or faith-based organizations.
• Health care setting experience preferred.
• Bilingual in English/Spanish preferred.

• Local travel within the community may be required
• Flexible schedule possible

Knowledge and Abilities:

• Knowledge of health education, motivational strategies, and an empathetic manner working with the underserved.
• Knowledge of healthcare business preferred.
• Knowledge of local area, social service organizations, and resources preferred.
• Adequate internet connectivity, work area and ability to secure all work activity when working remotely
• Computer literacy and intermediate knowledge in Microsoft Excel, Word, & Outlook. Familiarity with an Electronic Health Record (EHR) or Essette is desirable.
• Use of standard office equipment
• Capability to manage assigned caseloads, set priorities, and manage time effectively
• Capability to set goals with clients, manage relationships with community partners and care teams, and persevere with hard-to-reach clients
• Effective written and in-person communication
• Capability to adhere to timelines, deadlines and meeting times
• Capability to problem solve, learn quickly and work with minimal oversight
• Ability to handle and maintain confidential information
• Excellent communication skills, including phone and customer service skills
• Ability to commute for business, when needed. If driving, must possess a drivers’ license in the state they reside and current auto insurance.
• Satisfactory completion of all background checks and references, including Motor Vehicle Record is required.

Core Competencies:

• Compassion and empathy
• Listening
• Creative problem solving
• Motivating others and working well in a team setting
• Efficient time management

Communicating with others via email, letters and telephone is required. An employee in this position will use a laptop computer and may also have documents and files that they will need to transport within and outside the office. The employee will be required to attend meetings, training, home visits and other community activities within the region of Southwest Colorado.