Job Description
Job Description
Clinica Sierra Vista is excited to be one of the largest Federally Qualified Health Centers in the Nation! We’re honored to serve the men and women of the fields. We also offer care and support to the inner city, the rural and isolated, those of low, moderate, and fixed incomes, and families from an array of cultural backgrounds who speak several languages. We don’t inquire about immigration status because we simply don’t need to know. If you come to us, we will treat you like any other patient.
As we grow our team, we are looking for individuals who believe the patient is always #1.
Why work for us?
Intrigued? We’d love to hear from you! Please review the job details below and then click “apply.”
We're looking for someone to join our team as a Care Coordinator-ECM who :
The Care Coordinator will report to the Practice Manager. Care Coordination allows primary care physicians to use dedicated time to direct proactive care for their patients, uses staff support to conduct outreach, and leverages new panel-based information technology tools.
Essential Functions :
Serve as the main contact for members, maintaining active engagement and ensuring monthly encounters.
Ensure follow-ups for all referrals, including both medical and community-based services.
Maintain and update care plans based on members' social determinants of health.
Assist members with social determinant needs by connecting them with community resources (e.g., housing, food assistance, transportation).
Complete and maintain accurate documentation, including assessment flowsheets and goal progression updates.
Track patient status changes (e.g., transfers, disenrollments, deaths) and update records accordingly.
Update goal progression for members enrolled in the ECM program.
Provide regular updates to case managers regarding assigned member’s progress.
Participate in Interdisciplinary Care Team (ICT) meetings to support patient-centered care planning.
Resolves unassigned patients by reviewing appointment history (and possibly the clinical record) to determine appropriate assignment.
You'll be successful with the following qualifications :
Clinica Sierra Vista values human rights, goodwill, respect, inclusivity, equality, and recognizes that the organization derives its strength from a rich diversity of thoughts, ideas, and contributions. As leaders in healthcare industry, we aspire to be an employer of choice by promoting an organizational culture that reflects these core values. We seek to attract, develop, and retain a talented and dedicated workforce where people of diverse races, genders, religions, cultures, political affiliations and lifestyles thrive. Our goal is to create a welcoming and inclusive environment that empowers our employees to provide the highest level of service to our community of residents and businesses; they’re counting on us.
Clinica Sierra Vista is an equal opportunity employer and strives to attract qualified applicants from all walks of life without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical disability, mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state and / or local law. We aim to create an environment that celebrates and embraces the diversity of our workforce. We welcome you to join our team!
East Bakersfield Chc • Bakersfield, CA, US