Care Coordinator

Who We Are If you want to work for a mission-driven organization that’s impacting community health care both on a local and national level, then Access Community Health Network (ACCESS) may be the perfect place for you . As a nationally recognized leader in community health, we continue to innovate and improve our integrated care model to address the total health and wellness of our patients. Our dedicated staff are committed to advancing health equity and making a long-term impact on the health outcomes of the more than 150,000 patients that count on ACCESS as their medical home each year. Position Summary The Care Coordinator is a Registered Nurse, Licensed Social Worker or Counselor who provides care coordination, social support services and outreach services to assist patients in navigating health care transitions, and support patient empowerment through health education, advocacy and coaching. Serve as team lead for intake process, development and maintenance of care plan and promoting health programs and services. Utilize information systems and decision support, manages a patient panel to proactively contact, educate, and track patients by disease, risk, and self-management status, as well as family and community need. Lead Patient-Centered Care Planning including assessment, plan, implementation/intervention and evaluation, as well as a method for monitoring and intervening. Conduct (face-to-face) visits according to policy and workflows Provide resources to support patient/families in self-management to meet health care treatment goals, assess readiness to learn and validate learning outcomes. Assist patients and providers from across the care continuum in the transition from outpatient- to inpatient setting, and ensure post-emergency department, hospitalization, and/or specialist follow up. Requirements Social Worker/ Counselor Bachelor’s degree required, Master’s degree preferred Current, unrestricted Illinois license: LCPC, LPC, LCSW or LSW required Minimum two (2) years’ experience in a clinical setting required. OR Registered Nurse Associate’s degree required; Bachelor’s degree preferred Registered Nurse (RN); current unrestricted licensure in Illinois, required Minimum of one (1) year of general nursing experience in a clinical setting is required. •Care Coordination experience preferred. •Bilingual Spanish a plus. •Previous experience using an electronic medical record preferred. •Intermediate proficiency in Microsoft Office products (Word, Excel, PowerPoint) required. Benefits Tuition reimbursement and student loan forgiveness programs for qualifying individuals Comprehensive healthcare coverage including Medical, Dental, and Vision Generous PTO 403(B) retirement plan and financial resources to help you save and plan for your retirement Life Insurance Opportunity to participate in cross-departmental committees to innovate and transform our care delivery model and our workplace