Community Health Coordinator- Full-Time- (72 hours per period)

Summary

The Community Health Coordinator is responsible for coordinating care and connecting patients with community and public health resources that promote wellness, improve access, and address social determinants of health. This position supports outpatient clinic operations by integrating preventive health initiatives, population health management, and social support services into the clinical environment.

The role may be filled by a Registered Nurse (RN), Licensed Practical Nurse (LPN), Licensed Social Worker (LSW), Licensed Marriage and Family Therapist (LMFT), or a bachelor's-level public health professional with relevant experience (ex. LADC).

Essential Duties and Responsibilities

Care Coordination and Case Management

• Conduct assessments to identify patients with complex health or social needs, including chronic disease, behavioral health, or socioeconomic barriers to care.
• Collaborate with providers and clinic staff to implement individualized care plans and ensure continuity of care.
• Facilitate referrals and link patients to community programs, public health services, and behavioral health resources.
• Monitor patient progress and provide ongoing follow-up to support adherence to treatment plans and care coordination goals.
• Support transitions of care following hospital discharge or emergency visits to prevent readmissions.

Community Resource Development and Collaboration

Education and Outreach

Quality Improvement and Reporting

Qualifications

Education and Licensure (one of the following required) :

Experience :

Knowledge, Skills, and Abilities :

Working Conditions

Position primarily based in the outpatient clinic setting with potential for community outreach and home visits as appropriate. Will supply support to all clinic locations. Requires occasional travel to meetings, community events, and partner agencies.

Work schedules may vary depending on patient and community needs.

Supervisory Responsibility

Provides work direction in coordination with the Clinic Director.

Company Benefits Overview

Job Posted by ApplicantPro