Medicare Care Management Field Coordinator

Job Description

Job Description

Reporting to the Clinical Supervisor of the team, the Medicare Care Management Field Coordinator supports the health and well-being of San Francisco Health Plan (SFHP) members by addressing health needs and social drivers of health, both individually and across communities. As part of the Care Management team, they work directly in the community with those who benefit most from SFHP services. Often from the communities they serve, Field Coordinators are trusted partners who help bridge cultural and language gaps, improve access to care, and connect members to needed services.

You will help improve health equity, support culturally responsive care, and empower individuals and communities through advocacy, education, and support. Field Coordinators also help reduce emergency visits and hospitalizations, and increase access to integrated medical, behavioral, and dental care. Your role will involve collaboration with care teams, providers, community partners, and agencies to enhance member care and outcomes.

This is a hybrid position, based in our Downtown San Francisco office. You will be working in the field within San Francisco up to five days per week, with one of these days typically in the SF office or remotely.

Salary : $30 - $39 per hour

WHAT YOU WILL DO :

• Support members in completing Health Risk Assessments (HRA) by phone or in-person, in their preferred setting.
• Build respectful, trusting relationships; explain Care Management services and benefits.
• Assist members in accessing care, including scheduling, post-discharge follow-up, and attending appointments.
• Help with applications for eligible programs; coordinate communication among members, caregivers, providers, and community-based organizations (CBOs).
• Foster inclusive partnerships with providers and agencies to reduce cultural and socioeconomic barriers.
• Stay informed about local resources; conduct screenings, identify social needs, and follow up on referrals.
• Participate in interdisciplinary care team meetings and contribute to personalized care plans.
• Support members in understanding and following their care plans.
• Share observations from community visits to help the care team respond to members' evolving needs.
• Encourage members to actively participate in their health, addressing barriers to care and services.
• Document activities and collaborate with care transition teams to support continuity of care.
• Deliver culturally relevant health education on chronic disease prevention, nutrition, and physical activity.
• Work with other staff and departments to support comprehensive, person-centered care.

WHAT YOU WILL BRING :

WHAT WE OFFER :

Medical : You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.

ABOUT SFHP :

Established in 1997, San Francisco Health Plan (SFHP) is an award-winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco County. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 175,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services.

San Francisco Health Plan is proud to be an equal opportunity employer. We are committed to a work environment that supports, inspires, and respects all individuals and in which our people processes are applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military service status, citizenship, or other protected characteristics.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

San Francisco Health Plan is an E-Verify participating employer.

Hiring priority will be given to candidates residing in the San Francisco Bay Area and California.

#LI-Hybrid

(Hybrid remote / in-office)