Health Home Care Coordinator

Are you a compassionate and dedicated professional with a passion for helping others achieve their best possible health? Virginia Mason Franciscan Health is seeking a motivated Health Home Care Coordinator to join our innovative team and make a tangible difference in the lives of our members.

At Virginia Mason Franciscan Health, we believe in providing personalized, integrated care that empowers individuals to take charge of their health journey. As a Health Home Care Coordinator, you will be a vital link in this process, working collaboratively with members, providers, and a multi-disciplinary team to assess needs, facilitate access to services, and coordinate comprehensive care across the full spectrum of health, including behavioral health and long-term care.

What You'll Do (The Impact You'll Make):

This isn't just a job; it's an opportunity to transform lives. You'll play a crucial role in ensuring our members receive medically appropriate and cost-effective quality care tailored to their unique circumstances. Your day-to-day responsibilities will include:

• Holistic Assessment & Planning: Conducting comprehensive clinical assessments to determine eligibility for case management services, and then collaborating with members, families, and healthcare professionals to develop, implement, and continuously monitor individualized care plans.
• Integrated Care Coordination: Coordinating a wide range of integrated outpatient care services, including assessing barriers to care, identifying vital community resources, and connecting members with specific wellness programs (e.g., asthma, depression management) to enhance continuity of care.
• Empowering Through Communication: Primarily providing care coordination through telephonic communication, in-home visits, and/or direct face-to-face contact. You'll master motivational interviewing techniques and clinical guideposts to educate, motivate, and support members in making positive changes towards desired health outcomes.
• Navigating the Healthcare Landscape: Guiding members through complex healthcare systems, assisting with medication access, scheduling appointments, arranging transportation, and securing necessary medical equipment.
• Advocacy and Support: Acting as a strong advocate for members and their families, connecting them with financial assistance programs, DSHS, charity care, and insurance providers, and ensuring they have the tools and resources to manage their conditions proactively.
• Collaborative Teamwork: Serving as an integral member of the provider and interdisciplinary team, contributing to comprehensive care plans, and providing continuous updates on member progress, status, and any emerging issues.
• Accurate Documentation: Maintaining meticulous documentation of all services provided, interventions, and member progress in accordance with established guidelines and in a timely, comprehensive manner.
• Local Travel: Up to 40% local travel may be required, depending on the complexity of assigned member cases, allowing for direct personal connection and support.

What You'll Bring (Your Expertise & Qualifications):

We are seeking a candidate who embodies compassion, critical thinking, and a commitment to patient-centered care. To thrive in this role, you will need:

• Education & Experience:

• A Bachelor’s degree in social work, psychology, geriatrics, nursing, behavioral health, or a related field.
• One year of related work experience demonstrating the requisite job knowledge and abilities.
• Preferred: Work experience in case management, social work, or discharge planning.
• Alternative: An equivalent combination of post-secondary education and work experience demonstrating attainment of the requisite job knowledge/abilities may be substituted for the degree requirement.

• Licensure/Certifications:

• Eligible for Agency Affiliated Counselor prior to hire date, with credential obtained within 60 days of hire.
• Current healthcare provider BLS certification.

• Knowledge & Skills:

• Strong understanding of psychosocial and clinical education concepts.
• Familiarity with professional standards and accepted guidelines for patient care.
• Knowledge of community resources and applicable regulatory requirements.
• Understanding of transitional case management concepts, methodologies, and tools.
• Exceptional communication, interpersonal, and organizational skills.
• Ability to work independently and as part of a collaborative team.
• Proficiency in documenting services and maintaining accurate records.

Why Virginia Mason Franciscan Health?

At Virginia Mason Franciscan Health, we are dedicated to creating a supportive and dynamic work environment where our employees can flourish. You'll be part of an organization committed to:

• Integrated Care: Contributing to a model of care that truly puts the patient at the center.
• Community Impact: Making a meaningful difference in the health and well-being of individuals and families in our community.
• Professional Growth: Opportunities for ongoing learning and development in a continuously evolving healthcare landscape.

Collaborative Culture: Working alongside a diverse and dedicated team of healthcare professionals.

Virginia Mason Franciscan Health has a rich history of providing exceptional healthcare, dating back to 1891. Building upon a legacy of compassionate care and innovation, our organization has evolved over the years through strategic partnerships and integrations to expand our reach and services across the Puget Sound area.

Today, as Virginia Mason Franciscan Health, we remain deeply committed to healing the whole person – body, mind, and spirit – in the communities we serve. This commitment is strengthened by the diverse expertise and shared values brought together through our growth.

Our dedicated providers offer a full spectrum of health care services, from routine wellness to complex disease management, all grounded in rigorous research and education. Our comprehensive network of 10 hospitals and nearly 300 care sites strategically located across the greater Puget Sound region reflects our ongoing commitment to accessibility and comprehensive care.

We are proud of our pioneering medical advances and numerous awards and accreditations that reflect our dedication to excellence. When you join Virginia Mason Franciscan Health, you become part of a team that delivers top-quality, professional healthcare in modern, well-equipped facilities, and contributes to a legacy of service built on collaboration and shared purpose.