Integrated Care Coach

The Integrated Care Coach provides proactive, patient-centered care coordination and social needs support for the highest risk top 5% patient membership. The role involves coordinating care across health and social service systems, serving as patient advocates and clinical supports, including clinical screening and escalation, outreach and home visits, social needs support, and care coordination.

Requirements

• Healthcare professional with 3+ years of Ambulatory, Primary Care, or Senior-Care experience with direct patient care
• Ability to discuss chronic conditions and reinforce medication instructions
• Comfortability to regularly conduct home visits and community-based outreach
• Demonstrated experience in patient education, care coordination, and social support of high-risk or geriatric populations

Benefits

• Health benefits effective day 1
• Paid time off, holidays, volunteer time and jury duty pay
• Recognition pay
• 401(k) retirement savings plan with employer match
• Tuition assistance
• Scholarships for eligible dependents
• Parental and caregiver leave
• Employee charity matching program
• Network Resource Groups (NRGs)
• Career development opportunities