Patient Care Coordinator at Harbor Community Clinic – San Pedro, California

MISSION, VISION, AND VALUES

Our mission is to provide quality, comprehensive healthcare and supportive services to those in our community. Our vision is "Improving the Health and Well Being of our Community." Our Core Values consist of Integrity, Compassion, and Excellence. Employees must possess a strong commitment to the mission, policies, goals and philosophy of Harbor Community Health Centers.

JOB SUMMARY

The Patient Care Coordinator will report directly to the Enabling Services Manager and will be responsible for providing community case management, including but not limited to providing linkages and resources to Harbor Community Health Centers patients. The Patient Care Coordinator will work in close collaboration with HarborCHC clinicians to assess patients’ needs, provide resources and support as appropriate, and to ultimately improve patient health outcomes and overall quality of life. The Patient Care Coordinator would need to perform all duties with independence, professionalism, precision, and confidentiality.

This position is funded through the CITED grant and is currently approved through December 2026. Continued employment beyond the current grant period is contingent upon Harbor Community Health Centers securing continued funding.

ESSENTIAL DUTIES & RESPONSIBILITIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

To perform the job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required:

Patient Care Coordinator

• Participate in specialized care management/ care coordination programs (e.g. Enhanced Care Management ECM) by engaging eligible patients to participate in program, assessing patients’ needs, and collaborating with patients and their family/ support persons to develop their comprehensive, individualized, person-centered care plan. PCC will also be responsible for proper and timely documentation in Electronic Health Records.
• Assist patients in completing initial paperwork and psychosocial/ health risk assessments during initial intake as appropriate.
• Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers. Participate in community meetings.
• Provide referral services to patients in need of housing, food, clothing, legal assistance, shelters, substance use disorder (SUD) services, or other services directly related to social determinants of health.
• Assist patients in problem-solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
• Assist patients in completing applications for financial assistance programs, legal services, disability, immigration, DMV, DCFS, and EDD etc.
• Meet with patients on the spot as requested by providers for care coordination or for “warm hand-off”.
• Assist with screenings and assessments such as PHQ-9; conduct brief interventions with patients as needed.
• Participate in specialized care management program outreach (e.g. Enhanced Care Management) by engaging eligible patients to participate in program, assessing patients’ needs, and collaborating with patients and their family/ support persons to develop their comprehensive, individualized, person-centered care plan. PCC will also be responsible for proper and timely documentation in EHR.
• Complete required trainings (universal precautions, blood borne pathogens, risk management, safety drills, customer service, cultural sensitivity, ECM basic training etc.) on a timely basis.
• Maintain patient confidence and protect operations by keeping patient care information confidential as determined by HIPAA regulations.
• Perform all other related duties as appropriate and/or as assigned.

QUALIFICATIONS

Education, experience and/or training required:

• High School Diploma, or equivalent/AA degree; Bachelor’s degree in related field preferred.
• Minimum 2 years of experience working in intensive case management/ or social services field, direct experience facilitating care coordination preferred.
• Bilingual English/Spanish required.
• Demonstrated commitment to working with families living in disadvantaged communities, of diverse racial and ethnic backgrounds is essential, along with a familiarity of the health disparities, challenges and areas of need among the community served by HarborCHC.
• Strong verbal and written communication skills and the ability to convey information clearly.
• Patient care-centered mentality.
• Adept computer and internet skills required for routine data collection, data entry and reporting.
• Experience with Microsoft Word and Excel Spreadsheets required; experience with electronic health records preferred.
• Proactive, ability to identify and resolve problems in a timely manner; and to work well in a group and independently.
• Excellent time management skills and ability to complete tasks on time; ability to multi-task.
• Ability to adhere to HIPAA requirements, maintaining confidentiality and to use discretion and independent judgment.
• Willingness and aptitude to work effectively and independently.

Key Competencies:

• Committed to providing an exceptional experience in all interactions.
• Must have strong analytical and problem-solving skills.
• Must have proficient computer skills, including Microsoft Office abilities, with intermediate Excel skills.
• Must have the willingness and ability to adapt to change, including advances in technology.
• Ability to handle multiple tasks and be highly organized and detail-oriented.
• Must maintain confidentiality and handle sensitive information with discretion.

EXPECTATIONS

• Adheres to all HarborCHC’s policies and procedures.
• Conducts self in a manner that represents HarborCHC’s core values at all times.
• Must possess a solid commitment to the mission, policies, goals, and philosophy of HarborCHC.
• Maintains a positive and respectful attitude with all work-related contacts.
• Communicates regularly with his/her immediate supervisor about departmental and HarborCHC concerns.
• Consistently reports to work prepared to perform the duties of the position.
• Meets productivity standards and performs duties as workload necessitates.
• Maintain strict confidentiality of all data and information.
• Demonstrates integrity and accountability for duties and responsibilities.
• Performs all job functions in a professional and courteous manner. This includes answering phone calls and emails in a timely manner.

PHYSICAL REQUIREMENTS

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. While performing the duties of this job, the employee is regularly required to sit; use hands to manipulate objects, tools or controls; reach with hands and arms; and talk and hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and the ability to adjust.

HOURS OF OPERATION

HarborCHC is open Monday-Thursday 7:00am-7:00pm, Friday 8:00 am-5:00pm, Saturday 8:00am-5:00pm with occasional overtime, or other shifts based on clinic need. This is a Non-exempt position, with a typical shift of Monday – Friday 8:00am – 5:00pm and any overtime must be approved by the Supervisor in advance.

HR PROCEDURAL REQUIREMENTS

• Legal authorization to work in the United States.
• Clear all post offers, pre-employment background screening, and education verification.
• This is not intended to cover all aspects of your description as additional duties may be assigned.

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT

HarborCHC does not discriminate in employment opportunities or practices on the basis of race; religion; color; sex/gender (including pregnancy, childbirth, breastfeeding or related medical conditions); sexual orientation; national origin; ancestry; physical or mental disability; medical condition; genetic information/characteristics; marital status/registered domestic partner status; age; sexual orientation; reproductive health decision-making; military or veteran status; use of cannabis off the job and away from the workplace; and any other basis protected by federal, state or local law or ordinance or regulation, or any other legally recognized protected basis under federal, state or local laws, regulations or ordinances. This policy applies whether the individual has or is perceived to have any of the characteristics protected by law or is associated with a person who has or is perceived to have any of the characteristics protected by law. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation, and training.

DISCLAIMER

The above statements define this position as it currently exists and are intended to describe the general content of and requirements for this job. They are not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor. HarborCHC is an at-will employer.

In addition, HarborCHC may change your duties, compensation or hours, or transfer, reassign, promote, demote, suspend or otherwise change the terms and conditions of your employment (other than the at-will relationship), with or without cause or prior notice.