We are seeking a Care Coordinator to join our Monte Vista Clinic. Care Coordinators will work collaboratively with providers and clinical staff to support patients with chronic conditions and/or complex needs in our clinical programs. They will also facilitate communication, coordinate services, address barriers, and promote optimal allocation of resources while balancing clinical quality and cost management. The Care Coordinators also work in the ambulatory setting, and are members of the provider led interdisciplinary team - they will coordinate care using evidence based clinical guidelines for chronic disease management.

What You'll Need:

• Bachelor's degree in social work/human service related field preferred or comparable work experience, required.
• Current BLS, required upon hire
• Current Driver’s License in good standing and reliable and insured transportation.
• Care Management Experience, preferred
• Bi-lingual in Spanish, preferred

What You'll Do:

• Demonstrate and apply principles of person-centered, strength-based philosophy, motivational interviewing, shared decision making, coaching and adult learning.
• Demonstrate a sensitivity and responsiveness to a variety of cultural values and beliefs and social determinants of health
• Respond to provider referrals and/or identify patients who meet established criteria for care management.
• Completes evaluations with a variety of tools.
• Conduct basic screenings of patients within primary care, including review of barriers to health self- management; depression; stress; and substance use.
• Conduct brief interventions and referrals to treatment, supervised by patient's PCP.
• Provide basic crisis intervention services to patients in need, based on AMSR and ASIST suicide intervention training.
• Provide basic case management supports regarding health and mental health needs, functional abilities, readiness to change, caregiver stability, social supports, financial resources, environment and safety concerns, life care planning and self-management skills.
• Help facilitate communication between patients and their providers, and coordinate communication among all of patient's multiple providers.
• Facilitate development of comprehensive shared plan reflecting patient goals and preferences, self-care, and evidence best practice for chronic conditions.
• Provide pre-printed educational materials as needed.
• Provides individual and group health-related education and classes for established patients.

As the largest employer in the San Luis Valley, we commit to providing our employees with quality and affordable benefits to complement a fulfilling work experience and help balance life experiences and needs. To show our appreciation of your hard work, we offer a competitive and comprehensive total benefits package, including:

• Full medical, dental and vision plans to suit the needs of you and your family, with low-cost copays and deductibles, all without high out-of-pocket expenses.
• No out-of-pocket cost for AirMedCare Network Membership for those enrolled in a SLV Health medical plan.
• Enjoy 21 days of Paid Time Off in your first year and a generous Sick Leave program, with accruals starting on your first day!
• Start saving with Retirement plans available from day one, providing up to 5% employer match after one year of employment.
• Free life and disability insurance benefits for full-time employees with the opportunity to purchase additional coverage at low costs.
• Add to your benefit package with a variety of voluntary benefits such as identity theft protection, medical and dependent care flexible spending accounts and more.
• Take care of yourself with our free on-site 24-hour employee health center, and discounts to a selection of local fitness/recreational centers.
• Keep learning by utilizing our education program benefits to foster your growth and development.
• Give back to the community with multiple opportunities throughout the year to volunteer with our own non-profit SLV Health Foundation and other SLV- and community-sponsored events.
• Discounts on cell-phone plans, ski/snowboard lift tickets, Dell computers, local pools, Adams State University functions and more!
• Your family is our family so our employees and their family members have access to our employee support services, including up to four free counseling sessions to assist with work/life solutions.

Like to learn more? Click here for more information on our employee benefits program!