Marin Community Clinics
Location
San Rafael, California
Salary
$29 - $36 / HOUR
Manage a caseload of 30-40 complex care patients by implementing comprehensive care plans and connecting them to community resources. Coordinate with interdisciplinary clinical teams and document all patient interactions in electronic health records.
Requires a degree in Social Work, MA, CHW, or equivalent experience, with fluency in both English and Spanish. Preference is given to candidates with 1-2 years of experience in behavioral health, complex medical conditions, or housing navigation.
Support a minimum caseload of 30–40 Complex Care patients. Implement comprehensive patient care plans in partnership with patients. Triage and respond to tasks/care needs. Assist patients to complete necessary forms/applications. Work with patients to address non-medical factors that affect overall well-being. Assist patients in getting connected to community resources. Assist patients to schedule/attend medical, behavioral health, and specialist appointments. Administrative support including records retrieval and review, eligibility screening, goal tracking, and more. Assist patients with coordinating all necessary care. Conduct home/community visits as needed. Consult/coordinate with interdisciplinary care teams, including behavioral health, care navigation MAs, nursing, medical providers, and external partners. Document all patient interactions and services using MCC’s electronic health record and secondary database. Attend internal and external meetings (e.g., case conferencing, administrative). Attend trainings such as health coaching, engagement techniques, etc. Provide timely and accurate reporting of data as requested by MCC programs. May travel between clinics or meet patients in the community as needed. Provide thoughtful feedback regarding case management services and quality improvement measures. rovide services to satellite clinics as needed; may be asked to work a variable schedule during extended-hour clinics (e.g., 10am–7pm on one or more days). Other duties may be assigned.
Education and Experience: MA, CHW, Bachelor of SW, or equivalent case management experience required. 1–2 years’ experience providing support to individuals with chronic and complex behavioral health needs, complex medical conditions, and/or individuals who use substances highly preferred. Experience/familiarity with housing resources and housing navigation in Marin highly preferred. Knowledge of state regulations and legal/ethical standards related to patient rights and client/patient confidentiality required. Training in motivational interviewing highly desired or willingness to learn. Required Skills and Abilities: Must be fluent in English with the ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports and business correspondence in English. Must be able to communicate with patients and partners in Spanish: effectively present information and respond to questions from clients, customers, and the public in Spanish. Must be able to conduct clinical assessment interviews and case management interventions with patients in Spanish. Willing to drive to other MCC clinic locations in Marin County. Computer Skills: To perform this job successfully, an individual must be computer literate and knowledgeable in Microsoft Office software programs and how to conduct searches on the Internet. Certificates, Licenses, Registrations: BLS Training Current. Physical Requirements and Working Conditions: Prolonged standing and walking. Prolonged periods of sitting at a desk and working on a computer. Must be able to lift up to 15 pounds at times. Will drive among clinic locations as needed. Fulfill immunization and fit-for-duty regulatory requirements.
Our benefits program is designed to protect your health, family, and way of life. We offer a competitive Benefits Program that includes affordable health insurance and Health Reimbursement Accounts (HRA), Dental and Vision Insurance, Educational and Continuing Education Benefits, Student Loan Repayment and Loan Forgiveness, Retirement Plan, Group Life and AD&D Insurance, Short-Term and Long-Term Disability benefits, Professional Fee Reimbursement, Mileage and Cell Phone Reimbursement, Scrubs Reimbursement, Loupes Reimbursement, Employee Assistance Programs, Paid Holidays, Personal Days of Celebration, Paid Time Off, and Extended Illness Benefits. Marin Community Clinics is an Equal Employment Opportunity Employer #LI DM1 Min USD $29.00/Hr. Max USD $35.63/Hr.
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