Care Coordinator

Care Coordinator

Reporting to VP of Client Services & Growth, the Care Coordinator working under the direction of the care manger and Account Manager, the Care Coordinator supports implementation of the patient’s integrated care plan and works towards resolution of patient needs/barriers. The Care Coordinator facilitates communication between patients, their families, caregivers, providers, and other members of the health care team. The main focus is to offer individualized assistance to patients, families and caregivers in order to help overcome health care system and community barriers and help facilitate consistent and timely medical care across the continuum of care.

Essential Functions

  • Perform Health Risk Assessments.
  • Provide general care management orientation to patients and communicate the goals and objectives of the program.
  • Provide assistance for patients referred to/from providers, care managers, and from other points of entry.
  • Assist with scheduling medical and specialty appointments. Provide reminder phone calls for appointments and/or follow-up calls post appointment.
  • Contact patients to facilitate continuity of care and escalate issues to Care Manager.
  • Compile and distribute educational material per patient need in consultation with Care Manager.
  • Assist patients with adherence to existing self-management goals or development of new goals (in collaboration with Clinical Staff).
  • Assist in identifying individual and/or community needs which encourage healthy lifestyles and environments (i.e., community resources, transportation assistance, exercise programs, etc.).
  • Interact with other MHN departments on patient and care team behalf in resolution of barriers. Communicate outcomes to patient/family/caregivers.
  • Assist in the collection and assembly of quality improvement information for the purpose of tracking and trending.
  • Participate in cross-functional team meetings aimed at improving patient outcomes or operational processes.
  • Regularly participates in care team huddles with care managers to identify priorities, tasks and interventions.
  • Maintain timely and appropriate documentation on patient interactions in the care management system.
  • Develop and maintain excellent working knowledge of common chronic conditions and seek information as part of continuous learning.
  • Develop and maintain excellent working knowledge of MHN product offerings and benefits.
  • Provide disease specific and preventive care patient education.
  • Ensure timely follow up with provider post hospitalization / emergency room visit.
  • Retrieve discharge summaries and copies of medical records.
  • Make home and facility visits, if necessary, to ensure patients are following their plan of care.


  • Demonstrated knowledge and experience with the environment and systems through which patients must navigate.
  • Demonstrated knowledge and experience in teaching/training patients.
  • Demonstrated ability to develop and employ effective customer relationships with patients and health care team.
  • Ability to assist in the facilitation and coordination of patient care plans.
  • Excellent interpersonal communication and organization skills.
  • Ability to work independently as also as a team with a high variety of individuals.
  • High degree of creativity in problem-solving.
  • Ability and patience to navigate complex systems of care.
  • Proficient computer skills.

Required Education

  • Bachelor’s degree in health or social services field or equivalent work experience in healthcare (5 years).
  • MA/CNA/CHW preferred.

To apply, please send your resume and cover letter to careers@mhnchicago.org.