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Clinical Services Coordinator

2 hours, 41 minutes ago
Anywhere
Full-time
Mid Level
Operations Specialist
Operations
Apply Now
Medical Home Network

Medical Home Network

Medical Home Network (MHN) is a nationally recognized not for profit organization dedicated to transforming care in the safety net and building healthier communities. Based in Chicago, MHN powers the future of healthcare delivery by creating clinically...

Health Care Providers & Services
51-250
Founded 2009
View All Jobs 2

Description

  • Conduct patient outreach for Annual Wellness Visits, transitions of care, preventive screenings, chronic disease management, and other clinical programs.
  • Schedule and confirm appointments, address barriers to care, and improve appointment adherence.
  • Coordinate services across primary care, specialty care, behavioral health, and community organizations.
  • Educate patients, reinforce care plans, support self-management, and connect patients with insurance, transportation, and community resources.
  • Use EMRs, population health registries, Agentic AI tools, and reporting platforms to identify care opportunities and quality interventions.
  • Conduct post-discharge outreach and coordinate appointments, medication review, referrals, and follow-up care.
  • Escalate clinical, behavioral health, and social concerns to licensed clinicians or appropriate care team members.
  • Maintain accurate documentation, support compliance and quality reporting, and monitor outreach work queues.
  • Participate in quality improvement, workflow optimization, clinical program implementation, onboarding, and team training.

Requirements

  • At least 3 years of experience in care coordination, care or case management, patient outreach, and connecting patients with community resources.
  • Bilingual Spanish proficiency and fluency in medical terminology.
  • Experience in safety-net or public health hospitals, FQHCs, academic medical centers, ambulatory care, physician practices, community mental health, substance use treatment, or outpatient mental health settings.
  • Experience engaging patients with chronic illnesses, behavioral health needs, and multiple social factors affecting health outcomes.
  • Knowledge of or experience working with Medicaid and Medicare populations and value-based care preferred.
  • Current state licensure as an RN, LPN, LSW, or LCSW preferred; additional licensure may be required for patient care in other states.
  • Ability to use electronic medical records, care management platforms, population health tools, and AI-assisted patient engagement technology.

Benefits

  • Fully remote schedule.
  • Medical, vision, dental, HSA, FSA, and 401(k) benefits.
  • Paid time off, sick time, and 12 paid holidays.
  • Fitness reimbursement, commuter benefits, and tuition assistance.
  • Collaborative work environment with mission-driven healthcare colleagues.

Interested in this position?

Apply directly on the company website

Apply Now

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