Care Coordinator

Pathways By Molina - Seattle, WA (30+ days ago)2.4

Pathways is one of the largest national providers of accessible, outcome-based behavioral and mental health services. At Pathways, we deliver exceptional value by creating healthier communities through the work of exceptional people. Our more than 6,000 employees provide the highest-quality home- and community-based human services in 20 U.S. states and the District of Columbia.

The Care Coordinator carries a high acuity caseload and works toward assuring smooth and effectively delivery of services to all individuals in need. Care Coordinators will engage enrolled health home high risk/high cost clients in the setting of the client’s choosing to improve the client’s self-management skills to manage behaviors that improve health outcomes. Care Coordinators will use motivational interviewing techniques and evidence based practices to help the client establish health action plans and employ techniques to reduce barriers to established health goals.


Bachelor Degree in human services, social services, nursing or related field or a two year technical certificate in Nursing or a DOH Certified Chemical Dependency Professional
In addition to the above formal education and training needs, Care Coordinators must have an additional two years of service working in a nursing, health care, behavioral health or human services capacity. This work can be paid or volunteer, or a combination of both
Successful completion of a criminal background check that is free of any disqualifying crimes as determined by Washington Administrative Codes related to unsupervised access when working with children, vulnerable elders and disabled adults
Proof of: Valid Washington driver’s license, car insurance as well as proof of education are required
Bilingual-Spanish preferred

Functions as the primary Care Coordinator for the Health Home high cost/high risk clients providing intensive health home care coordination to include face to face care using the following defined activities:

Administer clinical, functional and resource tools to include depression alcohol and substance abuse screenings, pain screenings and functional impairment assessments
Ensure continuity of care and coordination through in-person visits and the ability to accompany clients to their health provider appointments as needed
Administer readiness assessments to determine client readiness for self-management and promote self-management skills so the client is better able to engage with health and service providers and support the achievement of self-directed individualized goals to attain recovery, improve health status and slow declines in functioning
Foster communication between providers and provider networks to include the primary care provider, medical specialists and those authorizing behavioral and long term supports and services.
Promote optimal clinical outcomes, develop strategies with client to meet goals through measurable objectives and document this information in the Health Action Plan
Provide health education and coaching to assist the client to increase self-management skills and improve health outcomes
Help the client use peer supports, support groups and self-care programs in order to increase the client’s knowledge about their health care conditions and improve adherence to prescribed treatments
Perform low-level Health Home Coordination functions by performing the following defined activities:

Maintain the client’s self-management skills with periodic home visits and phone calls to reassess health care needs.
Trigger high intensity care coordination activities if the client has increased ER use, hospital admissions and readmissions
Make appropriate client and family referrals
Attend lead Health Home cross training sessions to include resource information reviews
Attend and participate in Health Home webinars between across system Care Coordinators
Document client encounters activities and ensure proper record keeping
Assist clients in implementing their plan of care by facilitating access to and providing community resource linkage and managing the process to include monitoring effectiveness of support services including both client and provider participation
Pathways by Molina is committed to creating the best possible work environment for our team members and offers the following total rewards package: (NOTE: THIS ONLY APPLIES TO FULL TIME EMPLOYEES)

Competitive Salary
Paid Vacation Days
Paid Sick Days
Medical, Dental, Vision including a Health Savings Account
Health, Dependent and Transportation Flexible Spending Accounts
Basic and Optional Life Insurance for Employee, Spouse and/or Dependents
401 K with employer contribution (100% for the first 4% contributed)
Employee Stock Purchase Plan (buy stock at a 15% discount)
Mileage & Cell Phone Reimbursement
Training, Development and Continuing Education Credits for licensure requirements
Opportunities for advancement! As we grow, you grow with us!

Pathways by Molina is committed to creating the best possible work environment for our team members and offers a competitive compensation and benefits package including Medical, Dental, Vision, HSA, FSAs, vacation, sick, basic and optional life insurance, EAP, 401k (100% match for the 1st 4% employee contribution/immediate vesting) and an Employee Stock Purchase.

Pathways by Molina is an equal opportunity employer with a commitment to diversity. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status or any other protected characteristic.