Care Coordinator - Recuperative Care, Housing & Enhanced Care Management

Help Someone Get From "What Now?" to "What's Next." A hospital discharge isn't always the end of someone's healthcare journey. Sometimes, it's the beginning of an even more important one. Where will I recover? How will I get to my next appointment? Where am I going to live? How do I make sure I don't end up back where I started? At Anchor Co-Living, our Care Coordinators help answer those questions. We're looking for a compassionate, highly organized Care Coordinator who can support members through recovery, connect them to critical resources, help them navigate the path to housing, and build the skills they need to remain stable once they get there. This isn't a role where you simply check boxes and move to the next case. You help connect the dots. From Recuperative Care to Housing Navigation, Housing Tenancy & Sustaining Services, and Enhanced Care Management, you'll have the opportunity to support members through multiple stages of their journey toward better health and greater stability. If you believe good care is both clinical and human, we'd love to meet you. What You'll Actually Do Think of yourself as part coordinator, part advocate, part problem-solver, and part steady hand. One day, you may be checking on a member recovering after hospitalization. The next, you may be coordinating transportation to an appointment, helping someone complete a housing application, following up with a healthcare provider, updating a care plan, or identifying a problem that could jeopardize someone's housing. And throughout all of it, you'll make sure the work is documented accurately and on time. Because in this role, the care matters -- and so does the documentation behind it. Recuperative Care Help Members Recover With Dignity Our Recuperative Care members need more than somewhere to stay. They need someone paying attention. You'll help make sure members have what they need to recover safely while keeping providers, community partners, and the broader care team connected. You'll: Conduct and document daily member check-ins in the EMRCoordinate meals and other essential needsCommunicate and coordinate with healthcare providers and community partnersFacilitate referrals to appropriate services and resourcesHelp members arrange transportation to medical appointmentsUpload and maintain required documentation in member recordsTrack authorizations and help ensure they are renewed before they lapseSupport managed care plan reporting and other MCP requirements The Goal Is Simple: No member should fall through the cracks because someone forgot to follow up. Housing Navigation Turn "I Need Housing" Into a Plan Finding housing can be overwhelming -- especially for someone simultaneously navigating healthcare, financial challenges, and other barriers. You'll help turn that overwhelming process into manageable next steps. You'll become knowledgeable about local housing resources and help members identify opportunities such as: Income-based housingAffordable housingRoom-share opportunitiesTransitional housingPermanent housingHousing assistance programsCommunity-based housing resources But finding an opportunity is only part of the work. You'll also help members navigate applications, understand next steps, connect with the right organizations, and keep moving forward when the process gets complicated. You don't just hand someone a list of resources. You help them navigate the path. Housing Tenancy & Sustaining Services Getting Housed Is a Milestone. Staying Housed Is the Goal. A set of keys can change someone's life. But long-term stability often requires skills, routines, communication, and support. That's where you come in. You'll work with members to strengthen the everyday skills that make successful independent living possible, including: Budgeting and managing household expensesCommunicating effectively with landlords and roommatesCleaning and maintaining a living spaceOrganization and household managementIndependent-living skillsHealthy communication and conflict resolutionRecognizing issues that could put housing at risk You'll help identify challenges early and work with members on practical solutions before a small problem becomes a housing crisis. We don't measure success by move-in day alone. We want members to stay successfully housed. Enhanced Care Management See The Whole Person, Not Just The Referral Health doesn't exist in isolation. Housing, transportation, finances, behavioral health, medical care, relationships, and access to community resources can all affect a person's ability to move forward. Through Enhanced Care Management, you'll help bring those pieces together. You'll: Coordinate medical, behavioral health, and social servicesWork directly with members to identify health, social, and economic goalsDevelop individualized care plansTurn goals into measurable, actionable stepsTrack progress and adjust plans as circumstances changeCoordinate referrals and follow through to confirm services were receivedDocument engagement, interventions, barriers, and progress in the EMRCollaborate with providers, MCPs, community organizations, and other members of the care team Your job isn't simply to make a referral. It's to help make sure the connection actually happens. Who We're Looking For We're looking for someone who combines clinical knowledge with exceptional follow-through. You care about people -- but you're also organized enough to know that compassion without execution isn't enough. You notice when an authorization is about to expire. You follow up when a referral hasn't gone anywhere. You document the conversation while the details are still fresh. You can communicate with a member with empathy and then turn around and communicate with a provider or managed care plan with professionalism and precision. And When Something Gets Complicated, You Don't Immediately Think: "That's not my job." You Think: "Who needs to be involved to get this solved?" Required: What You'll Bring LVN or higher clinical credentialExperience in care coordination, case management, or community-based servicesStrong written and verbal communication skillsStrong, timely, and accurate documentation habitsExperience working in EMR systemsAbility to coordinate across multiple providers, organizations, and prioritiesStrong follow-through and attention to detail Especially Valuable: Experience working within CalAIMExperience with Recuperative CareHousing Navigation experienceHousing Tenancy & Sustaining Services experienceEnhanced Care Management experienceManaged care plan reporting experienceAuthorization tracking and renewal experienceExperience collaborating with healthcare providers, MCPs, and community-based organizations You don't necessarily need to have done every part of this role before. But you do need to be someone who learns quickly, takes ownership, documents carefully, and follows things through to completion. What Success Looks Like At Anchor We believe expectations should be clear. You'll Know You're Succeeding When: Members are seen. Daily check-ins happen consistently and are documented within required timeframes. Nothing quietly expires. Authorizations are tracked and renewed before they lapse. Housing moves forward. Members progress toward stable housing without unnecessary gaps caused by missed follow-up. Care plans mean something. Goals are measurable, current, and connected to documented member progress. Referrals don't disappear. Connections are followed through instead of simply being submitted. Documentation tells the story. A reviewer can open the record and clearly understand what happened, what was done, what barriers exist, and what comes next. And when an MCP audit happens, the record is ready -- without a scramble to reconstruct the work afterward. Why Anchor Co-Living? Because behind every authorization, care plan, referral, housing application, and EMR note is a person trying to build a more stable life. At Anchor Co-Living, you'll have the opportunity to work at the intersection of healthcare, housing, and human connection. Your work might help someone recover safely after leaving the hospital. It might help someone find a home after months of instability. It might teach someone the skills that help them keep that home. Or it might simply mean being the person who followed up when everyone else assumed someone else would. Those moments add up. Recovery matters. Housing matters. Stability matters. And the person coordinating all three matters, too. If that's the kind of responsibility that motivates you, we'd like to hear from you. Anchor Co-Living is an equal opportunity employer. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, or any other characteristic protected by applicable law.