Community Care Coordinator - Ogden Utah

About the role

Community Care Coordinators (CCCs) at NovumHealth help members with behavioral health and substance use needs navigate complex healthcare systems. In this role, you’ll coordinate care plans across multiple providers, ensure members stay connected to treatment, and advocate for their needs in clinical and community settings. CCCs work closely with physicians, therapists, recovery programs, social service agencies, and families to reduce barriers, prevent care gaps, and improve long-term outcomes for individuals facing behavioral health and SUD challenges.

Responsibilities

• Assessing the healthcare needs of individuals within the community and identifying gaps in care.
• Collaborating with healthcare providers, social service agencies, and community organizations to develop comprehensive care plans for patients.
• Aiding patients in navigating the healthcare system and accessing necessary services, such as medical appointments, specialist referrals, diagnostic tests, and community resources.
• Scheduling and coordinating appointments across therapy, psychiatry, MAT, and recovery programs.
• Facilitating communication and information exchange between patients, healthcare providers, and other stakeholders involved in the care process.
• Maintaining treatment adherence and providing motivational support for recovery milestones.
• Conducting home visits or community visits to assess patients' living conditions, social support systems, and adherence to treatment plans.
• Documenting patient interactions, care plans, and progress notes in electronic health records or care management systems.
• Participating in case conferences and team meetings to ensure coordinated care.
• Ensuring members/patients are transported to appointments or other locations as necessary, using the employee's personal vehicle (mileage is reimbursed).
• Performing additional duties as assigned.

Requirements

• At least 1 year of experience in case management, care coordination, behavioral health, or substance use services.
• Bachelor’s degree in healthcare, social work, nursing, or related field preferred.
• Additional certifications or specialized training in care coordination or case management are desirable.
• CPR/First Aid (or willingness to obtain).
• Must have an independent transportation vehicle to visit multiple locations.
• Willingness to receive vaccinations in accordance with hospital and state requirements.

Qualifications

• Strong knowledge of behavioral health systems, substance use treatment, and community resources.
• Strong interpersonal and communication skills to establish rapport with patients, families, and healthcare providers.
• Excellent organizational and time management skills to manage multiple patients and coordinate care effectively.
• Ability to assess patient needs, develop individualized care plans, and evaluate outcomes.
• Proficiency in using electronic health records and care management software.
• Understanding of privacy regulations and compliance requirements related to patient information and data security.
• Cultural competence and sensitivity to diverse populations and their unique healthcare needs.
• Ability to work collaboratively in a team and maintain positive relationships with healthcare professionals and community partners.