Social Determinants of Health (SDoH) Care Coordinator
Cascade Comprehensive Care Inc
- Klamath Falls, OR
- Permanent
- Full-time
- Supports the Health Equity department in the Flex Funds and HRSN process from start to finish.
- Coordinates care for members identified with SDoH needs.
- Participates in Interdisciplinary Treatment (IDT) and care collaboration meetings with network partners to identify members with SDoH needs and to receive SDoH member referrals.
- Leverages partnerships with contracted partners who provide SDoH resources and support to assist with care coordination of members with SDoH needs.
- Maintains a current and extensive knowledge base of SDoH and Health Equity-related disparities our members may face in multiple settings and cultural contexts, acting as CHA's member-level SDoH Subject Matter Expert (SME).
- Maintains an extensive knowledge base and understanding of Oregon Administrative Rules and Oregon Health Authority (OHA) initiatives as they relate to SDoH, supporting compliance in these areas.
- Assists members and coordinates with other departments for outreach efforts with education and completion of HRA and SDoH assessments.
- Identifies non-SDoH needs through HRA and SDoH assessments and makes appropriate internal referrals.
- Makes appropriate external referrals for SDoH needs when identified.
- Works within the Quality & Health Equity department to reduce health inequities through participation in identifying member-level data points to be collected, tracked, and reported through SDoH care coordination process.
- Supports the Health Equity Manager by ensuring assigned SDoH-related requirements are met for OHA incentive metrics, Transformation and Quality Strategy projects, and Performance Improvement Plans.
- Participates in member outreach activities and events that address SDoH needs.
- Supports the Health Equity manager in creating and maintaining SDoH policies and procedures, and other relevant written materials.
- Maintains confidentiality and complies with HIPAA rules and regulations.
- Maintains punctual, regular, and predictable attendance.
- Works collaboratively in a team environment with a spirit of cooperation.
- Displays excellent communication skills including presentation, persuasion, and negotiation skills required in working with members and coworkers, including the ability to communicate effectively and remain calm and courteous under pressure.
- Respectfully takes direction from manager.