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Care Coordinator


REPORTS TO: Health Engagement Manager

LOCATION: Multiple Locations traveling between downtown Seattle and Maple Valley


This position has a social justice component that will require critical thinking around how external systems impact the work that we are doing through the lens of racism and intersections with poverty. Knowing the core principals of antiracism and grounding those principles in everyday work, as well as working well in non-white environments and championing anti-racism policy, are required job skills, and core values. As an equal opportunity employer, we highly encourage people of color to apply.

The Care Coordinator works as part of the Health Engagement team, leading the implementation of the Health Homes program across multiple YWCA sites. This position is responsible for supporting the goals and health action plans of Health Homes participants. This position leads the implementation of healthcare transitions for participants and other relevant health utilization services. The Care Coordinator is supervised by the Health Engagement Manager.


  • Identifies and engages with health home eligible residents including individual outreach and information sharing
  • Enrolls interested residents in the health homes program including the completion of all related intake paperwork
  • Engage in goal setting, the development of a Health Action Plan and monitoring of progress towards goals in partnership with resident participants
  • Provide complimentary, wrap around services in support of Health Home participant goals in partnership with Health Engagement team members
  • Lead all health care transition coordination for health homes participants in partnership with clinical entities such as participation in discharge planning
  • Work in partnership with health home participants to meet immediate post-hospitalization needs and reduce likelihood of hospital readmission
  • Lead coordination of specialized health care services such as hospice and in home support service for health homes participants 
  • Complete data tracking in Managed Care Organization data tracking systems for all health home participants and for internal data systems
  • Connect Health Homes participants to resources and additional community supports in partnership with the health engagement team
  • Increase access and utilization of primary care and behavioral health services in partnership with the health engagement team and in alignment with the Health Home participant’s Health Action Plan
  • Support health home participants in appropriate utilization of health care resources and increase understanding of role of health services
  • Ensure access to relevant health education, chronic disease management and other wellness information in partnership with the Health Engagement team
  • Ensure connection to on-site and community supports to promote health such as social engagement and stress reduction activities in partnership with the Health Engagement team
  • Engage in ongoing care coordination conversations including case conferencing with Health engagement team members, and other relevant staff in support of Health Homes participants
  • In partnership with the Health Engagement Team engage in continuous quality improvement activities to ensure accurate and high quality data tracking
  • In alignment with health home participant requests engage with family members and others regarding care coordination and other health needs
  • Adhere to Health Homes policies and procedures to ensure implementation in alignment with the program model
  • Communicate with health home participants, internal and external partners in a timely and thorough manner
  • Participate in all required Home Homes trainings and ongoing communications with Health Plans
  • Continued search for understanding of racial, gender and class equity
  • Incorporate the YWCA’s Social Justice Initiative by understanding how racism, sexism, classism and other oppressions intersect and are embedded in institutions
  • Adhere to all Volunteer Services protocol relative to volunteer usage, recognition and monitoring
  • Assure that clients, staff, volunteers and community partners are treated with respect and dignity regardless of race, ethnic background, gender or socioeconomic background


Must meet the health care authority Care Coordination minimum:

  • Bachelor’s degree and one or two years’ experience in the social work, psychology, registered nurse or related field
  • Care Coordinators must be clinical or non-clinical professionals, such as Clinical Case Managers, Social Workers, Mental Health Social Workers, Chemical Dependency Professionals, and Agency Affiliated Registered Counselors RNs, ARNPs, Psychiatric ARNPs
  • Experience working with clinical institutions in care coordination
  • Understanding of medical terminology
  • Current Washington State Driver’s License and must be able to travel between multiple YWCA sites
  • Experience working with communities of color and people from different cultures than your own
  • Demonstrated understanding of the intersection of racism and poverty
  • Core Competencies Expected: Maintain confidentially, attention to detail, strong oral and written communication, organizing/time management, initiative, collaboration/partnership, fostering diversity, race and social justice advocacy.

PHYSICAL DEMANDS OF THIS POSITION: The physical demands described here are representative of those that must be met by and individual to successfully perform the essential functions of this job. In performing this position, the employee:

  • Constantly uses hands and wrists, fingering, handling, grasping and reaching in using telephones, computers, fax machines and other office equipment and supplies.
  • Constantly sits while doing indoor work including operating a computer.
  • Frequently uses speech, hearing, and sight abilities in exchanging information with clients, agency staff, employers, representatives of community organizations and other individuals in the community
  • Frequently lifts/carries up to 50 pounds and pushes and pulls up to 12 pounds in performing duties in the office and in traveling to off-site meetings
  • Occasionally reaches outward, stands, squats, kneels, bends, walks and lifts items up to 50 pounds in performing duties in the office
  • Occasional local travel to multiple locations for off-site meetings
  • Indoor office environment

*Constantly requires this activity or exposure 66+% of the time, frequently: 33%-66%, occasionally: up to 33%.


  • Salary range: $19.50
  • Full-time, 40 hours per week
  • Fair labor standards Act (FLSA) Classification non-exempt
  • Good benefits package including medical benefits, vacation, sick leave and holiday pay
  • Excellent benefit package including medical insurance, retirement plan, plus generous vacation, holiday and sick leave plans
  • At the time of hire, employees may choose to voluntarily enroll in the Fidelity 403b Plan. Typically after two years of employment, employees are eligible to participate in the YWCA Retirement Fund.


Send cover letter and resume to: Anne Farrell-Sheffer, Health Access Regional Director, at This posting will be open until filled.

 YWCA Seattle | King | Snohomish is an equal opportunity employer