Health Home Care Coordinator – Colville, WA

DIVISION: Community Living Connections

LOCATION: Colville

REPORTS TO: Community Living Connections Program Manager



STATUS: Non-Exempt

It is a full-time position, 32-40 hours, with a starting pay of $17.48– $18.18 per hour, D.O. E. plus benefits.


Provides care coordination services to eligible individuals and their families. Works with individuals and their families to assist them in successful discharge from the hospital. Works to support their continued health improvement to facilitate a reduction in utilization of emergency services and decrease the recurrence of additional hospitalizations. Assesses needs, develops and monitors implementation of service plans, makes appropriate referrals and serves as a client advocate with other service providers. Responsible for following up with patients regardless of setting to coordinate care and follow up services as needed.

Examples of Duties & Responsibilities

  • Complete the initial interviews with the client and their family to assess eligibility for services.
  • Gather relevant and useful data from the client, family, other agencies, and to determine appropriate support systems for the client.
  • Assemble and guide group discussions and decision-making sessions among relevant professionals and program representatives, the client, their family, and significant others to formulate goals and design an integrated support plan.
  • Monitor adherence to the plan and manage the flow of accurate information within the action system to maintain a goal orientation and coordination momentum.
  • Provide “follow-along” to the client and their family to speed identification of unexpected problems in service delivery and to serve as a general troubleshooter on behalf of the client.
  • Provide counseling and information to help the client and their family in situations of crisis and conflict with service providers.
  • Provide ongoing emotional support to the client and their family so they can cope better with problems and utilize professionals and complex services.
  • Complete the necessary paperwork to maintain documentation of client progress and adherence to the plan by all concerned.
  • Act as a liaison between the client and their family and all relevant professionals, programs, and informal resources involved in the overall support plan to help the client make their preferences known and secure the services needed.
  • Act as a liaison between programs, providing services to the client to insure the smooth
    flow of information and minimize conflict between the subsystems.
  • Establish and maintain credibility and good public relations with significant formal and
    informal resource systems to mobilize resources for current and future clients.
  • Perform effectively and as a professional within the organization to be in a position to
    develop and modify policies and procedures affecting clients and the effectiveness of the
    service delivery system.
  • Secure and maintain the respect and support of those in positions of authority so their
    influence can be enlisted on behalf of the client and used, when necessary, to
    encourage other individuals and agencies to participate in the coordination effort.
  • Provide a wide variety of direct assistance including medical billing forms, tax inf.,
    banking, entitlement applications, etc.
  • Remain current on state and federal policy, requirements, laws and regulations
    governing program and services.
  • Maintain systems and records that provide for the proper evaluation, control, and
    documentation of assigned operations.
  • Prepare reports and correspondence as required.

Perform other related duties as assigned.

Knowledge Skills, and Abilities

  • Knowledge of the dynamics of aging.
  • Knowledge of crisis intervention and counseling principles and practices.
  • Ability to prepare reports, correspondence and documentation.
  • Ability to comprehend complex documents and concepts.
  • Ability and willingness to maintain client confidentiality.
  • Ability to understand and apply federal, state and local policies, procedures and
    regulations applicable to the area of assignment.
  • Capable of analyzing and evaluating client needs and development and implementation
    of corrective action(s) to resolve issues.
  • Ability to communicate effectively, both orally and in writing.
  • Ability to operate computer and relevant applications.
  • Ability to access and egress non-ADA facilities and homes.
  • Ability to establish and maintain effective

Required Education or Experience

An Associate of Arts degree in social or health sciences with three years related experience or Bachelor’s degree in social or health sciences and two to three years related experience.

Required Certifications & Licenses

  • Acceptable completion of a criminal history background check.
  • Access to reliable transportation.
  • Auto insurance in the amount required by the State of Washington.
  • First Aid/CPR (within six weeks of employment).
  • Valid driver's license in state of residence.

Equal Opportunity Employer

Rural Resources Community Action provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.