Care Coordinator for Harm Reduction

Fair Haven Community Health Care 

FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is “To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive.”

For 53 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay.

Job purpose

The Care Coordinator for Harm Reduction coordinates client intakes and non-clinical services at Fair Haven Community Health Care’s (FHCHC’s) shelter- and street-based services. The Care Coordinator addresses the social and structural factors at play for clients in the in a manner that is consistent with FHCHC’s policies and mission. Upholding the principles of harm reduction, the case manager will use a recovery-oriented approach to all individuals seeking services.

Duties and responsibilities

Reporting to the Harm Reduction Lead, the Care Coordinator for Harm Reduction will screen for social determinants of health at least yearly using a validated screening instrument on all clients. Typical duties include but are not limited to:

• Liaison with other organizations and care providers, including city and state agencies, to link clients to available and appropriate services
• Develop and evaluate shared plans of care
• Link patients with social needs to community resources
• Assist with and follow-up on the successful completion of health maintenance items (e.g. lab testing, annual visits) and chronic disease management (e.g. routine diabetic or asthmatic care)
• Conduct home visits as needed
• Identify barriers to care impacting clients’ abilities to adhere to treatments
• Work collaboratively with clinical teams to meet the clinical and social needs of high-needs, high-cost patients
• Attend relevant trainings as required and assigned
• Document client referrals, encounters, and services in the EPIC electronic health record and communicate securely with other team members and clinicians
• Maintain strict adherence to all deadlines including report deadlines and timely completeness of documentation
• Coordinate food, laundry, and shower services for clients at shelter-based services

Qualifications

Bachelor Degree in health-related field or equivalent and a valid CT driver’s license and/or access to reliable transportation; experience in care coordination, working with teams, and using an electronic health record; bilingual Spanish/English required.

Direct Reports

None

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.