The Korean Women's Association (KWA) is an equal opportunity employer. It considers all applicants without regard to race, color, national origin, religion, gender, marital or military status, age, sexual orientation gender identity, the presence of any sensory, mental, or physical disability, genetic information or any other protected characteristic.\n
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1. Purpose of Position
The Health Home Care Coordinator works with clients to develop a health Action Plan (HAP) and participate in health home services by working with clients to coordinate care to ensure that they receive the right care, at the right time, while utilizing the best resources.\n

Health Home Services supports members with their ongoing chronic conditions and assist them once a month with in-person visits to meet their health goals. Improves coordination and care for medical and other service needs, such as long-term services and supports, mental health services, and dependency services. Health Home Services reduces gaps in service and increase s coordination between all of their providers.\n
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2. Essential Duties and Responsibilities
\u2022 Assess care planning and implement and coordinate services
\u2022 Provide\/arrange for support to clients for effective improved self-management skills, enhanced client-provider communication, and care transitions.
\u2022 Facilitate interdisciplinary consultation, collaboration, and care continuity across care settings
\u2022 Engage clients in care coordination activities designed to promote improved utilization of health care services
\u2022 Create and maintain a patient-centered, goal-oriented Health Action Plan
\u2022 Assess activation level of self-care using Patient Activation Measure (PAM)
\u2022 Provide evidence-based health assessments and screenings such as BMI, PHQ-9, Katz ADL, GAD-7
\u2022 Provide referrals and advocacy for clients and their caregivers to community long term services and supports, which includes family caregiver programs, nutrition programs, in-home care, and case management, etc.
\u2022 Develop and maintain complete and concise client files in compliance with policy to appropriately document activities performed for the client and all elements required for specific programs
\u2022 Advocate on behalf of client
\u2022 Comply with health care regulations and ensure client confidentiality\n
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3. Secondary Duties and Responsibilities
\u2022 Arrange for transition support services, generally based on the Coleman model of Care Transition Intervention
\u2022 Maintain all required documentation related to services provided conforming to monthly deadlines
\u2022 Participate in staff meetings, public education, and provider training sessions, as appropriate
\u2022 Collaborate on any necessary interventions
\u2022 Participate in continuing education and training programs\n
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4. Position Requirements, Competencies and Qualifications
\u2022 Must speak Cambodian in order to communicate with clients who are only proficient in that language.
\u2022 Valid\/current WA State Driver's License with current automobile insurance
\u2022 Ability to Successfully pass a background check according to DSHS\/ALTSA and agency policies
\u2022 Ability to acquire proficiency in respective client documentation platforms
\u2022 Well-developed human relations skills and ability to work in a team-based environment
\u2022 Excellent communication skills, oral and written
\u2022 Skill in interviewing clients in person, on the phone, and others involved as relevant, to elicit information and impact client situation
\u2022 Knowledge of Microsoft Office Suite Word, Excel, Outlook email programs and database applications
\u2022 Ability to utilize other computer programs and systems that may be specific to positions or duties\n

4.1 Education and Experience:
\u2022 Associate Applied Science Degree
\u2022 1 year minimum as a Behavioral Health Care Coordinator, Case management or\/and Social Service experience.
\u2022 One year of experience in In Home Care administration and Human Resources preferred; education may be substituted for experience
\u2022 Experience meeting and working with people in homes and other medical or community settings\n
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5. Working Conditions
\u2022 Ability to perform office functions in a hybrid work model, which includes working two days per work week in a designated Agency office
\u2022 Ability to climb stairs and to make home and residential client visits in settings that may not be accessible or may not meet prevailing community standards
\u2022 Must be able to lift and\/or move up to 25lbs occasionally, and\/or up to 10lbs frequently, and\/or negligible amount of force constantly to move objects
\u2022 Ability to travel to client homes and community agencies or to work at a desk up to eight hours a day using a computer and telephone\n
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NOTE: The requirements for this position are indicative of the physical and mental capacities needed to satisfactorily perform the duties for the position. Reasonable accommodations, as required by the Americans with Disabilities Act will be granted wherever possible.