Care Coordinator

Description At STRIDE Community Health Center, we’re dedicated to more than just providing healthcare, we’re committed to making a lasting impact on the lives of our patients and the communities we serve. As one of Colorado’s largest Federally Qualified Health Centers, we provide comprehensive services—including primary care, dental, pharmacy, behavioral health, health education, and outreach—to individuals and families throughout the Denver Metro area. With over 35 years of serving our community, our growing team is at the heart of this mission.

We believe healthcare is about more than treating illness; it's about fostering wellness and addressing the unique needs of every person, ensuring that no one is left behind. If you’re passionate about making a meaningful difference, thrive in a collaborative environment, and are ready for a career that transforms lives, including your own, STRIDE is the place for you. Work Schedule: Monday - Friday, 7:00 AM - 3:30 PM Location: Peoria Clinic - 3292 Peoria St. Aurora, CO. 80010 Hybrid Schedule (Colorado Residents Only): 3 days onsite and 2 days remote per week. Full-time onsite attendance is required during training until completion.

General Purpose: As a vital member of the care team, Care Coordinators support the organization’s quality and value-based care efforts through coordination of internal and external services, referral management, and basic health education interventions. Essential Duties/Position Responsibilities: Coordinates internal and external services for patients in collaboration with the care team. Utilizes evidence-based screening tools to identify and document social determinants of health (SDH) and health-related social needs (HRSN) and provides resources and referrals to internal and external partners best equipped to address identified barriers.

Knows and maintains the database of community resources available to STRIDE’s patient population. Documents and communicates in a “closed loop” fashion with both patient and care team from initial interaction to closure of the episode or completion of goals. Conducts patient interaction(s) with respect, collaboration, and confidentiality utilizing basic principles of motivational interviewing when appropriate. Provides basic health education using evidence-based educational resources from nationally recognized sources or the Electronic Health Record and refers patients to appropriate internal or external resources for further education and support when indicated.

Manages internal and external referrals in accordance with organization policies, procedures, and standards including maintenance of the referral partner database, referral processing, follow-up with external agencies and providers to “close the loop”, retrieving and indexing reports. Contributes to population health efforts including targeted outreach and scheduling of patients based on specific criteria such as the presence of a chronic condition, wellness visit due…

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