HFW Care Coordinator

Aunt Martha's Health and Wellness boldly commits to supporting the well-being of our communities, ensuring equity in access and delivering exceptional care inspired by a culture of innovation. We are taking a responsible approach to creating environments that allow us to do what we do best-provide healthcare and wellness.

Position Title : HFW Care Coordinator

Location : Joliet, IL

Hourly Rate : $21- $21.64

SUMMARY

Under the direct supervision of the CCS Supervisor , the HFW Care Coordinator serves as a liaison between patients, families, and the healthcare system to ensure the coordination of primary care and behavioral health services. This role supports patients through high-fidelity wraparound services, ensuring access to care, consistency in treatment, and connection to community resources.

The HFW Care Coordinator provides exceptional customer service, ensures a safe and efficient environment of care, and demonstrates the ability to manage multiple priorities while maintaining accuracy, professionalism, and compassion in all interactions.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Maintain patient confidentiality and adhere to ethical and professional standards at all times.
• Deliver outstanding customer service in accordance with the AIDET model, exceeding expectations to ensure the best possible outcomes.
• Manage a high-fidelity wraparound caseload, ensuring behavioral health needs are consistently addressed and coordinated.
• Schedule and track medical, dental, and behavioral health appointments for patients.
• Conduct required in-person and telephonic contacts with patients and families, including monthly family team meetings.
• Develop individualized care plans in collaboration with patients, families, and interdisciplinary care teams.
• Maintain accurate and timely data entry across various databases and electronic portals.
• Serve as a liaison between behavioral health and primary care teams by attending case consultations, care team meetings, and clinical huddles.
• Apply knowledge of medical and mental health conditions to support patient care planning and intervention.
• Complete evidence-based assessments, including tools such as SBIRT, PHQ-2 / PHQ-9, GAD-7, and Vanderbilt.
• Provide case management and advocacy, connecting patients to internal and external mental health, substance use, and community support services.
• Collaborate with health plans, hospitals, specialists, and providers to ensure comprehensive, coordinated care.
• Attend required trainings and meetings, and complete all Core Curriculum courses related to this position.
• Perform all other duties as assigned.

KEY COMPETENCIES

QUALIFICATIONS

Education and / or Experience

Other Qualifications

BENEFITS